Evidence map›Paper›PMID 37239691›Full record

ArticleHealthcare (Basel, Switzerland)2023

Analysis of Medico-Legal Complaint Data: A Retrospective Study of Three Large Italian University Hospitals.

Nicola Di Fazio, Matteo Scopetti, Giuseppe Delogu, Raffaele La Russa, Federica Foti, Vincenzo M Grassi, Giuseppe Vetrugno, Francesco De Micco, Anna De Benedictis, Vittoradolfo Tambone and 3 more

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

13 authors at 4 institutions in 1 country.

Nicola Di FazioDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.
Matteo ScopettiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.ORCID 0000-0002-7259-3090
Giuseppe DeloguDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.
Raffaele La RussaDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0003-3433-7122
Federica FotiRisk Management Unit, Fondazione Policlinico Universitario "A Gemelli" IRCCS-Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-8105-0688
Vincenzo M GrassiRisk Management Unit, Fondazione Policlinico Universitario "A Gemelli" IRCCS-Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0001-7632-128X
Giuseppe VetrugnoRisk Management Unit, Fondazione Policlinico Universitario "A Gemelli" IRCCS-Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Francesco De MiccoResearch Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus 12 Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.ORCID 0000-0001-8483-3787
Anna De BenedictisFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy.ORCID 0000-0001-8655-0895
Vittoradolfo TamboneResearch Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus 12 Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
Raffaella RinaldiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.
Paola FratiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.ORCID 0000-0002-0358-7965
Vittorio FineschiDepartment of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00128 Rome, Italy.ORCID 0000-0002-1686-3236
Sapienza University of Rome · ITUniversità Campus Bio-Medico · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Identifying hospital-related critical, and excellent, areas represents the main goal of this paper, in both a national and local setting. Information was collected and organized for an internal company's reports, regarding civil litigation that has been affecting the hospital, to relate the obtained results with the phenomenon of medical malpractice on a national scale. This is for the development of targeted improvement strategies, and for investing available resources in a proficient way. (2) Methods: In the present study, data from claims management in Umberto I General Hospital, Agostino Gemelli University Hospital Foundation and Campus Bio-Medico University Hospital Foundation, from 2013 to 2020 were collected. A total of 2098 files were examined, and a set of 13 outcome indicators in the assessment of "quality of care" was proposed. (3) Results: From the total number, only 779 records (37.1%) were attributable to the categories indexable for the present analysis. This data highlights how, following a correct and rigorous categorization of hospital events, it is possible to analyze these medico-legal aspects using a small number of indicators. Furthermore, it is important to consider how a consistent percentage of remaining events was difficult to index, and was also of poor scientific interest. (4) Conclusions: The proposed indicators do not require standards to be compared to, but provide a useful instrument for comparative purposes. In fact, in addition to comparative assessment between different business realities distributed throughout the territory, the use of outcome indicators allows for a longitudinal analysis evaluating the performance of an individual structure over time.

Indexed as

adverse eventclinical risk managementcost-effectivenessmedical liabilitynational rules and laws in clinical risk managementpatient safety indicatorperformance indicator

Identifiers

PMID37239691
PMCPMC10218680
OpenAlexW4376273655

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.