Getting it Right First Time programme, NHS England and NHS Improvement, London, UK.
Royal National ENT Hospital, University College London NHS Trust, UK.
J Laryngol Otol. 2022 Dec;136(12):1177-1182. doi: 10.1017/S0022215121003959. Epub 2021 Dec 3.
This study reviewed all rhinology clinical negligence claims in the National Health Service in England between 2013 and 2018.
All clinical negligence claims held by National Health Service Resolution relating to rhinology in England between 1 April 2013 and 1 April 2018 were reviewed.
There were 171 rhinology related claims with a total estimated potential cost of £13.6 million. There were 119 closed claims (70 per cent) with a total cost of £2.3 million, of which 55 claims resulted in payment of damages. Over three quarters of all rhinology claims were associated with surgery ( 132). Claims associated with endoscopic sinus surgery had the highest mean cost per claim (£172 978). Unnecessary pain (33.9 per cent) and unnecessary operation (28.1 per cent) were the most commonly cited patient injuries.
Patient education and consent have been highlighted as key areas for improvement from this review of rhinology related clinical negligence claims. A shift in clinical practice towards shared decision making could reduce litigation in rhinology.
本研究回顾了 2013 年至 2018 年期间英格兰国民保健服务体系中所有的鼻科学临床疏忽索赔。
回顾了 2013 年 4 月 1 日至 2018 年 4 月 1 日期间英格兰国民保健服务Resolution 持有的所有与鼻科学相关的临床疏忽索赔。
共有 171 例与鼻科学相关的索赔，估计总潜在成本为 1360 万英镑。有 119 例已结案的索赔（70%），总成本为 230 万英镑，其中 55 例索赔导致赔偿。超过四分之三的鼻科学索赔与手术有关（132 例）。与内窥镜鼻窦手术相关的索赔每例索赔的平均费用最高（172978 英镑）。不必要的疼痛（33.9%）和不必要的手术（28.1%）是最常被引用的患者伤害。
从对鼻科学相关临床疏忽索赔的审查中，患者教育和同意被强调为需要改进的关键领域。向共同决策的临床实践转变可能会减少鼻科学领域的诉讼。
