Al-Saeed Abdulhamid Hassan
Professor in Anaesthesia & Critical Care Medicine College of Medicine, King Saud University, Chairman of Saudi Anaesthetic Association Member of the Legal Health Organization, Riyadh, Kingdom of Saudi Arabia.
Saudi J Anaesth. 2010 Sep;4(3):122-6. doi: 10.4103/1658-354X.71133.
The author analyzed the anesthesia medical malpractice closed claims that were referred to the Legal Health Organization (LHO) in order to evaluate the magnitude and underlying factors of the problem in Saudi Arabia.
Annual reports covering the period from 1420H-1429H (1999-2008) were statistically analyzed to give mean figures and percentages in each annual report, and then demonstrated all together to run the differential analysis together with the trend along the studied period.
Data analysis showed an escalating trend for the total number of claims over the study period being started with 440 cases on 1420H and ended with 1356 cases by the year 1429H. The annual percentage of the final verdicts of accusation to the total number of claims presented to all committees ranges between 45.5%-60.2% with a mean value of 49.9%. Distribution of final verdicts among different clinical specialities showed that obstetrics takes the lead with a mean percentage of 25.5% along the studied period (1420H-1429H), followed by the practice of general surgery with a mean percentage of 13.8%. The sector of health care service showed a significant variation in relation to the mean number of final verdicts with accusation along the studied period, being the highest in the Ministry of Health sector with a mean number of 216.8 claims, followed by the private sector with a mean number of 197.3 claims.
Adherence to the standards of medical practice is by far to the best approach to avoid and reduce the incidence of litigation.
作者分析了提交给法律卫生组织（LHO）的麻醉医疗事故结案索赔案，以评估沙特阿拉伯该问题的严重程度和潜在因素。
对涵盖1420H - 1429H（1999 - 2008年）期间的年度报告进行统计分析，得出每份年度报告中的均值和百分比，然后汇总展示以进行差异分析以及研究期间的趋势分析。
数据分析显示，在研究期间索赔总数呈上升趋势，从1420H的440例开始，到1429H时达到1356例。提交给所有委员会的索赔案中最终指控裁决的年度百分比在45.5% - 60.2%之间，平均值为49.9%。不同临床专科的最终裁决分布显示，在研究期间（1420H - 1429H），产科占主导地位，平均百分比为25.5%，其次是普通外科，平均百分比为13.8%。医疗保健服务部门在研究期间与最终指控裁决的平均数量相比存在显著差异，卫生部部门最高，平均索赔数量为216.8例，其次是私营部门，平均索赔数量为197.3例。
坚持医疗实践标准是迄今为止避免和减少诉讼发生率的最佳方法。
