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放射技师医疗事故赔付的稳定性和罕见性:对国家执业医师数据库的分析。

Stability and infrequency of radiologic technologist malpractice payments: an analysis of the National Practitioner Data Bank.

机构信息

Mid-South Imaging and Therapeutics, 6305 Humphreys Boulevard, Memphis,TN 38120, USA.

出版信息

J Am Coll Radiol. 2010 Sep;7(9):705-10. doi: 10.1016/j.jacr.2010.03.002.

DOI:10.1016/j.jacr.2010.03.002
PMID:20816632
Abstract

PURPOSE

The aim of this study was to describe characteristics and trends of radiologic technologist (RT) malpractice payments.

METHODS

National Practitioner Data Bank data files were analyzed for details of RT malpractice payments from 1991 through 2008. Payment amounts, sources, and allegations were all identified and summarized, along with geographic and demographic data.

RESULTS

Between 1991 and 2008, a total of 155 RT malpractice payments were reported nationally, ranging from $750 to $11.5 million (median, $57,500; mean, $293,655 +/- $1,305,091), with 153 (99%) <$1 million. Adjusting for outliers and inflation, payments changed little over the 18-year interval. More than half of all cases originated in 8 states, with per capita payments most common in Louisiana and New Jersey. Alleged errors in diagnosis accounted for one third of all cases.

CONCLUSION

Malpractice payments on behalf of RTs are very infrequent (on average, <9 nationally each year) and usually relatively small (almost half <$50,000). Frequency and mean adjusted payment have remained stable over nearly two decades, likely related in part to "deep pocket" shielding by hospitals and radiologists.

摘要

目的

本研究旨在描述放射技师(RT)医疗事故赔偿的特点和趋势。

方法

对 1991 年至 2008 年国家执业医师数据库中有关 RT 医疗事故赔偿的详细资料进行了分析。对赔偿金额、来源和指控进行了识别和总结,并结合地理和人口数据进行了描述。

结果

1991 年至 2008 年,全国共报告了 155 例 RT 医疗事故赔偿,赔偿金额从 750 美元至 1150 万美元不等(中位数为 57500 美元;平均值为 293655 美元 +/- 1305091 美元),其中 153 例(99%)<100 万美元。经异常值和通货膨胀调整后,18 年间赔偿金额变化不大。超过一半的案件发生在 8 个州,路易斯安那州和新泽西州的人均赔偿金额最高。三分之一的案件涉嫌诊断错误。

结论

代表 RT 的医疗事故赔偿非常罕见(平均每年全国不到 9 例),而且通常相对较小(近一半<50000 美元)。近 20 年来,赔偿的频率和平均调整后赔偿金额保持稳定,这可能部分与医院和放射科医生的“深口袋”保护有关。

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