Twenty four years of oral and maxillofacial surgery malpractice claims in Spain: patient safety lessons to learn

Bordonaba-Leiva, Sergio; Gómez‐Durán, Esperanza L.; Benet-Travé, Josep; Martín-Fumadó, Carles; Bescós‐Atín, Coro; Mareque-Bueno, Javier; Arimany–Manso, Josep

doi:10.1007/s10006-019-00756-3

Cited by 20 publications

(38 citation statements)

References 23 publications

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“…With regard to specialisation and level of knowledge, the article published by Bordonaba-Leiva S et al regarding malpractice claims led in the last 24 years in the eld of Oral and Maxillofacial Surgery in Spain, highlight the growing trend of malpractice claims for adverse events, suggesting that professionals working in Oral and Maxillofacial Surgery are aware of the ongoing problem (11). This initially led us to believe that the dentists and stomatologists specialising in Oral Surgery and Implantology who responded to this survey would obtain better results, as they would likely have to be better informed.…”

Section: Discussionmentioning

confidence: 99%

“…The high risk of litigation changes the practice of the specialist and is one of the most frequently cited factors in uencing their decision on whether to provide dental care or not. The increasing trend of claims for malpractice for adverse events has also been described and Oral and Maxillofacial Surgery professionals are acutely aware of the current problem (11). Dental care providers are obligated to deal with legal issues.…”

Section: Introductionmentioning

confidence: 99%

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WITHDRAWN: Knowledge, Attitudes and Practices of Health Legislation and Regulations by Dentists and Stomatologists in the Valencian Community: A KAP Analysis.

Gisbert

Grifo

Sheth

2021

Preprint

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Background The main objective of this study is to analyse the background and knowledge, attitudes and practices of Spanish dentists and stomatologists registered in Alicante, Castellón and Valencia, the three provinces that make up the Valencian Community, with regard to current Spanish health legislation and regulations, and to try to quantify the relationship between level of training, specialisation, work experience, position and workplace, and degree of knowledge. Methods An anonymous survey was designed, consisting of thirty-three multiple-choice questions, checked beforehand by a statistician and validated by nine dentists and stomatologists from different specialisations, via an online platform called SurveyMonkey®. The validated survey included questions regarding their professional background and key questions regarding current dental law and expertise. The link and QR code (Quick Response) for taking the survey was sent via the official email address of each province's College of Dentists and Stomatologists, so that members could take the survey online for a limited period of time. Results Members' level of knowledge of health legislation and regulations in the Valencian Community is moderate, with only 63% of the questions answered correctly. Neither their level of education nor work experience correlates significantly with their degree of knowledge. Dentists specialising in General and Aesthetics Dentistry were found to be more knowledgeable about ethical issues. Regarding the workplace, those working as university teachers tended to stand out from the other professionals in terms of legal and ethical knowledge whilst self-employed and employee dentists show a lower level of knowledge than the rest of the sample. Conclusions The conclusions obtained from this study highlight the need for dentists to complete and update their knowledge of current health legislation, as having proper knowledge is a means of avoiding possible legal problems, which not only means better legal protection for the dentist but is also a means of guaranteeing adequate patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

WITHDRAWN: Knowledge, Attitudes and Practices of Health Legislation and Regulations by Dentists and Stomatologists in the Valencian Community: A KAP Analysis.

Gisbert

Grifo

Sheth

2021

Preprint

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“…Esta escasez de estudios locales sobre demandas en odontología, es una señal de alarma debido a que los litigios por malpraxis han pasado a ser parte de la cotidianeidad de la profesión o inclusive del área de la implantología según lo demostrado en algunos estudios realizados en Portugal (Corte-Real et al, 2020), España (Bordonaba-Leiva et al, 2019) e Irán (Kiani & Sheikhazadi, 2009). En contraste con la ausencia de reportes locales, la realidad es bastante agresiva para el odontólogo chileno: en 2019, un cirujano dentista especialista en implantología fue condenado a indemnizar a un paciente por lesiones, por un monto superior a los 100 mil dólares (Villarroel, 2019).…”

Section: Resultsunclassified

Demandas por Malpraxis en Distintas Etapas del Tratamiento en Implantología Oral: Una Revisión

Arroyo-Navarrete

Fonseca

2021

Int. J. Odontostomat.

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RESUMEN:Las demandas por malpraxis en odontología se han incrementado en los últimos años, siendo la implantología una de las especialidades más litigadas. Estas demandas en su mayoría se han caracterizado por tener un carácter multifactorial, con errores reportados en cualquiera de sus fases diagnósticas, terapéuticas o de mantenimiento. El propósito de esta revisión fue establecer la etapa del tratamiento implantológico en la que más se realizaron demandas por malpraxis, estableciendo una categorización de los errores detectados y de los daños asociados a cada una de las fases que incluye el tratamiento de rehabilitación mediante implantes dentales. Se realizó una revisión con búsqueda sistemática de los últimos 10 años en las bases Pubmed, Scopus, Web of Science, SciELO, complementada con una búsqueda manual en revistas especializadas y en Google Scholar de artículos a partir de términos clave en idiomas español inglés y portugués. Se identificaron solo 3 artículos que cumplieron los criterios de selección, lo que afirma el concepto de escasa atención hacia esta eventualidad. Las demandas identificadas en esos reportes fueron analizadas sobre cuatro tipos de riesgo en implantología según la etapa del tratamiento en la que aparecen. La etapa quirúrgica fue identificada como la de mayor potencial de riesgo de originar eventos adversos y demandas asociadas. Se sugiere profundizar en los aspectos medicolegales propios y genéricos de la especialidad, como así también en el desarrollo de estrategias que prevengan sus eventos adversos y la judicialización asociada.

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“…The secondary use of CC records allowed us to analyze the frequency and characteristics of possible patient safety problems, with these sources of information, which although not specifically designed for that purpose, being proven useful in this field in other previous studies. 18,24 Malpractice during a health intervention was the main ground for bringing CC (42.4%). However, a great variation in this result has been observed in other studies carried out in Spain in maxillofacial surgery (65.1%), 18 vascular surgery (31.85%), 17 and overall (22.2%).…”

Section: Discussionmentioning

confidence: 99%

Surgical Error Compensation Claims as a Patient Safety Indicator: Causes and Economic Consequences in the Murcia Health System, 2002 to 2018

et al. 2021

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ObjectivesCompensation claims are a useful source of information on patient safety research. The purpose of this study was to determine the main causes of surgical compensation claims and their financial impact on the health system.MethodsA descriptive observational study with analytical components was carried out on compensation claims brought against the surgical area of the Murcia Health System between 2002 and 2018. We analyzed the frequency, causes, consequences, locations and surgical settings of these claims, the time of judicial procedure, and compensation adjusted to the Consumer Price Index.ResultsThere were 1172 compensation claims. “orthopedic surgery and traumatology” (27.4%), “gynecology and obstetrics” (25.7%), and “general surgery” (17.2%) were the main surgical settings involved. The most frequent causes were surgical error (42.4%) and treatment error (30.9%). The main sequelae were musculoskeletal (20.0%), neurological (17.7%), and obstetric (17.7%). The average time from incident to resolution of claims was 6.3 years. A total of 20.1% of these claims were successful, particularly those involving retained surgical foreign bodies (71.4% successful claims; P < 0.001). The total compensation paid was €56,338,247 (an average of €17,207 per claim). Compensation was higher in cases with respiratory sequelae (median, 131,600; P = 0.033), death (75,916; P < 0.001), and neurological (60,000; P = 0.024).ConclusionsCompensation claims associated with surgical procedures are made on a variety of grounds. They are drawn-out proceedings, and patients are only successful in 20% of cases.

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Twenty four years of oral and maxillofacial surgery malpractice claims in Spain: patient safety lessons to learn

Cited by 20 publications

References 23 publications

WITHDRAWN: Knowledge, Attitudes and Practices of Health Legislation and Regulations by Dentists and Stomatologists in the Valencian Community: A KAP Analysis.

WITHDRAWN: Knowledge, Attitudes and Practices of Health Legislation and Regulations by Dentists and Stomatologists in the Valencian Community: A KAP Analysis.

Demandas por Malpraxis en Distintas Etapas del Tratamiento en Implantología Oral: Una Revisión

Surgical Error Compensation Claims as a Patient Safety Indicator: Causes and Economic Consequences in the Murcia Health System, 2002 to 2018

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