Evidence map›Paper›PMID 30709359›Full record

ArticleBMC health services research2019

The contribution of legal medicine in clinical risk management.

Matteo Bolcato, Giacomo Fassina, Daniele Rodriguez, Marianna Russo, Anna Aprile

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Malpractice Claims and Incident Reporting: Two Faces of the Same Coin?International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Tools for the investigation of adverse events: scoping review.Revista da Escola de Enfermagem da U S P · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Analysis of Inadequacies in Hospital Care through Medical Liability Litigation.International journal of environmental research and public health · 2021
    Article
  17. The Difficult Balance between Ensuring the Right of Nursing Home Residents to Communication and Their Safety.International journal of environmental research and public health · 2021
    Article
  18. Review
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Matteo BolcatoDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy. matteobolcato@gmail.com.ORCID http://orcid.org/0000-0002-8784-8463
Giacomo FassinaDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Daniele RodriguezDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Marianna RussoDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Anna AprileDepartment of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn advanced health services, a main objective is to promote the culture of safety and clinical risk management. In this regard, the reporting of sentinel events fits within a perspective of error analysis, attempting to propose solutions aimed at preventing a new occurrence of the harmful event. The purpose of this study is to analyze the contribution of medico-legal litigation in the management of clinical risk and to propose an organizational model so as to coordinate the intervention of clinical risk management and medico-legal services.

methodsRetrospective review of 206 cases of medico-legal litigation, settled against a Hospital of a North-eastern city in Italy from January 1, 2014 and December 31, 2015.

resultsApproximately 20% of cases, that are classifiable as "sentinel events", were not reported due to various factors. The reason that these events are under-reported is mainly due to the latency between the event itself and its manifestation as a serious damage to health as well as the discomfort in reporting the events of this kind, which is still widespread among healthcare workers. The systematic research of the available documentation for medico-legal purposes permits the acquisition of more information concerning the clinical event, thereby increasing the number and accuracy of the reports to the clinical risk unit.

conclusionThe analysis of medico-legal litigation is a valid tool to enhance the reporting of "sentinel events". One possible proposal is the implementation of an organizational model to establish a rapid procedure for the reporting of sentinel events during the evaluation of medico-legal litigations.

Indexed as

Forensic MedicineHealth PersonnelHumansItalyMedical ErrorsPatient SafetyResearch DesignRetrospective StudiesRisk ManagementAdverse eventClinical risk managementMedico-legal evaluationProfessional liabilitySentinel event

Identifiers

PMID30709359
PMCPMC6359867
OpenAlexW2924858020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.