Department of Urology, Stepping Hill Hospital, Stockport, UK.
BJU Int. 2011 Jul;108(2):162-5. doi: 10.1111/j.1464-410X.2011.10130.x. Epub 2011 Apr 11.
• To present a summary of the collected data on urological litigation within the UK National Health Service (NHS). • Knowledge of the main areas of litigation is essential for maintaining good clinical practice as well as risk management procedures in any specialty.
• Details of all claims closed with indemnity payment pertaining to the specialty of urology as practiced by urologists, general surgeons and paediatric surgeons was obtained from the NHS Litigation Authority (NHSLA) for the years since its creation in 1995 to 2009. • The data was then classified and analysed.
• In all, 493 cases were closed with indemnity payment with a total of £20,508,686.18 paid. The average payment per claim was £41,599.77. • Most of the claims were related to non-operative events (232), followed by postoperative events (168) and intraoperative events (92). • The most common reason for non-operative-related claims was failure to diagnose/treat cancer (69), perforation/organ injury (38) was the highest intraoperative-related claim and a forgotten ureteric stent (23) was the most frequent postoperative-related claim. • The five most commonly implicated procedures were ureteroscopy/ureteric stenting (45), transurethral resection of the prostate (30), nephrectomy (26), vasectomy (19) and urethral catheterisation (15).
• The present study once again emphasizes the importance of thorough clinical assessment, record keeping and follow-up as well as informed consent and good communication with patients. • Recognising the areas of highest risk and improving practice should limit future claims.
• 总结英国国家医疗服务体系（NHS）内泌尿科诉讼的相关数据。
• 了解主要诉讼领域对于任何专科的良好临床实践以及风险管理程序至关重要。
• 从 NHS 诉讼局（NHSLA）获取了自 1995 年至 2009 年期间，泌尿科医生、普通外科医生和小儿外科医生实践的泌尿科所有已决并支付赔偿金的索赔的详细信息。
• 然后对数据进行分类和分析。
• 共结案 493 例，支付赔偿金总额为 20508686.18 英镑，平均每例索赔为 41599.77 英镑。
• 大多数索赔与非手术事件有关（232 例），其次是术后事件（168 例）和手术中事件（92 例）。
• 非手术相关索赔最常见的原因是未能诊断/治疗癌症（69 例），穿孔/器官损伤（38 例）是手术中相关索赔中最高的，遗忘输尿管支架（23 例）是术后相关索赔中最常见的。
• 最常涉及的五种程序是输尿管镜检查/输尿管支架置入术（45 例）、经尿道前列腺切除术（30 例）、肾切除术（26 例）、输精管切除术（19 例）和尿道置管术（15 例）。
• 本研究再次强调了彻底的临床评估、记录保存和随访以及与患者的知情同意和良好沟通的重要性。
• 认识到高风险领域并改进实践应能限制未来的索赔。
