25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank
25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank
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DOI：
10.1136/bmjqs-2012-001550
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发表时间：
2013-08-01
影响因子：
5.4
通讯作者：
Newman-Toker, David E.
中科院分区：
文献类型：
--
作者：
Tehrani, Ali S. Saber;Lee, HeeWon;Newman-Toker, David E.
背景：我们试图通过分析封闭的、支付的医疗事故索赔来描述美国诊断错误的频率、健康结果和经济后果。方法：我们分析1986-2010年国家从业者数据库中诊断相关索赔。我们描述了错误类型，结果严重程度和支付（2011年美元），比较了诊断错误与其他医疗事故指控组和住院与门诊诊断错误。结果我们分析了350706份已付索赔。诊断错误（n=100249）是主要类型（28.6%），占总支付比例最高（35.2%）。最常见的结局是死亡、严重永久性损伤、严重永久性损伤和轻微永久性损伤。诊断错误比其他指控组更常导致死亡（40.9% vs 23.9%, p . 591）
BackgroundWe sought to characterise the frequency, health outcomes and economic consequences of diagnostic errors in the USA through analysis of closed, paid malpractice claims.MethodsWe analysed diagnosis-related claims from the National Practitioner Data Bank (1986-2010). We describe error type, outcome severity and payments (in 2011 US dollars), comparing diagnostic errors to other malpractice allegation groups and inpatient to outpatient within diagnostic errors.ResultsWe analysed 350706 paid claims. Diagnostic errors (n=100249) were the leading type (28.6%) and accounted for the highest proportion of total payments (35.2%). The most frequent outcomes were death, significant permanent injury, major permanent injury and minor permanent injury. Diagnostic errors more often resulted in death than other allegation groups (40.9% vs 23.9%, p