Ruhl Douglas S, Littlefield Philip D
Department of Otolaryngology - Head & Neck Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
Curr Opin Otolaryngol Head Neck Surg. 2015 Oct;23(5):348-54. doi: 10.1097/MOO.0000000000000182.
Most surgeons at some point are involved in a medical malpractice case. There has been an increase in the number of manuscripts that analyse malpractice databases and insurance claims, as well as commentaries on the current medicolegal climate recently. This manuscript broadly reviews articles of interest to all providers and then focuses on malpractice in otology.
Medical malpractice articles (particularly topics related to otologic surgery published within the last 1-2 years) were searched. The growing body of literature can be divided into the themes of general negligence, mitigating injuries and the use of clinical practice guidelines in the courtroom as guidance for expert witnesses.
Recent findings suggest that the frequency of malpractice claims may be decreasing. Hearing loss and facial nerve injury are the most common injuries associated with otologic surgery. These injuries can be costly when negligence is found. Clinic practice guidelines are slowly being used as evidence in the courtroom and there are established guidelines that an expert witness must follow should a surgeon be called to give testimony.
大多数外科医生在某些时候都会涉及医疗事故案件。最近，分析医疗事故数据库和保险索赔的手稿数量有所增加，同时也有关于当前法医学环境的评论文章。本文广泛回顾了所有医疗从业者感兴趣的文章，然后重点关注耳科学领域的医疗事故。
检索了医疗事故相关文章（特别是过去1 - 2年内发表的与耳科手术相关的主题文章）。不断增加的文献可以分为一般过失、减轻伤害以及在法庭上使用临床实践指南作为专家证人指导等主题。
最新发现表明医疗事故索赔频率可能正在下降。听力损失和面神经损伤是与耳科手术相关的最常见损伤。如果认定存在过失，这些损伤可能代价高昂。临床实践指南正逐渐在法庭上用作证据，并且有既定的指南，若外科医生被传唤作证，专家证人必须遵循。
