Paid Malpractice Claims for Adverse Events in Inpatient and Outpatient Settings
Paid Malpractice Claims for Adverse Events in Inpatient and Outpatient Settings
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DOI：
10.1001/jama.2011.813
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发表时间：
2011-06-15
影响因子：
120.7
通讯作者：
Casalino, Lawrence P.
中科院分区：
文献类型：
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作者：
Bishop, Tara F.;Ryan, Andrew K.;Casalino, Lawrence P.
背景对医疗事故索赔的分析可以提供对门诊不良医疗事件的流行率和严重性的了解。目的报告和比较门诊医疗事故索赔的数量、程度、设计和设置回顾性分析代表门诊和住院医生支付的医疗事故索赔，使用来自全国执业医师数据库的数据银行从2005年到2009年。我们评估的趋势，支付索赔的设置，支付索赔的特点，与payment amount.Main Outcome Measures相关的因素支付索赔的数量，平均值和中位数的支付金额，错误的类型，和outcomes of errors.Results在2009年，有10 739医疗事故索赔支付代表医生。在这些已支付的索赔中，（47.6%; 95%置信区间[CI]，46.6%-48.5%）为住院环境中的事件，4448例（43.1%; 95% CI，42.1%-44.0%）为门诊环境中的事件，966例（9.4%; 95% CI，8.8%-9.9%）涉及两种环境中的事件。门诊事件的支付比例从2005年的41.7%（95%CI，40.9%-42.6%）增加到2009年的43.1%（95%CI，42.1%-44.0%），增幅较小，但具有统计学意义（P
Context An analysis of paid malpractice claims may provide insight into the prevalence and seriousness of adverse medical events in the outpatient setting.Objective To report and compare the number, magnitude, and type of paid malpractice claims for events in inpatient and outpatient settings.Design and Setting Retrospective analysis of malpractice claims paid on behalf of physicians in outpatient and inpatient settings using data from the National Practitioner Data Bank from 2005 through 2009. We evaluated trends in claims paid by setting, characteristics of paid claims, and factors associated with payment amount.Main Outcome Measures Number of paid claims, mean and median payment amounts, types of errors, and outcomes of errors.Results In 2009, there were 10 739 malpractice claims paid on behalf of physicians. Of these paid claims, 4910 (47.6%; 95% confidence interval [CI], 46.6%-48.5%) were for events in the inpatient setting, 4448 (43.1%; 95% CI, 42.1%-44.0%) were for events in the outpatient setting, and 966 (9.4%; 95% CI, 8.8%-9.9%) involved events in both settings. The proportion of payments for events in the outpatient setting increased by a small but statistically significant amount, from 41.7% (95% CI, 40.9%-42.6%) in 2005 to 43.1% (95% CI, 42.1%-44.0%) in 2009 (P