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器官移植中的医疗过失:公开指控与关键法律结果

Medical malpractice in organ transplantation: public allegations and key legal outcomes.

作者信息

Arvanitis Panos, Davis Michel R, London Abby, Farmakiotis Dimitrios

机构信息

Division of Infectious Diseases, Warren Alpert Medical School, Brown University, Providence, United States.

Warren Alpert Medical School, Brown University, Providence, United States.

出版信息

Front Health Serv. 2024 Aug 12;4:1408934. doi: 10.3389/frhs.2024.1408934. eCollection 2024.

Abstract

INTRODUCTION

Despite significant advances in surgical techniques and patient outcomes, organ transplantation (OT) remains fraught with legal challenges and ethical dilemmas. This study aims to address the notable gap in literature on malpractice claims specifically related to OT, providing insights into litigation trends, outcomes, and implications for medical practice and patient care.

METHODS

We retrospectively queried the Verdictsearch database from 1988 to 2023, and captured malpractice claims involving several organs. Data on demographics, organ types, and litigation outcomes were collected to compare compensation across different categories of malpractice and patient outcomes.

RESULTS

Out of 292 malpractice cases identified, 62 met inclusion criteria, distributed across 19 states with kidney being the most implicated organ (46.8%). Defendants prevailed in 53.2% of cases, while settlements were reached in 29.0%, and plaintiffs won in 16.1% of cases. Surgical errors and complications were the most frequent allegations, followed by medication and treatment errors. The median compensation for deceased plaintiffs was significantly higher ($1,300,000) compared to living plaintiffs at litigation initiation ($128,000).

DISCUSSION

Our study sheds light on the challenges and trends in malpractice litigation within the field of OT. By identifying key areas of concern and the influence of patient outcomes on litigation resolution, this study offers valuable insights for healthcare providers, legal practitioners, and policymakers aimed at enhancing patient safety, reducing litigation risks, and fostering a deeper understanding of the ethical and legal complexities in OT.

摘要

引言

尽管手术技术和患者预后取得了重大进展,但器官移植(OT)仍然充满了法律挑战和伦理困境。本研究旨在填补文献中与OT相关的医疗事故索赔方面的显著空白,深入了解诉讼趋势、结果以及对医疗实践和患者护理的影响。

方法

我们回顾性查询了1988年至2023年的Verdictsearch数据库,收集了涉及多个器官的医疗事故索赔。收集了人口统计学、器官类型和诉讼结果的数据,以比较不同类别医疗事故的赔偿情况和患者预后。

结果

在确定的292起医疗事故案件中,62起符合纳入标准,分布在19个州,肾脏是涉及最多的器官(46.8%)。被告在53.2%的案件中胜诉,29.0%的案件达成和解,原告在16.1%的案件中胜诉。手术失误和并发症是最常见的指控,其次是用药和治疗失误。与诉讼开始时在世的原告(12.8万美元)相比,已故原告的赔偿中位数显著更高(130万美元)。

讨论

我们的研究揭示了OT领域医疗事故诉讼中的挑战和趋势。通过确定关键关注领域以及患者预后对诉讼解决的影响,本研究为医疗保健提供者、法律从业者和政策制定者提供了有价值的见解,旨在提高患者安全性、降低诉讼风险,并促进对OT中伦理和法律复杂性的更深入理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/11345239/1636f1ff1f6f/frhs-04-1408934-g001.jpg

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