Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
J Vasc Interv Radiol. 2019 Apr;30(4):601-606. doi: 10.1016/j.jvir.2018.11.025. Epub 2019 Feb 27.
To report types and outcomes of a small subset of malpractice lawsuits filed against physicians performing image-guided interventions in the United States.
In total, 1,312 cases involving common image-guided procedures were reviewed from the Westlaw and LexisNexis databases in the United States from 1963 to 2018. Social Security, disability, employment contract, product liability, criminal, and government employment claims were excluded. The final legal cohort comprised 184 (14.0%) cases. They were categorized into vascular (113/184; 61.4%), inferior vena cava filter (n = 22; 12.0%), neurointerventional (n = 13; 7.1%), gastrointestinal and genitourinary (n = 17; 9.2%), foreign body (n = 7; 3.8%), biopsy related (n = 9; 4.9%), and oncologic (n = 3; 1.6%) interventions. Claims were also organized by defendant type and by specialty, complication stage, verdict, and year.
From 2001 to 2018, 58.7% of claims (n = 108) were reported. Procedural complications related to arteriography were most commonly litigated (63/113; 55.8%). Claims arising from intra-procedural and early post-procedural complications were common (84/184; 45.7%). Community hospitals were most often named as defendants (61/184; 33.2%). In reported outcomes, courts sided with defendants in 81.9% (104/127) of the cases, similar to national malpractice trends. Unreported outcomes comprised 31% (57/184) of the data.
For the small subset of claims published within national legal databases, intra-procedural and early post-procedural complications after diagnostic arteriography were most commonly litigated. Most (81.9%) claims with reported outcomes sided with the defendant physician.
报告在美国进行影像引导介入治疗的医生所面临的一小部分医疗事故诉讼的类型和结果。
从美国 Westlaw 和 LexisNexis 数据库中检索了 1963 年至 2018 年期间涉及常见影像引导程序的 1312 例案件。排除了社会保障、残疾、雇佣合同、产品责任、刑事和政府雇佣索赔。最终的法律队列包括 184 例（14.0%）。这些案件被分为血管（113/184；61.4%）、下腔静脉滤器（22/184；12.0%）、神经介入（13/184；7.1%）、胃肠和泌尿生殖（17/184；9.2%）、异物（7/184；3.8%）、活检相关（9/184；4.9%）和肿瘤（3/184；1.6%）介入。索赔还按被告类型和专业、并发症阶段、判决和年份进行了分类。
从 2001 年到 2018 年，报告了 58.7%的索赔（n=108）。与血管造影相关的程序并发症是最常被起诉的（63/113；55.8%）。术中及术后早期并发症引起的索赔很常见（84/184；45.7%）。社区医院是最常被点名的被告（61/184；33.2%）。在报告的结果中，法院在 81.9%（104/127）的案件中支持被告，与全国医疗事故趋势相似。未报告的结果占数据的 31%（57/184）。
在国家法律数据库中公布的一小部分索赔中，诊断性血管造影术后的术中及术后早期并发症是最常被起诉的。大多数（81.9%）有报告结果的索赔都支持被告医生。
