New York Medical College, Valhalla, NY.
Department of Urology, Westchester Medical Center, Valhalla, NY.
Urology. 2021 Oct;156:169-172. doi: 10.1016/j.urology.2021.05.001. Epub 2021 May 14.
To review medical malpractice trends and to identify the most common claims filed against medical providers for the management of patients with priapism.
Using the Westlaw legal database, a search was done for the keyword "priapism" between July 1, 1980 and July 1, 2020. Cases were evaluated for plaintiff demographics, reasons for filing claims, management outcomes, legal verdicts and awards and further categorized based upon the timing of the alleged malpractice.
Alleged negligence during the pre-management period was cited in 30 cases. Administration of psychotropic medications was the most common reasons for filing pre-management claims 22/56 (39.3%). Delay in care accounted for 18/56 (32.1%) and complications of surgery were 5/56 (8.9%) of claims. The majority of the completed cases were in favor of the defendants (39/47; 83.0%). There was no association between type of health care provider or timing of alleged malpractice and ultimate verdict.
Prescribing psychoactive medications without warning of the adverse effect profile is the most common reason for claims filed against providers with trazodone as the leading medication. Medical providers should ensure that patients are well informed of this adverse effect prior to prescription. Regardless, the majority of medical malpractice cases carry a verdict in favor of the defendant.
回顾医疗事故趋势，并确定针对阴茎异常勃起患者管理提起的最常见医疗服务提供者索赔。
使用 Westlaw 法律数据库，自 1980 年 7 月 1 日至 2020 年 7 月 1 日期间，对“priapism”一词进行了检索。评估了案例中的原告人口统计学、提起索赔的原因、管理结果、法律判决和裁决，并根据涉嫌医疗事故的时间进一步进行了分类。
30 例中提到了管理前阶段的疏忽行为。管理前提出索赔的最常见原因是服用精神药物，共 22/56（39.3%）。治疗延迟占 18/56（32.1%），手术并发症占 5/56（8.9%）。已结案的大多数案例都有利于被告（39/47；83.0%）。医疗服务提供者类型或涉嫌医疗事故时间与最终判决之间无关联。
在没有警告不良影响的情况下开具精神药物是针对曲唑酮等药物提供者提起的索赔的最常见原因。医疗服务提供者应确保在处方前让患者充分了解这种不良反应。无论如何，大多数医疗事故案件的判决都有利于被告。
