Adverse events in cases of medical malpractice

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

No-fault adverse event (AE) reporting schemes have been widely introduced to address quality issues in healthcare delivery. There is little empirical knowledge available about their interplay with malpractice case (MC) systems focusing on individual health professional responsibilities. As both systems may be triggered when healthcare goes wrong, it could be hypothesized that MCs could be often viewed as AEs. The aim of this study is to investigate the overlap between AEs and MCs through an audit of general practice MCs completed by the Danish Health Professionals' Disciplinary Board over a year from the perspective of AE analysis. Among 118 MCs, 76% (n = 90) could be classified as AEs. Regarding severity, 47 AEs belonged to the "life-threatening or disabling" category and 8 AEs resulted in death. Content analysis revealed four major AE categories, with "Interpretation of symptoms and findings" (51 AEs) and "Intervention" (25 AEs) being most common. Study findings suggest a large overlap between AEs and MCs providing a possible unexploited learning potential and add to the discussion of the medicolegal problems at the interface of the two systems.

Original languageEnglish
JournalMedicine and Law
Volume38
Issue number3
Pages (from-to)461-476
ISSN0723-1393
Publication statusPublished - 1. Sep 2019

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Malpractice
Delivery of Health Care
Health
General Practice

Keywords

  • Classification
  • Error
  • General Practice
  • Law
  • Malpractice
  • Patient Safety

Cite this

Birkeland, Soren ; Rasmussen, Ida ; Bogh, Soren Bie. / Adverse events in cases of medical malpractice. In: Medicine and Law. 2019 ; Vol. 38, No. 3. pp. 461-476.
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Adverse events in cases of medical malpractice. / Birkeland, Soren; Rasmussen, Ida; Bogh, Soren Bie.

In: Medicine and Law, Vol. 38, No. 3, 01.09.2019, p. 461-476.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Adverse events in cases of medical malpractice

AU - Birkeland, Soren

AU - Rasmussen, Ida

AU - Bogh, Soren Bie

PY - 2019/9/1

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AB - No-fault adverse event (AE) reporting schemes have been widely introduced to address quality issues in healthcare delivery. There is little empirical knowledge available about their interplay with malpractice case (MC) systems focusing on individual health professional responsibilities. As both systems may be triggered when healthcare goes wrong, it could be hypothesized that MCs could be often viewed as AEs. The aim of this study is to investigate the overlap between AEs and MCs through an audit of general practice MCs completed by the Danish Health Professionals' Disciplinary Board over a year from the perspective of AE analysis. Among 118 MCs, 76% (n = 90) could be classified as AEs. Regarding severity, 47 AEs belonged to the "life-threatening or disabling" category and 8 AEs resulted in death. Content analysis revealed four major AE categories, with "Interpretation of symptoms and findings" (51 AEs) and "Intervention" (25 AEs) being most common. Study findings suggest a large overlap between AEs and MCs providing a possible unexploited learning potential and add to the discussion of the medicolegal problems at the interface of the two systems.

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KW - Patient Safety

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