Moorfields Eye Hospital, London, United Kingdom.
Ophthalmology. 2013 Apr;120(4):859-64. doi: 10.1016/j.ophtha.2012.01.009. Epub 2012 Mar 2.
To categorize and understand the reasons behind ophthalmic clinical negligence claims in the National Health Service and how such claims can be avoided.
Retrospective analyses of all ophthalmic clinical negligence claims between 1995 and 2009 were carried out. Data were obtained from the National Health Service Litigation Authority through the Freedom of Information Act. Claims were classified according to ophthalmic subspecialty, mean payment per subspecialty, severity, paid-to-closed ratio, and cost.
One thousand two hundred fifty-three ophthalmology-related claims occurring from 1995 through 2009. Of these, 963 claims were closed over the 15-year period. Eighty-four were excluded because of insufficient case data.
Retrospective analysis of all public sector ophthalmology litigation claims over a 15-year period in England.
Subspecialty pertaining to claim, mean payment per claim, and severity of outcome of clinical incident.
Nine hundred sixty-three claims were closed over a 15-year period, of which 67% resulted in payment. The total cost of claims was £32.1 million ($50.3 million), with a mean payment per claim of £33 300 ($52 300). The specialties with the highest mean payment per claim were neuro-ophthalmology and pediatric ophthalmology. Cataract subspecialty had the highest number of claims, accounting for 34% of all claims.
Overall, the number of litigation claims in ophthalmology is low, relative to the high volume of outpatient and surgical workload.
对英国国家医疗服务体系中眼科临床疏忽索赔的原因进行分类和理解，并探讨如何避免此类索赔。
对 1995 年至 2009 年间所有眼科临床疏忽索赔进行回顾性分析。数据通过信息自由法案从国家医疗服务体系诉讼管理局获得。索赔根据眼科亚专科、每个亚专科的平均赔偿金额、严重程度、已赔付与结案比以及成本进行分类。
1253 例与眼科相关的索赔，发生于 1995 年至 2009 年期间。在这 15 年期间，963 例索赔结案。由于案例数据不足，84 例被排除在外。
对英格兰 15 年来所有公共部门眼科诉讼索赔进行回顾性分析。
与索赔相关的亚专科、每个索赔的平均赔偿金额以及临床事件结果的严重程度。
在 15 年期间，963 例索赔结案，其中 67%的索赔导致了赔偿。索赔的总成本为 3210 万英镑（5030 万美元），每个索赔的平均赔偿金额为 33300 英镑（52300 美元）。平均赔偿金额最高的专业是神经眼科和小儿眼科。白内障亚专科的索赔数量最多，占所有索赔的 34%。
总体而言，与大量的门诊和手术工作量相比，眼科诉讼索赔的数量相对较低。
