The consistency of experts' evaluation of obstetric claims for compensation
| Autor: | Bjørn Backe, K. Øvrebø, Stian Lydersen, Stine Andreasen, Pål Øian |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
education Carelessness 03 medical and health sciences Shoulder dystocia 0302 clinical medicine Consistency (negotiation) Cohen's kappa Pregnancy Surveys and Questionnaires Health care medicine Humans Observer Variation 030219 obstetrics & reproductive medicine Medical Errors Norway business.industry Compensation (psychology) Malpractice Obstetrics and Gynecology medicine.disease Causality Obstetrics Inter-rater reliability Family medicine Compensation and Redress Female Apgar score medicine.symptom business |
| Zdroj: | BJOG: An International Journal of Obstetrics & Gynaecology. 122:948-953 |
| ISSN: | 1470-0328 |
| DOI: | 10.1111/1471-0528.12979 |
| Popis: | Objective The aim of this study was to investigate the consistency of experts' evaluation of different types of obstetric claims for compensation. Design Inter-rater reliability study of obstetric claims for compensation. Setting Medical experts' evaluation in The Norwegian System of Compensation to Patients, a no-blame system. Sample The 15 most frequently used medical experts were asked to evaluate 12 obstetric claims applied for compensation. Methods Inter-rater agreement was assessed by absolute agreement, Fleiss' kappa statistic and Gwet's AC1. Main outcome measures Consistency in the evaluation of negligence (carelessness without intention to harm) and causality (relation between care and injury) between negligence and patient injury. Results The experts demonstrated moderate consistency in their evaluation of negligence (Fleiss' kappa = 0.53/AC1 = 0.54) and causality (Fleiss' kappa = 0.41/AC1 = 0.54). There was a higher level of agreement in clinical scenarios with well-documented diagnostic criteria and guidelines, including shoulder dystocia and asphyxia with low Apgar score and metabolic acidosis. Conclusion We found a moderate level of agreement in experts' evaluation of negligence and causality between the injury and provided health care, the two most important questions to be answered in obstetric claims for compensation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text