학술논문

Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013–2018.
Document Type
Article
Source
Journal of Laryngology & Otology. Dec2022, Vol. 136 Issue 12, p1177-1182. 6p.
Subject
*MAXILLOFACIAL surgery
*PLASTIC surgery
*NATIONAL health services
*MEDICAL errors
*HEALTH insurance reimbursement
*DECISION making
*PATIENT education
*ECONOMICS
Language
ISSN
0022-2151
Abstract
Objective: This study reviewed all rhinology clinical negligence claims in the National Health Service in England between 2013 and 2018. Method: All clinical negligence claims held by National Health Service Resolution relating to rhinology in England between 1 April 2013 and 1 April 2018 were reviewed. Results: There were 171 rhinology related claims with a total estimated potential cost of £13.6 million. There were 119 closed claims (70 per cent) with a total cost of £2.3 million, of which 55 claims resulted in payment of damages. Over three quarters of all rhinology claims were associated with surgery (n = 132). Claims associated with endoscopic sinus surgery had the highest mean cost per claim (£172 978). Unnecessary pain (33.9 per cent) and unnecessary operation (28.1 per cent) were the most commonly cited patient injuries. Conclusion: Patient education and consent have been highlighted as key areas for improvement from this review of rhinology related clinical negligence claims. A shift in clinical practice towards shared decision making could reduce litigation in rhinology. [ABSTRACT FROM AUTHOR]