对四个急诊科诉讼成本的审计。
An audit of litigation costs in four accident and emergency departments.
作者信息
Hulbert D C, Riddle W L, Longstaff P M, Belstead J S, Beckett M W
机构信息
Ealing Hospital, Southall, Middlesex, United Kingdom.
出版信息
J Accid Emerg Med. 1996 Nov;13(6):400-1. doi: 10.1136/emj.13.6.400.
OBJECTIVE
To carry out an audit of cases of litigation relating to accident and emergency departments to determine the outcome and costs to the hospitals involved.
METHODS
The experience of four similar hospitals was examined over a three year period. All cases which required at least an exchange of solicitors' letters were included.
RESULTS
In total 32 claims were made, of which 17 were settled by solicitors' letters, six cases proceeded to court and were lost by the hospital involved, and in nine cases an out-of-court settlement was reached. The costs to the hospitals ranged from 180 pounds to 30,000 pounds, with an average cost of 4080 pounds. Over the course of the audit the number of cases of litigation remained constant at three per year, while the number of complaints rose threefold to 150. The majority of successful claims concerned missed fractures.
CONCLUSIONS
Litigation is uncommon and litigation costs reasonable. Given the frequency of missed fractures as a reason for a successful claim, early x ray reporting probably reduces the risk of litigation.
目的
对与急诊科相关的诉讼案件进行审查，以确定所涉医院的结果和成本。
方法
对四家类似医院在三年期间的经验进行了考察。纳入所有至少需要交换律师函的案件。
结果
总共提出了32项索赔，其中17项通过律师函解决，6起案件进入法庭审理，涉事医院败诉，9起案件达成庭外和解。医院的成本从180英镑到30,000英镑不等，平均成本为4080英镑。在审计过程中，诉讼案件数量每年保持在3起不变，而投诉数量增加了两倍，达到150起。大多数成功索赔涉及漏诊骨折。
结论
诉讼并不常见，诉讼成本合理。鉴于漏诊骨折作为成功索赔原因的频率，早期X光报告可能会降低诉讼风险。
Zotero 插件