[Closed claims in obstetrics: A study based on French Sham insurance data]. / Sinistralité en obstétrique dans les hôpitaux publics français: données Sham.
J Gynecol Obstet Biol Reprod (Paris)
; 45(1): 54-61, 2016 Jan.
Article
de Fr
| MEDLINE
| ID: mdl-25863577
ABSTRACT
OBJECTIVE:
The aim of this study was to analyze the medicolegal claims related to obstetrics in French hospitals. MATERIAL ANDMETHODS:
We did retrospective study on insurance claims provided by Sham insurances and which has been settled by a court over a 3-year period (2004-2006).RESULTS:
We analyzed 66 closed claims that occurred between 1983 and 2005 in French hospitals (54 general hospitals and 12 academic). The average time between the declaration of the claim and the court conviction was 6 years. The average amount of compensation per claim was 500,000 . The damage occurred during vaginal delivery (n=44), planned (n=5) or unplanned (n=4) cesarean. The more often claims are fetal asphyxia (n=24) or shoulder dystocia (n=8). The consequences are very important cerebral palsy (16), death of the newborn (12), death of the mother (2) or brachial plexus injuries (6).CONCLUSION:
The causes identified by the expert are always multifactorial with generally a misdiagnosis (n=27), a decision making error (n=36), a care error by the midwife (n=21) and/or a delay in medical care (n=13). These data should help strengthen the quality approach in obstetrics.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Responsabilité légale
/
Assurance maladie
/
Faute professionnelle
/
Obstétrique
Type d'étude:
Observational_studies
Limites:
Humans
Pays/Région comme sujet:
Europa
Langue:
Fr
Journal:
J Gynecol Obstet Biol Reprod (Paris)
Année:
2016
Type de document:
Article