Wagner K D, Pollard R, Wagner R F, Shifren M D
Division of Child and Adolescent Psychiatry, University of Texas Medical Branch, Galveston 77555-0425.
Bull Am Acad Psychiatry Law. 1994;22(3):459-69.
A survey was conducted to investigate medical liability claims filed against the University of Texas System (the U.T. System), physicians, and/or institutions concerning care of adult psychiatric patients. There were 34 such claims filed between 1978 and 1991 that had closed by December 1991. In many of these cases, medical record documentation was determined to be inadequate. Of the 34 claims filed, only seven were settled on behalf of U.T. personnel or U.T. institutions. Of these seven settlements, the mean monetary amount paid per case on behalf of U.T. System and non-U.T. System parties was $98,678.57. The two categories with the largest number of claims were 1) cases involving suicides, and 2) cases involving adverse reactions to medication. The largest award was $350,000, paid on behalf of U.T. physicians, a private physician, and non-U.T. institutions for alleged negligent failure to diagnose Cushing's disease. Of this amount, only $150,000 was paid on behalf of U.T. physicians. Risk management strategies should be implemented to address areas of liability in psychiatry residency programs.
开展了一项调查，以研究针对德克萨斯大学系统（简称UT系统）、医生和/或机构就成年精神病患者护理提出的医疗责任索赔。1978年至1991年间共提出34项此类索赔，截至1991年12月已结案。在许多此类案件中，病历记录被认定不充分。在提出的34项索赔中，只有7项代表UT系统人员或UT系统机构达成和解。在这7项和解中，代表UT系统和非UT系统方支付的每起案件平均金额为98,678.57美元。索赔数量最多的两类案件是：1）涉及自杀的案件，以及2）涉及药物不良反应的案件。最高赔偿额为35万美元，代表UT系统医生、一名私人医生和非UT系统机构支付，原因是涉嫌疏忽未能诊断库欣病。其中，仅代表UT系统医生支付了15万美元。应实施风险管理策略，以解决精神病学住院医师培训项目中的责任领域问题。
