Maier C
Abteilung Gesellschaftsärzte, Allianz Versicherungs-AG, München.
Versicherungsmedizin. 2001 Sep 1;53(3):129-37.
Insurance industry statistics on medical malpractice are rare. The authors, who are in-house medical advisors of the Allianz Versicherungs-AG, report on their assessments of medical malpractice claims in 2000. Orthopedics/traumatology (24%) and gynecology/obstetrics (18%) are the medical fields in which liability demands are currently most frequent. Deviation from the medical state of the art (41%), false diagnosis (21%) and misinformation of patients (13%) are the main actual or alleged violations of the duty of care. The results, which are meant to provide a basis for future comparisons, are discussed with a view to establishing risk management strategies. On the basis of the literature and their own the authors have compiled a set of recommendations--"Ten commandments"--for decreasing medical malpractice claims.
保险行业关于医疗事故的统计数据很少见。本文作者是安联保险集团的内部医学顾问，他们报告了对2000年医疗事故索赔的评估情况。骨科/创伤科（24%）和妇产科（18%）是目前责任索赔最频繁的医学领域。偏离医学现有水平（41%）、错误诊断（21%）和向患者提供错误信息（13%）是主要的实际或被指控的违反注意义务行为。这些结果旨在为未来的比较提供依据，并从建立风险管理策略的角度进行了讨论。基于文献资料以及自身经验，作者编制了一套关于减少医疗事故索赔的建议——“十诫”。
