Evidence map›Paper›PMID 32941344›Full record

ArticleJournal of patient safety2020

Liability of Health Care Professionals and Institutions During COVID-19 Pandemic in Italy: Symposium Proceedings and Position Statement.

Antonio Oliva, Matteo Caputo, Simone Grassi, Giuseppe Vetrugno, Marco Marazza, Giulio Ponzanelli, Roberto Cauda, Giovanni Scambia, Gabrio Forti, Rocco Bellantone and 1 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Journal of patient safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  10. Analysis of Inadequacies in Hospital Care through Medical Liability Litigation.International journal of environmental research and public health · 2021
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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

11 authors at 2 institutions in 1 country.

Antonio OlivaFrom the Section of Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Rome.
Matteo CaputoSection of Criminal Law, Department of Juridical Science, Università Cattolica del Sacro Cuore, Milan.
Simone GrassiFrom the Section of Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Rome.
Giuseppe VetrugnoUnit of Risk Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS.
Marco MarazzaLabor Law, Department of Health of Woman and Child and Public Health, Università Cattolica del Sacro Cuore, Rome.
Giulio PonzanelliSection of Civil Law, Department of Juridical Science, Università Cattolica del Sacro Cuore, Milan.
Roberto CaudaSection of Infectious Diseases, Department of Healthcare Surveillance and Bioethics, Università Cattolica del Sacro Cuore.
Giovanni ScambiaSection of Gynecology and Obstetrics, Department of Health of Woman and Child and Public Health, Università Cattolica del Sacro Cuore, Rome.
Gabrio Forti
Rocco BellantoneMedicine and Surgery Faculty, Università Cattolica del Sacro Cuore, Rome, Italy.
Vincenzo L PascaliFrom the Section of Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Rome.
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOn May 12, 2020, a symposium titled "Liability of healthcare professionals and institutions during COVID-19 pandemic" was held in Italy with the participation of national experts in malpractice law, hospital management, legal medicine, and clinical risk management. The symposium's rationale was the highly likely inflation of criminal and civil proceedings concerning alleged errors committed by health care professionals and decision makers during the COVID-19 pandemic. Its aim was to identify and discuss the main issues of legal and medicolegal interest and thus to find solid solutions in the spirit of preparedness planning.

methodsThere were 5 main points of discussion: (A) how to judge errors committed during the pandemic because of the application of protocols and therapies based on no or weak evidence of efficacy, (B) whether hospital managers can be considered liable for infected health care professionals who were not given adequate personal protective equipment, (C) whether health care professionals and institutions can be considered liable for cases of infected inpatients who claim that the infection was transmitted in a hospital setting, (D) whether health care institutions and hospital managers can be considered liable for the hotspots in long-term care facilities/care homes, and (E) whether health care institutions and hospital managers can be considered liable for the worsening of chronic diseases. RESULTS AND

conclusionLimitation of the liability to the cases of gross negligence (with an explicit definition of this term), a no-fault system with statal indemnities for infected cases, and a rigorous methodology for the expert witnesses were proposed as key interventions for successfully facing future proceedings.

Indexed as

Legislation, HospitalLiability, LegalBetacoronavirusCoronavirus InfectionsCOVID-19Health PersonnelHumansItalyPandemicsPneumonia, ViralSARS-CoV-2

Identifiers

PMID32941344
PMCPMC7678349
OpenAlexW3087563102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.