Learning from litigation. The role of claims analysis in patient safety
Learning from litigation. The role of claims analysis in patient safety
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DOI：
10.1111/j.1365-2753.2006.00634.x
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发表时间：
2006-12-01
影响因子：
2.4
通讯作者：
Walshe, Kieran
中科院分区：
文献类型：
--
作者：
Vincent, Charles;Davy, Caroline;Walshe, Kieran
医疗事故和医疗过失索赔是了解患者伤害原因的潜在重要信息来源，并在过去提供了宝贵的经验教训。然而，如今，有了许多额外的信息来源和分析方法，索赔分析的作用需要重新评估。我们考虑了索赔分析相对于研究不良结果的其他方法的作用，回顾了之前的索赔研究，并总结了最近四项英国专业索赔审查的结果。索赔分析有许多固有的局限性。我们建议，现在不存在依赖仅出于法律目的而收集的数据进行临时索赔审查的情况。对于罕见事件或其他数据来源不可用的情况，索赔审查仍然可能有用。然而，未来的索赔审查需要满足基本标准才能进行；这些包括前瞻性地确定相关问题和变量、数据集的充分性和完整性、专家审查员的可用性以及明确的审查方案。
Claims for malpractice and medical negligence are a potentially important source of information on the causes of harm to patients and have provided valuable lessons in the past. However today, with many additional sources of information and methods of analysis, the role of claims analysis needs to be reappraised. We consider the role of claims analysis in relation to other methods of studying adverse outcomes, review previous studies of claims and summarize the findings of four recent British specialty claims reviews. Claims analysis has a number of inherent limitations. We suggest that there is now no case for ad hoc claims reviews which rely on data that have been assembled for legal purposes only. Claims review is still potentially useful for rare events or in cases where other sources of data are not available. However, future claims reviews need to meet basic criteria before being undertaken; these include prospective identification of the relevant questions and variables, adequacy and completeness of the data set, availability of expert reviewers and clear protocols for review.