医疗事故指控：住院医师的现实考量。
Malpractice allegations: A reality check for resident physicians.
机构信息
Department of Surgery, University of California San Diego, 9300 Campus Point Drive, #7220, La Jolla, CA, 92037, USA.
Department of Surgery, University of California San Diego, 9300 Campus Point Drive, #7220, La Jolla, CA, 92037, USA.
出版信息
Am J Surg. 2019 Feb;217(2):350-355. doi: 10.1016/j.amjsurg.2018.08.006. Epub 2018 Aug 23.
BACKGROUND
Medical malpractice is a source of stress and cost to physicians. Little is known about how it impacts resident physicians.
METHODS
We analyzed data from the Comparative Benchmarking System between 2007 and 2016. We also surveyed surgery residents at our institution regarding malpractice in training.
RESULTS
4% of cases identified a resident physician and 32% involved a surgical specialty. Common allegations were "improper performance of surgery" and "improper management of surgical patient". 1 case attributed supervision as the major allegation but supervision was a contributing factor in 26% of cases. 18% of cases named a resident as a defendant. Most residents correctly answered that they can be defendants, agreed that a medico-legal curriculum is at least "moderately important", but had "poor" to "terrible" malpractice knowledge.
CONCLUSIONS
A significant number of medical malpractice claims involve resident physicians as a responsible party. Though universally recognized as important, medico-legal training in surgical residency is often lacking.
背景
医疗事故是医生压力和成本的一个来源。目前尚不清楚它对住院医师有何影响。
方法
我们分析了 2007 年至 2016 年期间比较基准系统的数据。我们还对我们机构的外科住院医师进行了关于培训中的医疗事故的调查。
结果
4%的案例确定了一名住院医师，32%的案例涉及外科专业。常见的指控是“手术不当”和“手术病人管理不当”。1 例将监督作为主要指控，但监督是 26%案例的一个促成因素。18%的案例将住院医师列为被告。大多数住院医师正确回答他们可以成为被告，他们认为医学法律课程至少“相当重要”，但他们的医疗事故知识“差”到“糟糕”。
结论
相当数量的医疗事故索赔涉及住院医师作为责任方。尽管普遍认为医学法律培训在外科住院医师培训中很重要，但往往缺乏这种培训。
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