Evidence map›Paper›PMID 33806174›Full record

ArticleInternational journal of environmental research and public health2021

Analysis of Inadequacies in Hospital Care through Medical Liability Litigation.

Raffaele La Russa, Rocco Valerio Viola, Stefano D'Errico, Mariarosaria Aromatario, Aniello Maiese, Paolo Anibaldi, Christian Napoli, Paola Frati, Vittorio Fineschi

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review.International journal of environmental research and public health · 2022
    Pooled it
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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

9 authors.

Raffaele La RussaDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Rocco Valerio ViolaDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy.ORCID 0000-0002-9571-2013
Stefano D'ErricoDepartment of Medicine, Surgery and Health, University of Trieste, Strada di Fiume 44, 34149 Trieste, Italy.ORCID 0000-0003-3689-0001
Mariarosaria AromatarioDepartment of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Aniello MaieseDepartment of Surgical Pathology, Medical, Molecular and Critical Area, University of Pisa, Ospedale Santa Chiara, Via Roma 55, 56126 Pisa, Italy.
Paolo AnibaldiDepartment of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Christian NapoliDepartment of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy.ORCID 0000-0002-5775-2276
Paola FratiIRCSS Neuromed Mediterranean Neurological Institute, Via Atinense 18, 86077 Pozzilli, Italy.ORCID 0000-0002-0358-7965
Vittorio FineschiIRCSS Neuromed Mediterranean Neurological Institute, Via Atinense 18, 86077 Pozzilli, Italy.ORCID 0000-0002-1686-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective analysis of existing files concerning the civil litigation of the Sant'Andrea Hospital in Rome. All claims from 1 June 2010 to 30 June 2019 were included. Paid claims were further classified according to the areas of health care inappropriateness found. Authors indexed 567 different claims along the study period, with an average number of 59 per year (range 38-77). The total litigation involved 47 different units; more than 40% concerned 5 high-incidence wards or services. Concerning the course of disputes, 91 cases were liquidated before a judicial procedure was instituted, while 177 cases landed in a civil court. Globally, 131 different claims hesitated in compensation, for a total of 16 million 625 thousand euros, 41% of which was related to the internal medicine area. Dealing with the inappropriateness analysis, clinical performance alone involved 76 cases, for a total of 10 million 320 thousand euros, while organization defects involved 20 disputes equivalent to 1 million 788 thousand euros. The aim of this study was to enhance the clinical risk management at our facility through a litigation analysis.

Indexed as

Liability, LegalMalpracticeCompensation and RedressHospitalsRetrospective Studiesclaimsclinical inappropriatenesscompensationhealth care litigationmedical liability

Identifiers

PMID33806174
PMCPMC8037280

What OpenQuestion holds

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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.