矫形足踝外科的索赔：它们如何有助于提高医疗质量？一项回顾性的索赔分析。
Claims in orthopedic foot/ankle surgery, how can they help to improve quality of care? A retrospective claim analysis.
机构信息
Trauma Unit, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands.
MediRisk, Van Deventerlaan 20, 3503 RK, Utrecht, The Netherlands.
出版信息
Eur J Orthop Surg Traumatol. 2021 Jan;31(1):85-93. doi: 10.1007/s00590-020-02745-9. Epub 2020 Jul 26.
BACKGROUND
Orthopedic foot/ankle surgery is a high risk specialty when it comes to malpractice claims. This study aims to evaluate the incidence, characteristics and outcome of claims in this area.
METHODS
This was a retrospective, 10-year claim analysis, with data from an anonymous database. Baseline claim/claimant characteristics were collected from all orthopedic foot/ankle-related cases.
RESULTS
Of 460 claims in total, most were related to delay in/wrong diagnosis or to (complications of) elective surgical procedures. Whether a claim was settled was related to type of injury (fracture) and type of claim (diagnostic mistake). Median amount disbursed in settled claims was €12,549. Claim incidence did not increase over the years.
CONCLUSION
Missed fracture diagnosis and "failed"/disappointing results of elective surgical procedures were the most common causes for claims. Sufficient knowledge of missed (foot) fractures and clear communication/expectation management before elective procedures could help to improve quality of healthcare and patient satisfaction.
背景
在医疗事故索赔方面，矫形足踝外科属于高风险专科。本研究旨在评估该领域索赔的发生率、特征和结果。
方法
这是一项回顾性的、为期 10 年的索赔分析，数据来自一个匿名数据库。从所有与矫形足踝相关的案例中收集了基本的索赔/索赔人特征。
结果
在总共 460 项索赔中，大多数与延迟诊断/误诊或（ elective surgical procedures 的）并发症有关。索赔是否解决与损伤类型（骨折）和索赔类型（诊断错误）有关。已解决索赔的中位数支出为 12549 欧元。索赔发生率并未逐年增加。
结论
漏诊骨折和 elective surgical procedures 的“失败”/令人失望的结果是索赔的最常见原因。充分了解漏诊（足部）骨折，并在 elective 手术前进行清晰的沟通/期望管理，可能有助于提高医疗保健质量和患者满意度。
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