Austin Christopher, Kusumoto Fred
Department of Cardiology, University of Florida, Gainesville, FL, 32607, USA.
Division of Cardiovascular Disease, Mayo Clinic Florida, Jacksonville, FL, USA.
J Interv Card Electrophysiol. 2019 Nov;56(2):151-158. doi: 10.1007/s10840-018-0453-9. Epub 2018 Oct 1.
Medical professional liability (MPL), traditionally known as medical malpractice, affects most electrophysiologists some point during their career, either directly through personal experience or indirectly by the experiences of colleagues. Despite this, most physicians struggle to accurately describe MPL in the context of clinical practice. Providers know little about the outcomes of malpractice claims as reporting of settled or litigated MPL cases is sparse in the medical literature. In the USA, individual patients can file a malpractice claim in a tort-based system, whereas in other parts of the world, no-fault malpractice systems are increasingly prevalent. Tort reform remains a topic of much debate as the economic costs of malpractice contribute to the ever-expanding costs of health care in the USA. This review provides a framework to define MPL, describes the tort and no-fault systems of malpractice, and details the economic impacts of MPL on health care and the practice of cardiology in the USA. Current policy trends towards MPL including tort reform are reviewed, and MPL as it relates to the practice of cardiac electrophysiology is detailed.
医疗职业责任（MPL），传统上称为医疗过失，在大多数电生理学家的职业生涯中的某个时刻都会对其产生影响，这种影响要么直接通过个人经历，要么间接通过同事的经历。尽管如此，大多数医生在临床实践中仍难以准确描述医疗职业责任。由于已解决或已诉讼的医疗职业责任案件在医学文献中的报道很少，医疗服务提供者对医疗过失索赔的结果知之甚少。在美国，个人患者可以在基于侵权行为的体系中提起医疗过失索赔，而在世界其他地区，无过错医疗过失体系越来越普遍。侵权行为改革仍是一个备受争议的话题，因为医疗过失的经济成本导致美国医疗保健成本不断攀升。本综述提供了一个定义医疗职业责任的框架，描述了医疗过失的侵权行为体系和无过错体系，并详细阐述了医疗职业责任对美国医疗保健和心脏病学实践的经济影响。本文回顾了当前针对医疗职业责任的政策趋势，包括侵权行为改革，并详细阐述了与心脏电生理学实践相关的医疗职业责任。
