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医疗机构中患者跌倒相关赔偿申请:一项回顾性分析

Requests for Compensation in Cases Involving Patients' Falls in Healthcare Settings: A Retrospective Analysis.

作者信息

Mele Federica, Leonardelli Mirko, Duma Stefano, Angeletti Carlo, Cazzato Gerardo, Lupo Carmelo, Gorini Ettore, Pomara Cristoforo, Dell'Erba Alessandro, Marrone Maricla

机构信息

Section of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.

Section of Molecular Pathology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), School of Medicine, University of Bari "Aldo Moro", 70100 Bari, Italy.

出版信息

Healthcare (Basel). 2023 Apr 30;11(9):1290. doi: 10.3390/healthcare11091290.

Abstract

Falls are the most frequent adverse events recorded in healthcare facilities. By employing a multifaceted strategy to ensure prevention interventions that are specific to the patient type and environmental risk management, risk factor evaluation may help to reduce falls in the hospital setting. Patient falls are one of the main causes of lawsuits against hospitals, which has led to the development of validated instruments that are beneficial in treating the patient after the incident and effective in minimizing the frequency of falls. The aim of our study is to evaluate compensation claims asserting healthcare culpability in situations where a patient fell in a hospital setting. The collected data relate to judgments issued in Italy until December 2022 regarding 30 episodes of falls that occurred between 2003 and 2018. Our research revealed that approximately 50% of Italian healthcare organizations lose the case in court when a patient falls in a hospital setting and dies or is injured. In half of these cases, the failure of the medical staff to use protective equipment against falls is what led to the court's acceptance of the compensation claim. In order to improve the quality of healthcare services, fall prevention techniques must continue to be implemented.

摘要

跌倒事件是医疗机构中记录最为频繁的不良事件。通过采用多方面策略,确保针对患者类型的预防干预措施以及环境风险管理,风险因素评估有助于减少医院环境中的跌倒事件。患者跌倒事件是医院面临诉讼的主要原因之一,这促使了一些经过验证的工具的开发,这些工具在事件发生后对治疗患者有益,并且能有效降低跌倒的发生率。我们研究的目的是评估在患者于医院环境中跌倒的情况下,声称医疗保健存在过失的赔偿要求。所收集的数据涉及截至2022年12月在意大利发布的关于2003年至2018年间发生的30起跌倒事件的判决。我们的研究表明,当患者在医院环境中跌倒并死亡或受伤时,约50%的意大利医疗保健机构在法庭上败诉。在这些案例中,有一半是由于医护人员未使用防跌倒保护设备,导致法庭接受了赔偿要求。为了提高医疗服务质量,必须继续实施跌倒预防技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d096/10178431/1e6602d77daf/healthcare-11-01290-g001.jpg

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