Tipping the scales: educating surgeons about medical malpractice
Tipping the scales: educating surgeons about medical malpractice
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DOI：
10.1016/j.jss.2016.08.002
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发表时间：
2016-11-01
影响因子：
2.2
通讯作者：
Sullivan, Patricia G.
中科院分区：
文献类型：
--
作者：
Raper, Steven E.;Joseph, Johncy;Sullivan, Patricia G.
背景：在宾夕法尼亚州，医疗事故保险费是外科医生的主要费用。然而，外科医生在侵权诉讼的基础知识或如何管理风险方面往往几乎没有受过任何教育。这项工作描述了一种方法，教育学术院系外科医生对医疗事故的当前概念，并提供了一些指导，如何“倾斜尺度的正义”；或者尽量减少在医疗事故索赔中被点名的风险。材料与方法：课程分为五个部分：医疗事故的基础知识、医疗事故保险的成本、当前部门索赔的经验、降低在索赔中被点名的风险的策略以及医疗事故改革概述。一项由七个问题组成的匿名调查采用李克特五分制进行。4.5或以上的加权平均值被认为是令人满意的。两个自由文本问题分别询问课程的积极方面和消极方面。结果：95名教师中有80名（84%）亲自或通过在线视频观看。从数量上看，7个问题中有5个问题的加权平均值超过4.5 （n - 48，回复率- 60%）。从质量上说，这门课被评价得很好。结论：高参与率和总体调查结果表明课程是成功的。这门课程是降低医疗事故索赔风险的一个方面。本课程的独特之处包括强调州法律，部门特定数据和策略，以尽量减少未来索赔的风险。鉴于医疗事故索赔和诉讼的州特有性质，各个部门必须具体说明类似的陈述。(C) 2016 Elsevier Inc.版权所有。
Background: In Pennsylvania, medical malpractice premiums are a major cost to surgeons. Yet surgeons often have little if any education in the basics of tort litigation or how to manage their risk. This work describes one approach for educating academic faculty surgeons on current concepts of medical malpractice and provide some guidance on how to "tip the scales of justice"; or minimize the risks of being named in a malpractice claim.Materials and Methods: The course had five parts: the basics of medical malpractice, the cost of malpractice insurance, current departmental claims experience, strategies for decreasing the risk of being named in a claim, and an overview of malpractice reforms. An anonymous seven question survey was cast in a five-point Likert scale format. A weighted average of 4.5 or above was considered satisfactory. Two free text questions asked about positive and negative aspects of the course.Results: Eighty of 95 (84%) faculty attended either in person or by reviewing a web-based video. Quantitatively, five of seven questions had a weighted average of more than 4.5 (n - 48, response rate - 60%). Qualitatively, the course was reviewed very favorably.Conclusions: The high percentage of participation and overall survey results suggest that the course was successful. This course was one facet of an approach to decrease the risk of malpractice claims. Unique aspects of this course include an emphasis on state law, department-specific data, and strategies to minimize risk of future claims. Given the state-specific nature of malpractice claims and litigation, individual departments must particularize similar presentations. (C) 2016 Elsevier Inc. All rights reserved.