Rötker J, Trösch F, Deng M C, Roeder N, Scheld H H
Department of Thoracic and Cardiovascular Surgery, Westphalian Wilhelms-University Münster, Germany.
Thorac Cardiovasc Surg. 2001 Feb;49(1):60-3. doi: 10.1055/s-2001-9921.
Medical malpractice claims against surgeons are increasing. In Germany, as in most other European countries, there is no central registry of medical malpractice claims. It is not known at which rate medical liability claims are decided in favor of the physician or the patient.
All cases of reproaches of medical malpractice in which our clinic was involved within the 10-year period between 1989 to 1999 were reviewed. To compare our results with the general experience in the field of thoracic and cardiovascular surgery, we reviewed the data of the regional medical society in the same time period.
From 1989 to 1999, our Clinic was involved in 74 medical liability disputes. There were 28 reproaches of medical malpractice against our department (0.1% of cases performed). Malpractice was detected in only 7 of 74 claims (9.5%). Most reproaches were made for incorrectly performed operations (80%), but only 4 (6.8%) of 59 claims were regarded as medical malpractice.
Reliable data on reproaches of medical malpractice are virtually absent. Only 10% of all reproaches in our study were finally regarded as medical malpractice. A central registry of medical malpractice cases would allow analysis of the areas in which we have to improve performance, and how unjustified reproaches of medical malpractice can be avoided.
针对外科医生的医疗事故索赔正在增加。在德国，与大多数其他欧洲国家一样，没有医疗事故索赔的中央登记处。尚不清楚医疗责任索赔判定有利于医生或患者的比例。
回顾了1989年至1999年这10年间我们诊所涉及的所有医疗事故指责病例。为了将我们的结果与胸心血管外科领域的一般经验进行比较，我们回顾了同一时期地区医学协会的数据。
1989年至1999年，我们诊所卷入了74起医疗责任纠纷。针对我们科室有28起医疗事故指责（占所实施病例的0.1%）。在74起索赔中仅7起（9.5%）发现存在医疗事故。大多数指责是针对手术操作不当（80%），但在59起索赔中只有4起（6.8%）被视为医疗事故。
几乎没有关于医疗事故指责的可靠数据。在我们的研究中，所有指责中最终只有10%被视为医疗事故。医疗事故案件的中央登记处将有助于分析我们必须在哪些方面提高绩效，以及如何避免不合理的医疗事故指责。
