Stuck in a moment: an ex ante analysis of patient complaints in plastic surgery, used to predict malpractice risk profiles, from a large cohort of physicians in the patient advocacy reporting system

Annals of Plastic Surgery
C Scott HultmanGerald B Hickson

Abstract

Unsolicited patient complaints (UPCs) serve as a powerful predictor of increased risk of malpractice claims, and reductions in UPCs, through targeted physician interventions, lower incidence of lawsuits and decrease cost of risk management. We analyzed UPCs, verified by trained counselors in patient relations, to determine the malpractice risk of plastic surgeons, compared to dermatologists, all surgeons, and all physicians, from a national patient complaint registry. We examined the patient complaint profiles and risk scores of 31,077 physicians (3935 surgeons, 338 plastic and reconstructive surgeons, and 519 dermatologists), who participated in the Patient Advocacy Reporting System, a national registry of UPCs. Patient complaint data were collected from 70 community and academic hospitals across 29 states, from 2009 to 2012. In addition to determining the specific complaint mix for plastic surgery compared to all physicians, each physician was assigned a patient complaint risk score, based on a proprietary weighted-sum algorithm, with a score higher than 70, indicative of high risk for malpractice claims. Patient complaint profiles and risk scores were compared between all groups, using Wilcoxon rank and χ analysis. P values ...Continue Reading

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Feb 7, 2013·Anesthesia and Analgesia·J Matthew KynesPaul St Jacques
Apr 2, 2013·Annals of Plastic Surgery·Ida Janelle Wagner, Charles Scott Hultman
Nov 8, 2013·Joint Commission Journal on Quality and Patient Safety·James W PichertGerald B Hickson
Jan 23, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·William MartinezLisa Soleymani Lehmann
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Citations

Nov 17, 2017·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Soung Min Kim, Jong Ho Lee
Mar 27, 2018·Annals of Surgery·Janaka LagooAlex B Haynes
Nov 26, 2015·The Journal of Craniofacial Surgery·Roja S GarimellaCharles Scott Hultman
Sep 30, 2015·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Karen L PosnerKaren B Domino
Jun 22, 2021·ANZ Journal of Surgery·William McSweeneyRasika Hendahewa

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