Kang Feel G, Kendall Mark C, Kang Ji S, Malgieri Christopher J, De Oliveira Gildasio S
J Educ Perioper Med. 2020 Oct 1;22(4):E650. doi: 10.46374/volxxii-issue4-deoliveira. eCollection 2020 Oct-Dec.
Medical specialties have evaluated malpractice claims in residents, but to the best of our knowledge, malpractice claims have not been evaluated in anesthesiology residents.
The Westlaw legal database was queried for all malpractice litigation cases involving anesthesiology residents in the United States from January 1959 through December 2018. The cases were divided into 2 cohorts by year (before and after 1990) to account for the differences in patient safety features and monitoring available in the different time periods.
Ninety cases were included in the analysis. The median (interquartile range) for inflation adjusted payments was $1 140 544 (0 to 4 158 589). There was no association between the year the claim was filled and the payment amount, Spearman rho = -0.17, = 0.15. In contrast, for claims that occurred in the intraoperative period, there was a moderate negative association between the year of the claim and the inflation adjusted payment, Spearman rho = -0.45, = 0.003. Payments were greater if the event occurred in the postoperative period, median of $4 250 000 (959 000 to 55 595 000) compared to events that happened in the intraoperative period, median of $1 039 000 (0 to 3 802 000) and preoperative periods, median of $212 000 (0 to $3 982 000), = 0.02.
The reduction of liability across the years with malpractice claims that resulted from the intraoperative period suggest that the continued patient safety initiatives implemented by anesthesiology specialty has resulted in less liability to trainees and may stimulate future initiatives targeted to the postoperative period.
医学专业已对住院医师的医疗事故索赔进行了评估，但据我们所知，尚未对麻醉科住院医师的医疗事故索赔进行评估。
查询Westlaw法律数据库，以获取1959年1月至2018年12月期间美国所有涉及麻醉科住院医师的医疗事故诉讼案件。根据年份（1990年之前和之后）将这些案件分为两个队列，以考虑不同时间段内患者安全特征和监测的差异。
90例案件纳入分析。经通胀调整后的赔付中位数（四分位间距）为1140544美元（0至4158589美元）。索赔提出年份与赔付金额之间无关联，斯皮尔曼相关系数ρ = -0.17，P = 0.15。相比之下，对于术中发生的索赔，索赔年份与经通胀调整后的赔付之间存在中度负相关，斯皮尔曼相关系数ρ = -0.45，P = 0.003。如果事件发生在术后阶段，赔付金额更高，中位数为4250000美元（959000至55595000美元），而术中发生的事件中位数为1039000美元（0至3802000美元），术前阶段中位数为212000美元（0至3982000美元），P = 0.02。
多年来，因术中医疗事故索赔导致的责任减少表明，麻醉科实施的持续患者安全举措已减少了对住院医师的责任，并可能刺激未来针对术后阶段的举措。
