Gulati A, Herd M K, Nimako M, Anand R, Brennan P A
Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK.
Br J Oral Maxillofac Surg. 2012 Jul;50(5):385-8. doi: 10.1016/j.bjoms.2011.06.003. Epub 2011 Jul 23.
Litigation claims are increasing in medicine but we know of little detailed analysis of those published concerning oral and maxillofacial surgery (OMFS) despite information being freely available from the NHS Litigation Authority (NHSLA) under the Freedom of Information Act. We obtained information from the NHSLA on clinical and non-clinical negligence claims in OMFS from April 1995 to August 2010, and analysed the data with outcomes and a further breakdown of subspecialty. During the period 318 claims relating to OMFS were registered. As expected, because of the high volume of patients treated, the highest number of claims related to dentoalveolar surgery and minor oral surgery. The total amount paid out was in excess of £5 million, and the highest claim (more than £300,000) during the period was for misdiagnosis of an oral cancer. Litigation in OMFS is increasing, as is the number of cases that necessitate compensation by the NHSLA. We discuss the trends and implications.
医疗领域的诉讼索赔案件日益增多，但尽管根据《信息自由法》可从英国国家医疗服务诉讼管理局（NHSLA）免费获取相关信息，我们对已发表的有关口腔颌面外科（OMFS）的诉讼索赔案件却知之甚少，缺乏详细分析。我们从NHSLA获取了1995年4月至2010年8月期间OMFS临床及非临床过失索赔的信息，并对数据进行了结果分析以及亚专业的进一步细分。在此期间，共登记了318起与OMFS相关的索赔案件。不出所料，由于治疗患者数量众多，索赔数量最多的是牙槽外科手术和小型口腔手术。赔付总额超过500万英镑，在此期间最高索赔额（超过30万英镑）是因口腔癌误诊。OMFS领域的诉讼在增加，NHSLA需要赔偿的案件数量也在增加。我们讨论了这些趋势及其影响。
