Investigation of litigation in trauma orthopaedic surgery
作者机构：Department of Orthopaedic SurgeryShiraz University of Medical SciencesShiraz ***Iran Department of General SurgeryKermanshah University of Medical SciencesKermanshah ***Iran Student Research CommitteeKermanshah University of Medical SciencesShiraz ***Iran Student Research CommitteeShiraz University of Medical SciencesShiraz 716549834Iran Students’Scientific Research Center(SSRC)Tehran University of Medical SciencesTehran 714356743Iran Clinical Research Development Unit of Shohada-e Tajrish HospitalShahid Beheshti University of Medical SciencesTehran 715643498Iran Student Research CommitteeShahid Sadoughi University of Medical SciencesYazd 719167534Iran
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第5期
页 面：1000-1008页
核心收录：
基 金：the Clinical Research Development Center of Taleghani and Imam Ali Hospital, University of Medical Sciences, Kermanshah, Iran Shohada Tajrish Clinical Research Development Center at Shahid Beheshti University of Medical Sciences in Tehran, Iran, for their support。
主 题：Clinical negligence Litigation Medicolegal claims Mismanagement Patient satisfaction
摘 要：BACKGROUND It has been said that the number of orthopaedic claims has increased in the last few years. Investigation through the most prevalent cause would help to prevent further cases.AIM To review the cases of medical complaints in orthopedic patients who had been involved in a traumatic accident.METHODS A retrospective multi-center review of trauma orthopaedic-related malpractice lawsuits from 2010 to 2021 was conducted utilizing the regional medicolegal database. Defendant and plaintiff characteristics along with fracture location, allegations, and litigation outcomes were investigated.RESULTS A total of 228 claims referred to trauma-related conditions with a mean age of 31.29 ± 12.56 were enrolled. The most common injuries were at hand, thigh, elbow, and forearm, respectively.Likewise, the most common alleged complication was related to malunion or nonunion. In 47% of the cases, the main problem that led to the complaint was the inappropriate or insufficient explanation to the patient, and in 53%, there was a problem in the surgery. Eventually, 76% of the complaints resulted in a defense verdict, and 24% resulted in a plaintiff verdict.CONCLUSION Surgical treatment of hand injuries and surgery in non-educational hospitals received the most complaints. The majority of litigation outcomes were caused by a physician’s failure to fully explain and educate the traumatic orthopedic patients and technological errors.
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