University Hospital of Wales, Cardiff, UK.
Getting It Right First Time Programme, NHS England & NHS Improvement, England, UK.
Int J Pediatr Otorhinolaryngol. 2022 Nov;162:111288. doi: 10.1016/j.ijporl.2022.111288. Epub 2022 Aug 18.
OBJECTIVE(S): Medico-legal claims involving children place a substantial financial burden on health services and have a profound emotional and psychological impact on clinicians. Our objective was to analyze both the common causes and cost of litigation in pediatric otorhinolaryngology.
A retrospective review of all clinical negligence claims within pediatric otolaryngology (0-17 years inclusive) in NHS (National Health Service) England held by the clinical negligence service 'NHS Resolution between' 4/2013 and 4/2020.
There were 100 claims in pediatric otorhinolaryngology accounting for an estimated potential total cost of just under £49 million with an average of 14 claims per year. Over half (52%) of claims were related to an operation with cause codes "Operator Error/Intra-Op Problem", "Diathermy Injury" and "Failure to Warn - Consent" most cited. The most common operation cited in a claim was tonsillectomy with an average cost per claim of £47,084. There were 21 claims coded as either "failure to diagnose" or "failure to treat" in relation to cholesteatoma, with an average cost per claim of £61,086.
This is the largest study to date analyzing the reasons and potential cost of clinical negligence claims within pediatric otolaryngology. Many learning opportunities exist to reduce patient morbidity, mortality and improve the patient experience through litigation data analysis.
涉及儿童的医疗法律索赔给卫生服务带来了巨大的财务负担，并对临床医生产生了深远的情感和心理影响。我们的目的是分析小儿耳鼻喉科中诉讼的常见原因和成本。
对 NHS Resolution 在 2013 年 4 月至 2020 年 4 月期间持有的 NHS 英格兰小儿耳鼻喉科（0-17 岁）所有临床疏忽索赔的回顾性审查。
小儿耳鼻喉科有 100 项索赔，估计潜在总成本略低于 4900 万英镑，平均每年有 14 项索赔。超过一半（52%）的索赔与手术有关，主要原因代码为“操作人员失误/手术内问题”、“电灼伤”和“未警告-同意”。索赔中最常见的手术是扁桃体切除术，每项索赔的平均成本为 47084 英镑。有 21 项索赔被编码为胆脂瘤的“诊断失误”或“治疗失误”，每项索赔的平均成本为 61086 英镑。
这是迄今为止分析小儿耳鼻喉科临床疏忽索赔原因和潜在成本的最大研究。通过诉讼数据分析，可以为降低患者发病率、死亡率和改善患者体验提供许多学习机会。
