Malpractice in ophthalmology: guidelines for preventing pitfalls.

PURPOSE

To provide ophthamologists with guidelines with which to prevent common errors of malpractice and suggest ways to reduce the risk of liability claims by improving the quality of care.

METHODS

Interview of a vitreoretinal surgeon (AW) and search of the current relevant literature.

RESULTS

Some of the most common errors leading to ophthalmic malpractice litigation are: 1) failed diagnosis or progression of disease, 2) missing pathology, 3) failed surgery, 4) inadequate patient care, 5) lack of communication, 6) holding back information, 7) no signed informed consent, 8) lack of correct documentation/poor records, 9) poor doctor-patient relationship, 10) no ethical responsibilities, 11) no professional liability insurance coverage, 12) highly pressured hospital set-up, 13) insufficient understanding of law.

CONCLUSION

The risk for malpractice litigation for ophthalmologists may be reduced by preventing common causes of malpractice and improving the quality of care.