...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Toward safer practice in otology: a report on 15 years of clinical negligence claims.
【24h】

Toward safer practice in otology: a report on 15 years of clinical negligence claims.

机译：寻求更安全的耳科实践：有关15年临床过失索赔的报告。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVES/HYPOTHESIS: To determine the characteristics of medical negligence claims arising from otological practice. STUDY DESIGN: Retrospective analysis of medical negligence claims contained in the National Health Service Litigation Authority (NHSLA) database. METHODS: Claims relating to otology and neurotology between 1995 and 2010 were obtained from the NHSLA database and analyzed for cause of injury, type of injury, outcome of claim and costs. RESULTS: Over 15 years there were 137 claims in otology, representing 26% of all the claims in otolaryngology. Of these, 116 have been closed, and 84% of closed claims resulted in payment. Of the 97 successful claims, 63 were related to operative complications. This included six cases of wrong side/site surgery, and 15 cases of inadequate informed consent. The most common injuries claimed were hearing loss, facial paralysis, and additional/unnecessary surgery. Middle ear ventilation and mastoid surgery were the procedures most commonly associated with a successful claim. There were 15 successful claims of misdiagnosis/delayed diagnosis, with chronic suppurative otitis media the condition most frequently missed. There were nine successful claims related to outpatient procedures, of which seven were for aural toilet and six claims of medical mismanagement, including three cases of ototoxicity from topical medications. There were also four successful claims for morbidity due to delayed surgery. CONCLUSIONS: This is the first study to report outcomes of negligence claims in otology. Claims in otology are associated with a high success rate. A significant proportion of claims are not related to surgery and represent areas where safety should also be addressed.
机译：目的/假设：确定由耳科实践引起的医疗过失索赔的特征。研究设计：追溯分析国家卫生服务诉讼管理局（NHSLA）数据库中包含的医疗过失索赔。方法：从NHSLA数据库中获得1995年至2010年间与耳科和神经科有关的索赔，并对伤害原因，伤害类型，索赔结果和费用进行了分析。结果：在过去的15年中，有137项耳科疾病主张，占所有耳鼻喉科疾病主张的26％。在这些索赔中，有116宗已经结案，已结案的索赔中有84％导致付款。在97项成功的索赔中，有63例与手术并发症有关。其中包括6例错误的侧面/部位手术和15例知情同意不足的病例。索赔的最常见伤害是听力丧失，面部瘫痪和其他/不必要的手术。中耳通气和乳突手术是成功申领最常见的方法。有15个成功的误诊/延误诊断主张，慢性化脓性中耳炎是最常漏诊的疾病。有9项与门诊手术有关的成功索赔，其中7项针对耳洗和6项医疗不当索赔，包括3例局部用药引起的耳毒性病例。由于手术延误，也有四项成功的发病率声明。结论：这是第一项报告过失索赔在耳科的结果的研究。耳科学的主张与高成功率相关。很大一部分索赔与手术无关，代表着还应解决安全问题的领域。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号