SynthesisBMJ open2021
Systematic review of the factors and the key indicators that identify doctors at risk of complaints, malpractice claims or impaired performance.
Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- The Medicolegal Challenges of Facial Plastic Surgery: A Systematic Review.Aesthetic surgery journal · 2025Pooled it
- Patient characteristics of, and remedial interventions for, complaints and medico-legal claims against doctors: a rapid review of the literature.Systematic reviews · 2024Pooled it
- Article
- Defining a Clinically Meaningful Within-Person Change Threshold for the Psychomotor Vigilance Test in Narcolepsy Type 1.Therapeutic innovation & regulatory science · 2026Article
- Artificial Intelligence for Personalized Management of Acute Myeloid Leukemia.Journal of personalized medicine · 2026Review
- Association of occupational burnout and perceived healthcare service quality with medical disputes among physicians and medical technicians: a cross-sectional study in China.BMC health services research · 2026Article
- Construction and validation of nomogram model for high-risk early warning of medical complaints based on occupational characteristics and workload of medical staff.Frontiers in public health · 2026Article
- Development and assessment of the AE-RADS standardized grid for specifically evaluating adverse events in diagnostic radiology and teleradiology.BMC medical imaging · 2025Article
- Reasonable Cost for Procedures: An Anonymous Survey of Healthcare Providers.Journal of health economics and outcomes research · 2025Article
- An integrated neurophenomenological framework for naturalistic assessment of work-related stressors in healthcare professionals: a pilot study in neuro-surgery.Frontiers in psychology · 2025Article
- Wearable Technologies for Detecting Burnout and Well-Being in Health Care Professionals: Scoping Review.Journal of medical Internet research · 2024Article
- Complications and complaints in craniofacial fractures - Finnish national data for 20 years.Acta odontologica Scandinavica · 2024Article
- Characteristics and risk factors of pharmacist misconduct in New Zealand: a retrospective nationwide analysis.BMC health services research · 2024Article
- 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
- Geographic and Specialty-Specific Disparities in Physicians' Legal Compliance: A National-Scale Assessment of Romanian Medical Practice.Healthcare (Basel, Switzerland) · 2023Article
- A rationale and framework for addressing physician cognitive impairment.Frontiers in public health · 2023Review
- Post graduate remediation programs in medicine: a scoping review.BMC medical education · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the risk factors associated with complaints, malpractice claims and impaired performance in medical practitioners.
designSystematic review. DATA SOURCES: Ovid-Medline, Ovid Embase, Scopus and Cochrane Central Register of Controlled Trials were searched from 2011 until March 2020. Reference lists and Google were also handsearched.
resultsSixty-seven peer-reviewed papers and three grey literature publications from 2011 to March 2020 were reviewed by pairs of independent reviewers. Twenty-three key factors identified, which were categorised as demographic or workplace related. Gender, age, years spent in practice and greater number of patient lists were associated with higher risk of malpractice claim or complaint. Risk factors associated with physician impaired performance included substance abuse and burn-out.
conclusionsIt is likely that risk factors are interdependent with no single factor as a strong predictor of a doctor's risk to the public. Risk factors for malpractice claim or complaint are likely to be country specific due to differences in governance structures, processes and funding. Risk factors for impaired performance are likely to be specialty specific due to differences in work culture and access to substances. New ways of supporting doctors might be developed, using risk factor data to reduce adverse events and patient harm. PROSPERO REGISTRATION NUMBER: PROSPERO registration number: CRD42020182045.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.