Li Yuan, Gao Dong, Tu Meng, Luo Ying-Zhen, Deng Zhen-Hua
Department of Forensic Pathology, West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, PR China.
Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, No. 1347 West Guang Fu Road, Shanghai 200063, PR China.
J Forensic Leg Med. 2017 May;48:30-34. doi: 10.1016/j.jflm.2017.04.005. Epub 2017 Apr 15.
To examine pathology-related medical claims in China and identify the most common errors to result in such claims.
A retrospective analysis was performed of 71 forensic evaluation reports carried out in two Chinese institutes of forensic medicine between 2002 and 2015 due to suspicion of medical malpractice. The judicial outcomes of each case were also reviewed when available.
Of 71 cases, 54 cases had judicial outcomes. The most frequently claimed events were false-negative diagnoses of skin cancer, invasive ductal carcinoma of the breast, and osteosarcoma; and false positive diagnoses of uterine cervical squamous cell carcinoma, gastric carcinoma, and soft tissue carcinoma. The most common cause of error (82%, 56 of 68) was pathological misinterpretation. Plaintiffs in most cases (89%, 48 of 54) received compensation.
Our data are in agreement with other findings regarding the most frequent medical malpractice allegations related to pathology. Addressing the issues at the root of these claims would lead to a decline in the number of medical errors. Quality assurance programs and good pathologist-clinician communication may decrease the risk of litigation.
审查中国与病理学相关的医疗索赔情况，并确定导致此类索赔的最常见错误。
对2002年至2015年间中国两家法医学机构因涉嫌医疗事故进行的71份法医评估报告进行回顾性分析。如有可能，还会审查每个案件的司法结果。
71例案件中，54例有司法结果。最常被索赔的事件是皮肤癌、乳腺浸润性导管癌和骨肉瘤的假阴性诊断；以及子宫颈鳞状细胞癌、胃癌和软组织癌的假阳性诊断。最常见的错误原因（82%，68例中的56例）是病理解读错误。大多数案件（89%，54例中的48例）的原告获得了赔偿。
我们的数据与其他关于与病理学相关的最常见医疗事故指控的研究结果一致。解决这些索赔根源的问题将导致医疗错误数量的下降。质量保证计划和病理学家与临床医生之间的良好沟通可能会降低诉讼风险。
