This study reviewed 549 malpractice claims filed against emergency physicians in Massachusetts from 1975 through 1993, with a total of $39,168,891 of indemnity and expense spent on the 549 closed claims.
High-risk diagnostic categories (chest pain, abdominal pain, wounds, fractures, pediatric feverlmeningitis, epiglottitis, central nervous system bleeding, and abdominal aortic aneurysm) accounted for 63.75% of all closed claims and 64.23% of the total indemnity and expense spent on closed claims.
Missed myocardial infarction (chest pain) claims accounted for 25.47% of the total cost of closed claims but only 10.38% of closed claims.
The number of claims for missed myocardial infarction increased in the post-1988 closed claim group compared to the pre-1988 group ; fractures and wounds were significantly less frequent in the post-1988 group.
The frequency of high-risk claims decreased in the post-1988 group, largely because of the decline in fracture and wound claims.
The category of missed myocardial infarction had a larger percentage of claims closed with indemnity payment than without indemnity payment.
This parameter may serve as a marker for the overall seriousness of claims associated with a particular allegation, unlike the average cost per claim, which may be skewed by a few large awards.
Mots-clés Pascal : Faute professionnelle, Urgence, Service hospitalier, Indemnité dédommagement, Etude temporelle, Pratique professionnelle, Homme, Massachusetts, Etats Unis, Amérique du Nord, Amérique, Médecin
Mots-clés Pascal anglais : Malpractice, Emergency, Hospital ward, Indemnity, Temporal study, Professional practice, Human, Massachusetts, United States, North America, America, Physician
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0390745
Code Inist : 002B30A05. Création : 10/04/1997.