logo BDSP

Base documentaire


  1. Retained foreign bodies.

    Article - En anglais

    Objective 

    To evaluate the frequency of occurrence and outcome of patients having retained foreign bodies after treatment in an urgent-care setting.

    Materials and Methods 

    Closed case records from the files of the Medical Professional Mutual Insurance Company involving claims of retained foreign body were reviewed for a 7-year period.

    Main Results 

    Thirty-two patients filed 54 claims against 32 physicians and 22 health care institutions.

    Defense costs were $298,906, and indemnity payments were $1,279,171.

    Glass was the most frequent retained foreign body, constituting 53% of claims.

    Despite the fact that glass is radiopaque, x-ray films were ordered for only 35% of these patients.

    Retention of glass fragments when no radiologic study was obtained resulted in unsuccessful defense of 60% of the claims and higher indemnity payments.

    Radiologic studies were ordered for only 31% of all patients.

    Conclusions 

    All wounds should be considered to be at risk for foreign body entry.

    Documentation in the medical record of wound exploration and patient follow-up, and ordering of plain films and other diagnostic imaging studies should be used more frequently toward this end.

    Mots-clés Pascal : Faute professionnelle, Médecin, Urgence, Diagnostic erreur, Complication, Traitement, Plaie pénétrante, Homme, Rétention, Corps étranger, Dommages intérêts, Epidémiologie, Fréquence, Pronostic, Traumatisme

    Mots-clés Pascal anglais : Malpractice, Physician, Emergency, Error diagnostic, Complication, Treatment, Penetrating injury, Human, Retention, Foreign body, Compensatory damage, Epidemiology, Frequency, Prognosis, Trauma

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

    Cote : 97-0428102

    Code Inist : 002B30A05. Création : 19/12/1997.