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  1. A clinical analysis of 500 medico-legal claims evaluating the causes and assessing the potential benefit of alternative dispute resolution.

    Article - En anglais

    Objective 1.

    To evaluate the common causes of medico-legal dispute in obstetrics and gynaecology. 2. To assess the potential benefit of early alternative dispute resolution.

    Design A prospective analysis of over 500 cases submitted from over 100 solicitors between 1984 and 1994 for medical expert opinion on potential medico-legal claims.

    Cases Five hundred consecutive cases that met the inclusion criteria : 488 from the United Kingdom and 12 from abroad (Hong Kong, Republic of Ireland).

    Main outcome measures The main principles underlining medico-legal disputes and causes of such claims Results Analysis of 500 claims show 46% were misguided allegations, 19% incompetent care, 12% error of judgement, 9% lack of expertise, 7% failure of communication, 6% poor supervision and 1% inadequate staffing.

    Of the misguided allegations 119/225 cases (59%) were obstetric and 111/275 (40%) cases were gynaecological.

    The most common cause of obstetric dispute was'cerebral palsy' (22%), while the commonest cause of gynaecological dispute was failed sterilisation (19%). Settled claims were under-reported by solicitors.

    Conclusion Because of the high percentage (46%) of misguided allegations, an alternative course of dispute resolution must be a realistic way forward.

    This course of action, combined with improved communication, could result in a major reduction in the costs of potential medical litigation. (...)

    Mots-clés Pascal : Expertise médicolégale, Gynécologie, Obstétrique, Cause, Réclamation, Procès, Résolution problème, Analyse statistique, Homme

    Mots-clés Pascal anglais : Medicolegal expertise, Gynecology, Obstetrics, Cause, Protest, Trial, Problem solving, Statistical analysis, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0064634

    Code Inist : 002B30A10. Création : 21/05/1997.