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患者安全系列:产科安全改进及其在保留索赔中的反映。

Patient safety series: obstetric safety improvement and its reflection in reserved claims.

机构信息

Department of Obstetrics and Gynecology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.

出版信息

Am J Obstet Gynecol. 2011 Nov;205(5):398-401. doi: 10.1016/j.ajog.2011.03.032. Epub 2011 Mar 22.

DOI:10.1016/j.ajog.2011.03.032
PMID:21531371
Abstract

In reviewing outcomes that are associated with the implementation of a series of labor and delivery patient safety efforts from 2004-2009, we requested data on the number of related professional liability claims that were reserved by our insurance companies that are established with the specific objective of financing risks that emanate from their parent group or groups. While we restructured the manner in which we give care, required training modules, and provided simulations to our providers, our legal risk continued to be monitored independently and in parallel. Retrospective review of the number of cases for which money was held in reserve for claims demonstrated a 20% decrease per year, which was adjusted for delivery volume, over this time period. We believe that the improved care that resulted from our safety projects has led to this decreased legal risk.

摘要

在回顾 2004 年至 2009 年期间实施一系列分娩患者安全措施的结果时,我们要求提供与相关专业责任索赔有关的数据,这些索赔是由我们的保险公司预留的,这些保险公司的设立目的是为了为其母公司或集团产生的风险提供资金。虽然我们改变了提供护理的方式,要求培训模块,并为我们的提供者提供模拟,但我们的法律风险仍在独立和并行地进行监测。对预留用于索赔的案件数量进行回顾性审查表明,在此期间,按分娩量计算,每年的案件数量减少了 20%。我们相信,安全项目带来的改善的护理导致了这种法律风险的降低。

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引用本文的文献

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Medical Professional Liability in Obstetrics and Gynecology: A Pilot Study of Criminal Proceedings in the Public Prosecutor's Office at the Court of Rome.妇产科医疗职业责任:罗马法院检察官办公室刑事诉讼的一项试点研究。
Healthcare (Basel). 2023 May 5;11(9):1331. doi: 10.3390/healthcare11091331.
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Improved hospital safety performance and reduced medicolegal risk: an ecological study using 2 Canadian databases.改善医院安全绩效并降低医疗法律风险:一项使用两个加拿大数据库的生态学研究。
CMAJ Open. 2018 Nov 19;6(4):E561-E566. doi: 10.9778/cmajo.20180077. Print 2018 Oct-Dec.