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Understanding Factors Associated with Paid Malpractice Claims in Plastic Surgery.
Remington, Austin C; Schaffer, Adam; Hespe, Geoffrey E; Yugar, Carlos J; Sherif, Rami; Vercler, Christian J.
Afiliação
  • Remington AC; From the Department of Surgery, Section of Plastic Surgery, University of Michigan.
  • Schaffer A; CRICO/The Risk Management Foundation of the Harvard Medical Institutions.
  • Hespe GE; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School.
  • Yugar CJ; From the Department of Surgery, Section of Plastic Surgery, University of Michigan.
  • Sherif R; CRICO/The Risk Management Foundation of the Harvard Medical Institutions.
  • Vercler CJ; From the Department of Surgery, Section of Plastic Surgery, University of Michigan.
Plast Reconstr Surg ; 153(3): 644e-649e, 2024 Mar 01.
Article em En | MEDLINE | ID: mdl-37092966
ABSTRACT

BACKGROUND:

Few studies have investigated malpractice broadly in the field of plastic surgery. The purpose of this analysis was to characterize plastic surgery malpractice cases and examine factors influencing malpractice case outcomes, thereby identifying areas of patient safety concern.

METHODS:

The Candello database, which catalogs approximately 30% of all paid and unpaid malpractice claims in the United States, was used to obtain cases involving plastic surgery closed between 2009 and 2018. A total of 2674 cases were identified. A multivariable regression model was developed to analyze factors associated with a malpractice case closing with indemnity payment.

RESULTS:

A total of 716 claims (26.8%) resulted in an indemnity payment. The clinical severity was determined to be high in 229 cases (8.6%). Emotional trauma [ n = 558 (20.9%)] was the most frequently cited injury category. Major differences between procedure groups were not observed, with consistent severity of injury across categories. Poor surgical technique, problems with communication among providers, inadequate informed consent, and deficient documentation were significant factors predictive of malpractice cases closing with payment. Issues with technical performance resulting in a known complication and patient factors were protective against paid claims.

CONCLUSIONS:

The financial and clinical severity of malpractice claims in plastic surgery were relatively low overall. Multiple factors were found to be associated with a case closing with an indemnity payment. These data highlight the importance of the informed consent process and managing expectations in the clinical care of surgical patients.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgia Plástica / Imperícia Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Plast Reconstr Surg Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgia Plástica / Imperícia Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Plast Reconstr Surg Ano de publicação: 2024 Tipo de documento: Article