ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2018
Alleged malpractice in orthopaedics. Analysis of a series of medmal insurance claims.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Pooled it
- Fifteen Years of Orthopedic Malpractice Litigation in Türkiye: A Supreme Court Analysis and International Comparison.Journal of clinical medicine · 2026Article
- Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Medical errors, affected sites, and adverse consequences among patients in the orthopaedic department: Does age matter?Frontiers in public health · 2024Article
- Alleged Malpractice in Orthopedic Surgery in The Netherlands: Lessons Learned from Medical Disciplinary Jurisprudence.Healthcare (Basel, Switzerland) · 2023Article
- Medical Malpractice Among Orthopedic Surgeons in Greece: An Analysis of Court Decisions.Cureus · 2023Article
- Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent.Journal of orthopaedic surgery and research · 2021Article
- A Five-Year Survey for Plastic Surgery Malpractice Claims in Rome, Italy.Medicina (Kaunas, Lithuania) · 2021Article
- Litigations in trauma and orthopaedic surgery: analysis and outcomes of medicolegal claims during the last 10 years in the United Kingdom National Health Service.EFORT open reviews · 2021Review
- Claims in orthopedic foot/ankle surgery, how can they help to improve quality of care? A retrospective claim analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Observational
- Characteristics of the medical malpractice cases against orthopedists in China between 2016 and 2017.PloS one · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedical malpractice is an important topic worldwide, and orthopedics is a clinical branch that is considered to be at a high risk for claims. The analysis of a series of medmal insurance claims allows forensic pathologists, clinicians, and insurance companies to probe the risk of a specific clinical branch for medical malpractice claims and highlights areas where care may be improved. We investigated the main features of a major Italian insurance broker's archive in order to identify recurrent pitfalls in this field. MATERIALS AND
methodsA retrospective study was carried out on orthopedics claims. The archive covered claims from 2002 to 2013 that targeted 1980 orthopedists.
results635 claims were found and analyzed with a focus on the clinical activity invocked in the claim, the presence of alleged team malpractice, the clinical outcome of the case, and the final forensic decision regarding the claim. 299 orthopedists had at least one malpractice claim made against them during the available period; 146 orthopedists were subject to more than one malpractice claim. Most of the claims regarded perioperative and operative cases, usually originating from civil litigation. The anatomical sites most commonly involved were the hip or knees, and sciatic nerve lesions were the main contributor.
conclusionsOrthopedics is a medical specialty with a high risk for malpractice claims. In our study, medical malpractice was observed in nearly 50% of the cases-typically in surgery-linked cases resulting in permanent impairment of the patient. Death from orthopedics malpractice seemed to be rare. LEVEL OF EVIDENCE: IV.
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