Klimo G F, Daum W J, Brinker M R, McGuire E, Elliott M N
Department of Orthopaedic Surgery, Saint Luke's Medical Center, Cleveland, Ohio, USA.
Am J Orthop (Belle Mead NJ). 2000 Feb;29(2):93-7.
Orthopedic surgeons are trained to manage problems involving the musculoskeletal system. It would be helpful to identify certain procedures, anatomic areas, or issues related to the physician-patient relationship that could potentially lead to a malpractice lawsuit. Once the problems are identified, steps toward continuing education and physician awareness could be initiated. In this study, we performed a randomized nationwide survey of medical malpractice attorneys to evoke their opinion on these issues. We found that the lumbar spine was the most common anatomic area involved in orthopedic medical malpractice cases, and a physician appearing rushed and uninterested is most likely to be the subject of a lawsuit where a poor physician-patient relationship was a contributing factor. Educational and professional programs are needed to increase the awareness and knowledge of orthopedic malpractice risks, and also to identify potentially preventable problems leading to malpractice litigation.
骨科医生接受过处理涉及肌肉骨骼系统问题的培训。识别某些可能潜在导致医疗事故诉讼的手术、解剖区域或与医患关系相关的问题会很有帮助。一旦识别出这些问题，就可以启动继续教育和提高医生意识的措施。在本研究中，我们对全国的医疗事故律师进行了随机调查，以征求他们对这些问题的意见。我们发现，腰椎是骨科医疗事故案件中最常涉及的解剖区域，而表现得匆忙且不感兴趣的医生最有可能成为以医患关系不佳为促成因素的诉讼对象。需要开展教育和专业项目，以提高对骨科医疗事故风险的认识和了解，并识别导致医疗事故诉讼的潜在可预防问题。
