Analysis of NHSLA claims in orthopedic surgery

Orthopedics
Irfan H KhanGrey Giddins

Abstract

National Health Service (NHS) statistics in the United Kingdom demonstrate an increase in clinical negligence claims over the past 30 years. Reasons for this include elements of a cultural shift in attitudes toward the medical profession and the growth of the legal services industry. This issue affects medical and surgical health providers worldwide.The authors analyzed 2117 NHS Litigation Authority (NHSLA) orthopedic surgery claims between 1995 and 2001 with respect to these clinical areas: emergency department, outpatient care, surgery (elective or trauma operations), and inpatient care. The authors focused on the costs of settling and defending claims, costs attributable to clinical areas, common causes of claims, and claims relating to elective or trauma surgery. Numbers of claims and legal costs increased most notably in surgery (elective and trauma) and in the emergency department. However, claims are being defended more robustly. The annual cost for a successful defense has remained relatively stable, showing a slight decline. The common causes of claims are postoperative complication; wrong, delayed, or failure of diagnosis; inadequate consent; and wrong-site surgery. Certain surgical specialties (eg, spine and lower-li...Continue Reading

References

Aug 3, 1996·BMJ : British Medical Journal·C Dyer
Jul 4, 2001·Emergency Medicine Journal : EMJ·H R Guly
Jul 10, 2002·BMJ : British Medical Journal·Clare Dyer
Aug 3, 2002·BMJ : British Medical Journal·Paul Fenn
Feb 7, 2003·The Journal of Bone and Joint Surgery. American Volume·Eric G Meinberg, Peter J Stern
Feb 21, 2004·BMJ : British Medical Journal·Paul FennAdrian Towse
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Timothy BhattacharyyaMitchel B Harris
Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·A AtreyUNKNOWN British Orthopaedic Association
Sep 30, 2009·The Journal of Hand Surgery, European Volume·I H Khan, G Giddins

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Citations

Feb 24, 2015·Journal of Pediatric Orthopedics·Matthew E Oetgen, P Divya Parikh
Jan 16, 2016·Revista española de cirugía ortopédica y traumatología·G BoriJ Arimany-Manso
Sep 9, 2015·Revista española de cirugía ortopédica y traumatología·Z Cardoso-CitaA Santiago-Saéz
Apr 12, 2016·The Journal of Arthroplasty·Imme ZengerinkP Koen Bos
Oct 22, 2014·British Journal of Neurosurgery·Alhafidz HamdanIan C Coulter
Jan 13, 2015·Journal of Forensic and Legal Medicine·Gian-Aristide NorelliVilma Pinchi
May 11, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Kathryn E Ford, Lilli R L Cooper
May 30, 2014·Phlebology·Victoria WhiteGerard Stansby
Sep 28, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Diana C PattersonCalin S Moucha
Nov 13, 2015·Journal of Patient Safety·Keara ClarkeJames Cashman
Apr 11, 2013·British Journal of Hospital Medicine·Jennifer IsherwoodHemant Pandit
Jun 26, 2018·Orthopedics·Nicole D RyneckiKathleen S Beebe
Jan 6, 2016·Journal of Surgical Oncology·William D HarrisonCoonoor R Chandrasekar
Jul 17, 2013·Clinical Orthopaedics and Related Research·Umberto TarantinoLuigi Tonino Marsella
Mar 1, 2016·Annals of the Royal College of Surgeons of England·C J MullanM G McAlinden
Oct 24, 2015·Annals of the Royal College of Surgeons of England·W D HarrisonG Cheung
Dec 6, 2016·Annals of the Royal College of Surgeons of England·D RickettsX Ge
Nov 21, 2018·Irish Journal of Medical Science·Robert M KenyonJames P Cashman
Aug 17, 2018·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·M B CasaliU Genovese
Apr 6, 2021·World Neurosurgery·Gaston Camino-WillhuberAndrei Fernandes Joaquim
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Manuel Rodríguez-PérezLuis Lojo-Sojo

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