Khan I H, Giddins G
Royal United Hospital Bath, Combe Park, Bath, UK.
J Hand Surg Eur Vol. 2010 Jan;35(1):61-4. doi: 10.1177/1753193409347422. Epub 2009 Sep 28.
Claims for negligence are increasing in medical practice. We analysed data provided by the UK NHS Litigation Authority (NHSLA) on all hand and wrist surgery from 1995-2001. The numbers of claims increased from 13 to 40, but the number being successfully defended also increased from 2 to 13 during this period. Claims were most commonly attributed to errors at surgery (56%) or in outpatient clinics (24%). Strikingly the claims are clustered to a few common conditions, particularly the treatment of carpal tunnel syndrome (22%) and wrist fractures (48%). There were no claims related to complex hand surgery. We recommend better training for 'routine surgery', better description of distal radius fracture parameters at each clinic visit and better training in emergency departments (ED).
医疗实践中因疏忽提出的索赔正在增加。我们分析了英国国民医疗服务诉讼管理局（NHSLA）提供的1995年至2001年期间所有手部和腕部手术的数据。索赔数量从13起增加到40起，但在此期间成功抗辩的索赔数量也从2起增加到13起。索赔最常见的原因是手术失误（56%）或门诊失误（24%）。引人注目的是，索赔集中在一些常见病症上，特别是腕管综合征的治疗（22%）和腕部骨折（48%）。没有与复杂手部手术相关的索赔。我们建议对“常规手术”进行更好的培训，在每次门诊就诊时更好地描述桡骨远端骨折参数，并在急诊科进行更好的培训。
