涉及放射科住院医师的医疗事故诉讼的相对发生率和特征。
Relative Prevalence and Characteristics of Malpractice Litigation Involving Radiology Trainees.
机构信息
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
Department of Radiology, University of Michigan, Ann Arbor, Michigan.
出版信息
J Am Coll Radiol. 2021 Apr;18(4):608-614. doi: 10.1016/j.jacr.2020.09.067. Epub 2020 Nov 14.
PURPOSE
To assess the prevalence and characteristics of medical malpractice litigation involving radiology trainees.
METHODS
Using a LexisNexis legal database keyword search, we identified all state and federal lawsuits between 2009 and 2018 yielding formal appellate and lower court opinions (precedent setting "complex litigation") potentially involving physician trainees. Available judicial records were systematically reviewed to identify malpractice matters with material trainee involvement. Cases were categorized by criteria including specialty and location. Incidence rates were calculated for all specialties. Radiology lawsuits were characterized further.
RESULTS
Initial LexisNexis Boolean database search yielded 8,935 potentially relevant cases with 580 confirmed as malpractice materially involving physician trainees. Annual cases trended downward (high 70, low 37). Most originated in New York (195 of 580; 33.6%), Ohio (41; 7.1%), and Pennsylvania (34; 5.9%) and involved surgery (204; 35.2%), obstetrics and gynecology (114; 19.7%), and medicine (105; 18.1%). The case incidence rate for all trainees was 0.63 per 1,000 trainee years. Of 309 cases with known outcomes, defendant physicians prevailed in 238 (77.0%). Radiology trainees represented only 23 cases (4.0%), corresponding to an incidence rate ratio of 0.79 (confidence interval 0.52-1.20). Radiology litigation most frequently involved alleged missed diagnoses (14 of 23; 60.8%) and procedural complications (7; 30.4%). Defendant radiologists prevailed in 9 of the 13 cases with known outcomes (69.2%).
CONCLUSION
Complex medical malpractice litigation involving physician trainees is infrequent and decreasing over time. Lawsuits involving radiology trainees are uncommon, less likely than for many nonradiology trainees, and typically involve alleged missed diagnoses or procedural complications. Defendant radiologists usually prevail.
目的
评估涉及放射科住院医师的医疗事故诉讼的发生率和特征。
方法
使用 LexisNexis 法律数据库关键字搜索，我们确定了 2009 年至 2018 年期间所有产生正式上诉和下级法院意见（具有先例意义的“复杂诉讼”）的州和联邦诉讼，这些诉讼可能涉及医师住院医师。系统审查了可用的司法记录，以确定有实质性住院医师参与的医疗事故案件。根据专业和地点等标准对案件进行分类。计算了所有专业的发病率。进一步描述放射学诉讼。
结果
最初的 LexisNexis 布尔数据库搜索产生了 8935 起潜在相关案件，其中 580 起被确认为实质性涉及医师住院医师的医疗事故案件。年度案件呈下降趋势（高 70 例，低 37 例）。大多数案件起源于纽约（580 例中的 195 例；33.6％），俄亥俄州（41 例；7.1％）和宾夕法尼亚州（34 例；5.9％），涉及手术（204 例；35.2％），妇产科（114 例；19.7％）和内科（105 例；18.1％）。所有受训人员的病例发生率为每 1000 名受训人员年 0.63 例。在 309 例已知结果的病例中，被告医生胜诉 238 例（77.0％）。放射科住院医师仅代表 23 例（4.0％），发病率比为 0.79（置信区间 0.52-1.20）。放射学诉讼最常涉及的是被指控的漏诊（23 例中的 14 例；60.8％）和程序并发症（7 例；30.4％）。在 13 例已知结果的案件中，被告放射科医生胜诉 9 例（69.2％）。
结论
涉及医师住院医师的复杂医疗事故诉讼并不常见，且随着时间的推移呈下降趋势。涉及放射科住院医师的诉讼很少见，比许多非放射科住院医师的诉讼可能性小，并且通常涉及被指控的漏诊或程序并发症。被告放射科医生通常胜诉。
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