Mahdavian Delavary B, Cremers J E L, Ritt M J P F
Department of Plastic and Reconstructive Surgery, VU University Medical Centre Amsterdam, and MediRisk, Utrecht, The Netherlands.
J Hand Surg Eur Vol. 2010 Jun;35(5):381-4. doi: 10.1177/1753193409355735. Epub 2009 Dec 23.
We analysed hand and wrist injury and disorder related liability claims in the Netherlands to identify causes and to contribute to the prevention of such claims. Data was collected from 743 hand and wrist claims filed between 1993 and 2007. Consultants were involved in 417 claims (56.1%). Treatment in the emergency department (ED) accounted for 64.9% of these 287 claims involved residents (59.5%). The majority of accepted claims in the ED included treatment by general surgeons (89.2%). The percentage of accepted claims was highest in the general surgery group (26.4%). Of accepted claims in the ED which involved a resident, 93.2% involved a general surgery resident. Better training and supervision is indicated. This paper supports hand injury treatment by adequately trained surgeons and preferably, where possible, by a trained hand surgeon.
我们分析了荷兰与手部和腕部损伤及病症相关的责任索赔情况，以确定其原因并为预防此类索赔提供帮助。数据收集自1993年至2007年间提交的743起手部和腕部索赔案。顾问参与了417起索赔案（56.1%）。在这287起涉及住院医师的索赔案中，急诊科（ED）的治疗占64.9%。急诊科大多数被受理的索赔案包括普通外科医生的治疗（89.2%）。普通外科组被受理索赔案的比例最高（26.4%）。在急诊科被受理的涉及住院医师的索赔案中，93.2%涉及普通外科住院医师。这表明需要更好的培训和监督。本文支持由训练有素的外科医生进行手部损伤治疗，并且在可能的情况下，最好由受过训练的手外科医生进行治疗。
