A description of emergency department-related malpractice claims in The Netherlands: closed claims study 1993-2001

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Jolande Elshove-BolkMichael Burg

Abstract

The aim of this study was to assess the quality of care provided at emergency departments (ED) in the Netherlands by analysing medical liability insurance claims. A retrospective study performed by reviewing records at MediRisk, presently the largest insurer for medical liability in the Netherlands. The following data were abstracted from the files available for analysis: medical discipline involved, physician involved (resident or consultant), nature and gravity of the complaint, and final claim disposition. Between 1993 and 2001 a total of 326 claims involving the ED were filed at MediRisk. Of these, 256 claims (79%) were closed and were available for analysis. Medical liability claims were filed primarily for alleged errors in diagnosis and treatment. The majority of claims involved minor surgical conditions: fractures, luxations (joint dislocations), wounds and tendon injuries (210/256, 82%). Residents were involved in 76% of the claims; resident supervision by a consultant was documented in only 15% of the medical records. Permanent patient disability resulting from improper ED treatment was alleged in 22% of the claims. Four per cent of the claims involved the death of a patient. Physicians accepted liability in 16% of th...Continue Reading

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Citations

Mar 20, 2012·Annals of Emergency Medicine·Lynsey FlowerdewMaria Woloshynowych
Dec 9, 2008·The Journal of Emergency Medicine·Darien CohenMarc Dorfman
Jun 11, 2008·Acta Paediatrica·A Najaf-ZadehA Martinot
Jul 6, 2014·The American Journal of Emergency Medicine·Kuan-Han WuChia-Te Kung
Dec 25, 2009·The Journal of Hand Surgery, European Volume·B Mahdavian DelavaryM J P F Ritt
Sep 5, 2018·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Luuk WansinkEwoud Ter Avest
Jul 28, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Fay R K SandersTim Schepers
Feb 16, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pieter-Jan MoonenTom Fret
Feb 12, 2017·British Journal of Anaesthesia·S M GreenB S Krauss

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