Litigation in Anesthesia and Intensive Care Units: An Italian Retrospective Study
| Autor: | Giulia Degan, Vittorio Fineschi, Antonio Luciani, Emiliano Petrucci, Alessandro Vergallo, Marco Cascella, Alessandro Vittori, Franco Marinangeli, Barbara Pizzi, Gilberto Fiore |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
claim
medicine.medical_specialty Leadership and Management anesthesia hospital intensive care litigation malpractice Health Informatics Article Insurance claims Health Information Management Statistical significance Intensive care Malpractice Medicine business.industry Health Policy Retrospective cohort study Small hospital Emergency medicine business Peripheral nerve damage |
| Zdroj: | Healthcare Volume 9 Issue 8 Healthcare, Vol 9, Iss 1012, p 1012 (2021) |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare9081012 |
| Popis: | Anesthesiologists consider professional insurance and its medico-legal problems as a remarkable aspect of their job. “Associazione Anestesisti Rianimatori Ospedalieri Italiani—Emergenza ed Area Critica” (AAROI-EMAC) is the Italian professional association of anesthesiologists and intensivists that works to train its subscribers on safety measures. This is a retrospective observational study on an insurance complaints database for anesthetic accidents that result in injuries to patients. The analyzed period runs from 1 January 2014 to 31 December 2016. A total of 1309 complaints related to 873 insurance claims were analyzed. Criminal complaints comprised 805 (64.4%) of the total, and civil complaints were 445 (35.6%). The iatrogenic damage claimed included: death (58% of the cases) peripheral nerve damage (8%) spinal cord injuries (5%) unspecified injuries (7%) dental damage (4%) infections (3%) needing second surgical procedure (2%) and other injuries (13%). There is a statistical significance between the size of the hospital and the number of the claims: small hospital complaints comprised 40.1% of the cases, while complaints against medium-sized and large hospitals constituted 20.6% of the cases (χ2GL = 8 = 39.87, p = 0.00). In Italy, anesthesiologists and intensivists are often involved in litigation even when they are not directly responsible for iatrogenic injuries, and the most frequent claims in ICU are related post-operative complications. |
| Databáze: | OpenAIRE |
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