To evaluate the frequency of occurrence and outcome of patients having retained foreign bodies after treatment in an urgent-care setting.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428102
Code Inist : 002B30A05. Création : 19/12/1997.