Department of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA.
College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
Facial Plast Surg Aesthet Med. 2021 Dec;23(6):417-421. doi: 10.1089/fpsam.2020.0390. Epub 2020 Dec 21.
It is important to recognize factors that may mitigate the risk of a potential lawsuit and increase knowledge and awareness of physicians. To evaluate and characterize facial nerve paralysis litigation claims and related potential causes. These data were extracted from the two main computerized legal databases: WestLaw and LexisNexis. The data were queried on April 2, 2020. The records from 1919 to 2020 were obtained from a population-based setting. A total of 186 cases were included. Data were gathered for all alleged cases of facial nerve paralysis. There was a continuous rise in the amount of malpractice payments with the highest mean amount being in the past decade. From 1919 to 2020, a total of 186 malpractice cases for facial nerve damage were identified. A total amount of $89,178,857.99 was rewarded to plaintiffs in 66 cases. The mean amount of paid malpractice claim was $1,351,194.80. Improper performance/treatment was the most common reason for alleged litigation ( = 97). This was followed by misdiagnosis/delayed diagnosis ( = 47), and failure of informed consent ( = 34). The highest number of malpractice claims with a total of 53 cases was from 1991 to 2000. The highest mean amount per payment was in the past decade (2011-2020) with a mean of $3,841,052.68. Over the past century, improper performance/procedure, delayed/misdiagnosis, and failure of informed consent were the most common reasons for litigations related to facial nerve paralysis.
认识可能减轻潜在诉讼风险并提高医生知识和意识的因素很重要。评估和描述面神经瘫痪诉讼索赔和相关潜在原因。这些数据是从两个主要的计算机法律数据库：WestLaw 和 LexisNexis 中提取出来的。数据于 2020 年 4 月 2 日查询。记录从 1919 年到 2020 年是从基于人群的环境中获得的。共纳入 186 例。收集了所有被指控的面神经瘫痪病例的数据。随着医疗事故赔偿金额的不断增加，过去十年的平均赔偿金额最高。从 1919 年到 2020 年，总共确定了 186 例面神经损伤的医疗事故案件。共有 66 例案件判给原告 89178857.99 美元。已支付医疗事故索赔的平均金额为 1351194.80 美元。不当表现/治疗是最常见的诉讼原因（=97）。其次是误诊/延迟诊断（=47）和未获得知情同意（=34）。医疗事故索赔最多的是 1991 年至 2000 年，共 53 例。过去十年（2011-2020 年）的平均每笔支付金额最高，为 3841052.68 美元。在过去的一个世纪里，不当的表现/程序、延迟/误诊和未获得知情同意是与面神经瘫痪相关的诉讼的最常见原因。
