Trial and Error: Learning From Malpractice Claims in Childhood Surgery

Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) dat...
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Gespeichert in:

Autor*in:	Prieto, James M. [verfasserIn] Falcone, Bianca [verfasserIn] Greenberg, Penny [verfasserIn] Sykes, Alicia G. [verfasserIn] Sisson, William B. [verfasserIn] Gow, Kenneth W. [verfasserIn] Ignacio, Romeo C. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice

Übergeordnetes Werk:	Enthalten in: Journal of surgical research - Orlando, Fla. : Academic Press, 1961, 279, Seite 84-88
Übergeordnetes Werk:	volume:279 ; pages:84-88

DOI / URN:	10.1016/j.jss.2022.05.033

Katalog-ID:	ELV008471320

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245	1	0	\|a Trial and Error: Learning From Malpractice Claims in Childhood Surgery
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520			\|a Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes.
650		4	\|a Malpractice claims
650		4	\|a Malpractice
650		4	\|a Pediatric surgery indemnity payments
650		4	\|a Pediatric surgery litigation
650		4	\|a Pediatric surgery malpractice claims
650		4	\|a Pediatric surgery malpractice
700	1		\|a Falcone, Bianca \|e verfasserin \|4 aut
700	1		\|a Greenberg, Penny \|e verfasserin \|4 aut
700	1		\|a Sykes, Alicia G. \|e verfasserin \|4 aut
700	1		\|a Sisson, William B. \|e verfasserin \|4 aut
700	1		\|a Gow, Kenneth W. \|e verfasserin \|4 aut
700	1		\|a Ignacio, Romeo C. \|e verfasserin \|0 (orcid)0000-0001-7259-8679 \|4 aut
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allfields	10.1016/j.jss.2022.05.033 doi (DE-627)ELV008471320 (ELSEVIER)S0022-4804(22)00350-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Prieto, James M. verfasserin aut Trial and Error: Learning From Malpractice Claims in Childhood Surgery 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes. Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice Falcone, Bianca verfasserin aut Greenberg, Penny verfasserin aut Sykes, Alicia G. verfasserin aut Sisson, William B. verfasserin aut Gow, Kenneth W. verfasserin aut Ignacio, Romeo C. verfasserin (orcid)0000-0001-7259-8679 aut Enthalten in Journal of surgical research Orlando, Fla. : Academic Press, 1961 279, Seite 84-88 Online-Ressource (DE-627)267836821 (DE-600)1470806-1 (DE-576)104193948 1095-8673 nnns volume:279 pages:84-88 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 279 84-88
spelling	10.1016/j.jss.2022.05.033 doi (DE-627)ELV008471320 (ELSEVIER)S0022-4804(22)00350-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Prieto, James M. verfasserin aut Trial and Error: Learning From Malpractice Claims in Childhood Surgery 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes. Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice Falcone, Bianca verfasserin aut Greenberg, Penny verfasserin aut Sykes, Alicia G. verfasserin aut Sisson, William B. verfasserin aut Gow, Kenneth W. verfasserin aut Ignacio, Romeo C. verfasserin (orcid)0000-0001-7259-8679 aut Enthalten in Journal of surgical research Orlando, Fla. : Academic Press, 1961 279, Seite 84-88 Online-Ressource (DE-627)267836821 (DE-600)1470806-1 (DE-576)104193948 1095-8673 nnns volume:279 pages:84-88 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 279 84-88
allfields_unstemmed	10.1016/j.jss.2022.05.033 doi (DE-627)ELV008471320 (ELSEVIER)S0022-4804(22)00350-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Prieto, James M. verfasserin aut Trial and Error: Learning From Malpractice Claims in Childhood Surgery 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes. Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice Falcone, Bianca verfasserin aut Greenberg, Penny verfasserin aut Sykes, Alicia G. verfasserin aut Sisson, William B. verfasserin aut Gow, Kenneth W. verfasserin aut Ignacio, Romeo C. verfasserin (orcid)0000-0001-7259-8679 aut Enthalten in Journal of surgical research Orlando, Fla. : Academic Press, 1961 279, Seite 84-88 Online-Ressource (DE-627)267836821 (DE-600)1470806-1 (DE-576)104193948 1095-8673 nnns volume:279 pages:84-88 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 279 84-88
allfieldsGer	10.1016/j.jss.2022.05.033 doi (DE-627)ELV008471320 (ELSEVIER)S0022-4804(22)00350-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Prieto, James M. verfasserin aut Trial and Error: Learning From Malpractice Claims in Childhood Surgery 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes. Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice Falcone, Bianca verfasserin aut Greenberg, Penny verfasserin aut Sykes, Alicia G. verfasserin aut Sisson, William B. verfasserin aut Gow, Kenneth W. verfasserin aut Ignacio, Romeo C. verfasserin (orcid)0000-0001-7259-8679 aut Enthalten in Journal of surgical research Orlando, Fla. : Academic Press, 1961 279, Seite 84-88 Online-Ressource (DE-627)267836821 (DE-600)1470806-1 (DE-576)104193948 1095-8673 nnns volume:279 pages:84-88 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 279 84-88
allfieldsSound	10.1016/j.jss.2022.05.033 doi (DE-627)ELV008471320 (ELSEVIER)S0022-4804(22)00350-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Prieto, James M. verfasserin aut Trial and Error: Learning From Malpractice Claims in Childhood Surgery 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes. Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice Falcone, Bianca verfasserin aut Greenberg, Penny verfasserin aut Sykes, Alicia G. verfasserin aut Sisson, William B. verfasserin aut Gow, Kenneth W. verfasserin aut Ignacio, Romeo C. verfasserin (orcid)0000-0001-7259-8679 aut Enthalten in Journal of surgical research Orlando, Fla. : Academic Press, 1961 279, Seite 84-88 Online-Ressource (DE-627)267836821 (DE-600)1470806-1 (DE-576)104193948 1095-8673 nnns volume:279 pages:84-88 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 279 84-88
language	English
source	Enthalten in Journal of surgical research 279, Seite 84-88 volume:279 pages:84-88
sourceStr	Enthalten in Journal of surgical research 279, Seite 84-88 volume:279 pages:84-88
format_phy_str_mv	Article
bklname	Chirurgie
institution	findex.gbv.de
topic_facet	Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of surgical research
authorswithroles_txt_mv	Prieto, James M. @@aut@@ Falcone, Bianca @@aut@@ Greenberg, Penny @@aut@@ Sykes, Alicia G. @@aut@@ Sisson, William B. @@aut@@ Gow, Kenneth W. @@aut@@ Ignacio, Romeo C. @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	267836821
dewey-sort	3610
id	ELV008471320
language_de	englisch
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author	Prieto, James M.
spellingShingle	Prieto, James M. ddc 610 bkl 44.65 misc Malpractice claims misc Malpractice misc Pediatric surgery indemnity payments misc Pediatric surgery litigation misc Pediatric surgery malpractice claims misc Pediatric surgery malpractice Trial and Error: Learning From Malpractice Claims in Childhood Surgery
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topic_title	610 DE-600 44.65 bkl Trial and Error: Learning From Malpractice Claims in Childhood Surgery Malpractice claims Malpractice Pediatric surgery indemnity payments Pediatric surgery litigation Pediatric surgery malpractice claims Pediatric surgery malpractice
topic	ddc 610 bkl 44.65 misc Malpractice claims misc Malpractice misc Pediatric surgery indemnity payments misc Pediatric surgery litigation misc Pediatric surgery malpractice claims misc Pediatric surgery malpractice
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title	Trial and Error: Learning From Malpractice Claims in Childhood Surgery
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title_full	Trial and Error: Learning From Malpractice Claims in Childhood Surgery
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author_browse	Prieto, James M. Falcone, Bianca Greenberg, Penny Sykes, Alicia G. Sisson, William B. Gow, Kenneth W. Ignacio, Romeo C.
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title_sort	trial and error: learning from malpractice claims in childhood surgery
title_auth	Trial and Error: Learning From Malpractice Claims in Childhood Surgery
abstract	Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes.
abstractGer	Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes.
abstract_unstemmed	Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.Methods: Using the CRICO (Controlled Risk Insurance Company Strategies’ Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression.Results: Of the 844 claims, 76% of the patients were older than age 5. While the average total indemnity paid was $544,325, cases with claimants <1-year-old accounted for 24% of the total indemnity paid, with an average of $1,135,240 per claimant. The most frequently named responsible services were Orthopedics (34%), General Surgery (15%), and Otolaryngology (11%). Fracture or dislocation, appendectomy, skin/breast surgery, arthroscopy, and tonsillectomy/adenoidectomy were among the frequently involved procedures for the cohort of cases. The most common contributing factors for the top procedures involve issues surrounding patient assessment, technical performance, and communication. Cases with a contributing factor of failure to appreciate and reconcile relevant sign/symptom/test results were associated with a higher likelihood of payment (OR 6.6, P < 0.05). Issues surrounding the selection of therapy also led to an increased likelihood of an indemnity payment (OR 2.8, P < 0.05).Conclusions: Malpractice claims related to pediatric surgical procedures involve a wide range of specialties. Patient evaluations, technical performance, and communication are modifiable factors to improve surgical care in children. The contributing factors assigned to each procedure may represent an opportunity for focused improvement to improve patient outcomes.
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title_short	Trial and Error: Learning From Malpractice Claims in Childhood Surgery
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author2	Falcone, Bianca Greenberg, Penny Sykes, Alicia G. Sisson, William B. Gow, Kenneth W. Ignacio, Romeo C.
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up_date	2024-07-06T19:48:49.256Z
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