Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Legal Medicine, University of Padua, Padua, Italy.
Curr Pharm Biotechnol. 2021;22(15):1985-1993. doi: 10.2174/1389201021666201015145311.
In recent decades, the number of medical professional liability disputes has grown exponentially, becoming a well-studied aspect of public healthcare. Legal medicine is an essential tool in managing this phenomenon.
This article reports the results of the analysis of disputes for medical professional liability in a Level III University Hospital in Italy. The study covers the time period from 01.01.2003 to 31.12.2019.
About 33% of claims have been compensated. Those claims fall within the following categories: 37% in the surgical field, 17% in the field of internal medicine, and 35% in the emergency care field. As for the types of a medical mistake, compensation was awarded in 30% of diagnostic error cases, 26% of therapeutic error cases, 47% of execution error cases, and 55% of organizational deficiency cases.
The difference in the rate of compensation between the various medical fields or types of error depends on specific medico-legal characteristics. The aim of advanced healthcare systems is to prevent medical liability disputes by analyzing this phenomenon and improving clinical risk management programs. In particular, according to our study, events related to organizational deficiencies are the most preventable. In addition, through the use of a dedicated reporting procedure, medico-legal analysis of malpractice cases may be the key to risk reduction.
Every major hospital should set up a medico-legal watchdog responsible for collecting and analyzing information on professional medical liability disputes in order to prevent and manage such events.
近几十年来，医疗专业责任纠纷的数量呈指数级增长，成为公共医疗保健领域的一个研究热点。法医学是处理这种现象的重要工具。
本文报告了对意大利一家三级大学医院医疗专业责任纠纷的分析结果。该研究涵盖了 2003 年 1 月 1 日至 2019 年 12 月 31 日的时间段。
约 33%的索赔得到了赔偿。这些索赔属于以下几类：37%的手术领域，17%的内科领域，35%的急诊领域。至于医疗失误的类型，在 30%的诊断错误案例、26%的治疗错误案例、47%的执行错误案例和 55%的组织缺陷案例中获得了赔偿。
不同医疗领域或错误类型的赔偿率差异取决于特定的医疗法律特征。先进医疗保健系统的目标是通过分析这种现象并改进临床风险管理计划来预防医疗责任纠纷。特别是根据我们的研究，与组织缺陷相关的事件是最可预防的。此外，通过使用专门的报告程序，对医疗事故案件进行法医学分析可能是降低风险的关键。
每家大医院都应设立一个医疗法律监督机构，负责收集和分析专业医疗责任纠纷的信息，以预防和管理此类事件。
