Pappas Nick D, Moat Diane, Lee Donald H
Greenville Hospital System/Steadman Hawkins Clinic of the Carolinas, Greenville, SC; and the Office of Risk and Insurance Management and Vanderbilt Orthopaedic Institute, Vanderbilt University Medical Center, Nashville, TN.
Greenville Hospital System/Steadman Hawkins Clinic of the Carolinas, Greenville, SC; and the Office of Risk and Insurance Management and Vanderbilt Orthopaedic Institute, Vanderbilt University Medical Center, Nashville, TN.
J Hand Surg Am. 2014 Jan;39(1):168-70. doi: 10.1016/j.jhsa.2013.06.021.
The rise in medical malpractice claims over the past few decades has altered physicians' practice patterns and has had a considerable financial impact on the medical community as a whole. While numerous studies have analyzed the content and effect of these claims, only a handful of articles have addressed specifically the issue of medical malpractice in hand surgery. This article outlines the available literature on malpractice in hand surgery, offers guidance to hand surgeons on managing medical malpractice claims, and discusses preventative measures they might take to limit such claims from being filed in the future. We conclude that the key measures one can take to protecting oneself legally are knowing and abiding by the standard of care, keeping patients informed and developing good relationships with them, and meticulously documenting. Although some malpractice claims are unavoidable, we believe that one can limit his or her exposure to them by incorporating these measures into their respective practices.
在过去几十年里，医疗事故索赔的增加改变了医生的执业模式，并对整个医学界产生了相当大的经济影响。虽然众多研究分析了这些索赔的内容和影响，但只有少数文章专门探讨了手外科医疗事故问题。本文概述了手外科医疗事故的现有文献，为手外科医生处理医疗事故索赔提供指导，并讨论他们可以采取的预防措施，以限制未来此类索赔的提出。我们得出结论，人们可以采取的关键法律自我保护措施是了解并遵守医疗护理标准，让患者知情并与他们建立良好关系，以及精心记录。虽然一些医疗事故索赔是不可避免的，但我们认为，通过将这些措施纳入各自的执业中，人们可以减少自己面临此类索赔的风险。
