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Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective...

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Autores principales: La Russa, Raffaele, Viola, Rocco Valerio, D’Errico, Stefano, Aromatario, Mariarosaria, Maiese, Aniello, Anibaldi, Paolo, Napoli, Christian, Frati, Paola, Fineschi, Vittorio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037280/
https://www.ncbi.nlm.nih.gov/pubmed/33806174
http://dx.doi.org/10.3390/ijerph18073425
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author La Russa, Raffaele
Viola, Rocco Valerio
D’Errico, Stefano
Aromatario, Mariarosaria
Maiese, Aniello
Anibaldi, Paolo
Napoli, Christian
Frati, Paola
Fineschi, Vittorio
author_facet La Russa, Raffaele
Viola, Rocco Valerio
D’Errico, Stefano
Aromatario, Mariarosaria
Maiese, Aniello
Anibaldi, Paolo
Napoli, Christian
Frati, Paola
Fineschi, Vittorio
author_sort La Russa, Raffaele
collection PubMed
description Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective analysis of existing files concerning the civil litigation of the Sant’Andrea Hospital in Rome. All claims from 1 June 2010 to 30 June 2019 were included. Paid claims were further classified according to the areas of health care inappropriateness found. Authors indexed 567 different claims along the study period, with an average number of 59 per year (range 38–77). The total litigation involved 47 different units; more than 40% concerned 5 high-incidence wards or services. Concerning the course of disputes, 91 cases were liquidated before a judicial procedure was instituted, while 177 cases landed in a civil court. Globally, 131 different claims hesitated in compensation, for a total of 16 million 625 thousand euros, 41% of which was related to the internal medicine area. Dealing with the inappropriateness analysis, clinical performance alone involved 76 cases, for a total of 10 million 320 thousand euros, while organization defects involved 20 disputes equivalent to 1 million 788 thousand euros. The aim of this study was to enhance the clinical risk management at our facility through a litigation analysis.
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spelling pubmed-80372802021-04-12 Analysis of Inadequacies in Hospital Care through Medical Liability Litigation La Russa, Raffaele Viola, Rocco Valerio D’Errico, Stefano Aromatario, Mariarosaria Maiese, Aniello Anibaldi, Paolo Napoli, Christian Frati, Paola Fineschi, Vittorio Int J Environ Res Public Health Article Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective analysis of existing files concerning the civil litigation of the Sant’Andrea Hospital in Rome. All claims from 1 June 2010 to 30 June 2019 were included. Paid claims were further classified according to the areas of health care inappropriateness found. Authors indexed 567 different claims along the study period, with an average number of 59 per year (range 38–77). The total litigation involved 47 different units; more than 40% concerned 5 high-incidence wards or services. Concerning the course of disputes, 91 cases were liquidated before a judicial procedure was instituted, while 177 cases landed in a civil court. Globally, 131 different claims hesitated in compensation, for a total of 16 million 625 thousand euros, 41% of which was related to the internal medicine area. Dealing with the inappropriateness analysis, clinical performance alone involved 76 cases, for a total of 10 million 320 thousand euros, while organization defects involved 20 disputes equivalent to 1 million 788 thousand euros. The aim of this study was to enhance the clinical risk management at our facility through a litigation analysis. MDPI 2021-03-25 /pmc/articles/PMC8037280/ /pubmed/33806174 http://dx.doi.org/10.3390/ijerph18073425 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
La Russa, Raffaele
Viola, Rocco Valerio
D’Errico, Stefano
Aromatario, Mariarosaria
Maiese, Aniello
Anibaldi, Paolo
Napoli, Christian
Frati, Paola
Fineschi, Vittorio
Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title_full Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title_fullStr Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title_full_unstemmed Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title_short Analysis of Inadequacies in Hospital Care through Medical Liability Litigation
title_sort analysis of inadequacies in hospital care through medical liability litigation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037280/
https://www.ncbi.nlm.nih.gov/pubmed/33806174
http://dx.doi.org/10.3390/ijerph18073425
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