Patient complaints and malpractice risk
Patient complaints and malpractice risk
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DOI：
10.1001/jama.287.22.2951
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发表时间：
2002-06-12
影响因子：
120.7
通讯作者：
Bost, P
中科院分区：
文献类型：
--
作者：
Hickson, GB;Federspiel, CF;Bost, P
背景少数医生经历了不成比例的医疗事故索赔和费用。如果医疗事故风险在很大程度上与患者对人际行为、护理和治疗以及访问的不满意等因素有关，则可能监控医生被起诉的风险。目的研究医生的患者投诉记录与其风险管理经验之间的关联。设计，设置，1992年1月至1998年3月，对美国一个大型医疗集团的645名普通和专科医生进行了回顾性纵向队列研究，占2546个医生-年的护理。主要结果测量所有主动提出的病人投诉的计算机记录由医疗中心的病人事务办公室记录，编码以表征问题的性质和被指控的罪犯，结果外科医生的患者投诉和风险管理事件均高于非外科医生。具体来说，426名非外科医生中有137名（32%）至少有一份风险管理文件，而所有外科医生中有近三分之二（219名中有137名[63%]）至少有一份风险管理文件（卡方检验，χ（1）（2），=54.7，P
Context A small number of physicians experience a disproportionate share of malpractice claims and expenses. if malpractice risk is related in large measure to factors such as patient dissatisfaction with interpersonal behaviors, care and treatment, and access, it might be possible to monitor physicians' risk of being sued.Objective To examine the association between physicians' patient complaint records and their risk management experiences.Design, Setting, and Participants Retrospective longitudinal cohort study of 645 general and specialist physicians in a large US medical group between January 1992 and March 1998, accounting for 2546 physician-years of care.Main Outcome Measures Computerized records of all unsolicited patient complaints were recorded by the medical center's patient affairs office, coded to characterize the nature of the problem and alleged offender, and compared with each physician's risk management records for the same period.Results Both patient complaints and risk management events were higher for surgeons than nonsurgeons. Specifically, 137 (32%) of the 426 nonsurgeons had at least 1 risk management file compared with nearly two thirds (137 [63%] of 219) of all surgeons (chi(1)(2), =54.7, P