Hospital dentistry litigation in England: clinical negligence claims against the NHS 2015-2020.

Autor: Blanchard JR; Department of Oral Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals, 47-49 Huntley Street, London, WC1E 6DG, UK. jessica.blanchard@nhs.net., Koshal S; Department of Oral Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals, 47-49 Huntley Street, London, WC1E 6DG, UK., Navaratnam A; Royal National ENT and Eastman Dental Hospitals, UCLH, 47-49 Huntley Street, London, WC1E 6DG, UK; Getting it Right First Time Programme, NHS England and Improvement, Wellington House, 135-155 Waterloo Road, London, SE1 8UG, UK., Machin JT; NHS England and Improvement, Wellington House, 135-155 Waterloo Road, London, SE1 8UG, UK., Briggs TWR; NHS England and Improvement, Wellington House, 135-155 Waterloo Road, London, SE1 8UG, UK., Jones E; Getting it Right First Time Programme, NHS England and Improvement, Wellington House, 135-155 Waterloo Road, London, SE1 8UG, UK.
Jazyk: angličtina
Zdroj: British dental journal [Br Dent J] 2022 Sep 06. Date of Electronic Publication: 2022 Sep 06.
DOI: 10.1038/s41415-022-4965-4
Abstrakt: Introduction Litigation against the NHS in England is rising. The aim of this study was to determine the incidence and characteristics of hospital dentistry clinical negligence claims in England.Methods A retrospective review was undertaken of all clinical negligence claims in England held by NHS Resolution relating to hospital dentistry between April 2015 and April 2020. Analysis was performed using the information for cause, patient injury and claim cost.Results A total of 492 claims were identified, with an estimated potential cost of £14 million. The most frequent causes for clinical negligence claims included failure/delay in treatment (n = 175; £3.9 million), inappropriate treatment (n = 56; £1.8 million) and failure to warn/obtain informed consent (n = 37; £1.5 million). Wrong site surgery was cited in 33 claims. The most frequent injury reported was dental damage (n = 197; £4.3 million), unnecessary pain (n = 125; £2.3 million) and nerve damage (n = 52; £2.4 million).Conclusion Clinical negligence claims in hospital dentistry are related to several different aspects of patient management and are not limited to treatment complications alone. Human ergonomics and patient perception of dentistry cannot be controlled but a focus on patient safety measures and effective communication can serve as tools to combat these factors.
(© 2022. The Author(s), under exclusive licence to the British Dental Association.)
Databáze: MEDLINE
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