Upadhyay Ashish, York Sally, Macaulay William, McGrory Brian, Robbennolt Jennifer, Bal B Sonny
Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, Missouri 65212, USA.
J Arthroplasty. 2007 Sep;22(6 Suppl 2):2-7. doi: 10.1016/j.arth.2007.05.003. Epub 2007 Jul 27.
A survey of the American Association of Hip and Knee Surgeons was performed to investigate the perceptions and experiences of medical malpractice litigation and related concerns among its active members. Responses showed that 78% of responding surgeons had been named as a defendant in at least 1 lawsuit alleging medical malpractice. Sixty-nine percent of lawsuits in the survey had been dismissed or settled out of court, and median settlement amounts were in the range of $51,000 to $99,000. Nerve injury was the most commonly cited source of litigation, followed by limb length discrepancy, infection, vascular injury, hip dislocation, compartment syndrome, deep vein thrombosis, chronic pain, and periprosthetic fracture. Survey data suggest that there are targets for surgeon education and awareness that could improve the quality of patient communication and the informed consent process.
对美国髋膝关节外科医生协会进行了一项调查，以了解其在职会员对医疗事故诉讼的看法和经历以及相关问题。调查结果显示，78% 的受访外科医生至少在 1 起指控医疗事故的诉讼中被列为被告。调查中的诉讼有 69% 已被驳回或庭外和解，和解金额中位数在 51,000 美元至 99,000 美元之间。神经损伤是最常被提及的诉讼原因，其次是肢体长度差异、感染、血管损伤、髋关节脱位、骨筋膜室综合征、深静脉血栓形成、慢性疼痛和假体周围骨折。调查数据表明，存在一些外科医生教育和意识方面的目标，这些目标可以提高患者沟通质量和知情同意过程。
