美國急診醫療事件賠償分析

Emgerency Malpractice Claims from Sun YaiCheng
 

An Epidemiologic Study of Closed Emergency Department Malpractice Claims in a National Database of Physician Malpractice Insurers

封閉式急診醫療事件賠償：醫師醫療事故保險國家資料庫之流行病學研究

Acad Emerg Med. 2010 May;17(5):553-60.

All closed malpractice claims in the Physician Insurers Association of America (PIAA) database between 1985 and 2007, where an event in an ED was alleged to have caused injury to a patient 18 years of age or older.

• Total identified 11,529 claims arising from an event originating in an ED, representing over $664 million in total liability over the 23-year study period.
• Emergency physicians were the primary defendants in 19% of ED claims. The largest sources of error, as identified by the individual malpractice insurer, included errors in diagnosis (37%), followed by improper performance of a procedure (17%). 
• In 18% of claims, no error could be identified by the insurer. 
• AMI (5%), fractures (6%), and appendicitis (2%) were the health conditions associated with the highest number of claims. 
• 70% closed without payment to the claimant. 
• Only 7% of claims were resolved by verdict, and 85% of those were in favor of the clinician.

 
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