Legal Medicine Section, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy.
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy.
Clin Ter. 2024 Jul-Aug;175(Suppl 1(4)):75-79. doi: 10.7417/CT.2024.5090.
Since 2012, the Sicilian regional government, in view of the increase in malpractice claims, has adopted a "self-insurance system" The claims management activities have been delegated to the Claims Management Committees (CMCs), the importance of which was also emphasized by Law No. 24/2017. This study aims to describe the experience of Sicilian Hospital CMC and analyze the claims' features, especially for contentious HAIs. Healthcare-associated infections (HAIs) continue to be a major public health concern. The contraction of infection during hospitalization generally results in a significant worsening of the patient's quality of life and prolongation of his or her stay. Still, it is also responsible for an increase in costs that burden the hospital and the entire Health System.
The study investigates the analysis of claims received by a Messina Hospital Company between January 2015 and December 2023 even though for events that occurred in earlier years. From the database, cases in which the Company was sued for HAIs were extrapolated and analyzed, distinguishing them by year and by Department. The data collected were statistically processed with the Epi Info 7.1.5 program (CDC - Atlanta - USA).
The CMC experience highlighted a statistically significant increase in complaints especially for those relating to HAI, without differences by Department. In most cases, the CMC admitted the hospital's liability, and an attempt at conciliation was promoted and moreover risk management initiatives were adopted. This is important when considering the recent ruling 6386/2023 of March 3, 2023.
自 2012 年以来，西西里岛地方政府鉴于医疗事故索赔的增加，采用了“自保制度”，将索赔管理活动委托给了索赔管理委员会（CMC），2017 年第 24 号法律也强调了其重要性。本研究旨在描述西西里岛医院 CMC 的经验，并分析索赔的特征，特别是对有争议的医源性感染（HAI）的索赔。医疗保健相关感染（HAI）仍然是一个主要的公共卫生关注点。患者在住院期间感染通常会导致其生活质量显著恶化，并延长其住院时间。但它也会导致医院和整个医疗系统负担增加的成本增加。
该研究调查了 2015 年 1 月至 2023 年 12 月期间 Messina 医院公司收到的索赔分析，尽管是针对早些年发生的事件。从数据库中，推断并分析了公司因医源性感染而被起诉的病例，并按年份和科室进行区分。收集的数据使用 Epi Info 7.1.5 程序（CDC-亚特兰大-美国）进行了统计处理。
CMC 的经验突显了投诉数量的显著增加，尤其是与 HAI 相关的投诉，且科室之间没有差异。在大多数情况下，CMC 承认医院的责任，并推动调解尝试，此外还采取了风险管理措施。这在考虑到 2023 年 3 月 3 日的第 6386/2023 号最近裁决时非常重要。
