What can we learn from the last 20 years: A review of litigation trends in otolaryngology.
Identifieur interne : 000024 ( Main/Exploration ); précédent : 000023; suivant : 000025What can we learn from the last 20 years: A review of litigation trends in otolaryngology.
Auteurs : Alisha Patel [Royaume-Uni] ; Rebecca Harrison [Royaume-Uni] ; Babatunde Oremule [Royaume-Uni]Source :
- The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland [ 1479-666X ] ; 2020.
Abstract
INTRODUCTION
Litigation in healthcare is a large financial burden to the NHS and can be a cause of great stress to clinicians. The overall number of claims across specialities, from the years 1995-2017 have increased. Despite being one of the smaller surgical specialities, litigation costs are still significant within Otolaryngology. In this piece we sought to analyse the available data to identify trends within litigation and therefore which areas of practise could be improved.
METHODS
A freedom of information request was submitted to NHS Resolution for summarised data on claims coded under 'Otolaryngology' or 'ENT' between 1996 and 2017. Information was collected on the total number of claims, the number of successful claims and details on the reasons for making claims.
RESULTS
The total number of claims made against Otolaryngology departments from 1996/97 to 2016/17 was 1952. The overall number of claims have increased during this time period. The total amount of money paid out between 1996 and 2017 was £108, 240, 323. The top causes of claim by injury were unnecessary pain and unnecessary operations. The highest number of claims by cause were for failure or delay in diagnosis and intraoperative problems.
CONCLUSION
These results highlight areas that local units can focus on to reduce their litigation burden. Targeted initiatives aimed at improving patient-clinician communication, the consent process and improving local organisational efficiency will address a significant proportion of claims. Re-examination of this data on a regular basis can serve as a useful adjunct in assessing the impact of quality improvement initiatives and implementation of best practiseswithin the speciality.
DOI: 10.1016/j.surge.2019.06.001
PubMed: 31331864
Affiliations:
Links toward previous steps (curation, corpus...)
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Electronic address: apatel0690@doctors.org.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Education England North West, Otolaryngology Department, Tameside General Hospital, Fountain Street, Ashton-Under-Lyne, OL6 9RW</wicri:regionArea><wicri:noRegion>OL6 9RW</wicri:noRegion></affiliation></author><author><name sortKey="Harrison, Rebecca" sort="Harrison, Rebecca" uniqKey="Harrison R" first="Rebecca" last="Harrison">Rebecca Harrison</name><affiliation wicri:level="1"><nlm:affiliation>Health Education England North West, Plastic Surgery Department, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT, UK. Electronic address: rebecca.harrison19@nhs.net.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Education England North West, Plastic Surgery Department, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT</wicri:regionArea><wicri:noRegion>M23 9LT</wicri:noRegion></affiliation></author><author><name sortKey="Oremule, Babatunde" sort="Oremule, Babatunde" uniqKey="Oremule B" first="Babatunde" last="Oremule">Babatunde Oremule</name><affiliation wicri:level="1"><nlm:affiliation>Health Education England North West, Stepping Hill Hospital, Poplar Grove, Hazel Grove, SK2 7JE, UK. 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Electronic address: apatel0690@doctors.org.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Education England North West, Otolaryngology Department, Tameside General Hospital, Fountain Street, Ashton-Under-Lyne, OL6 9RW</wicri:regionArea><wicri:noRegion>OL6 9RW</wicri:noRegion></affiliation></author><author><name sortKey="Harrison, Rebecca" sort="Harrison, Rebecca" uniqKey="Harrison R" first="Rebecca" last="Harrison">Rebecca Harrison</name><affiliation wicri:level="1"><nlm:affiliation>Health Education England North West, Plastic Surgery Department, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT, UK. Electronic address: rebecca.harrison19@nhs.net.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Education England North West, Plastic Surgery Department, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT</wicri:regionArea><wicri:noRegion>M23 9LT</wicri:noRegion></affiliation></author><author><name sortKey="Oremule, Babatunde" sort="Oremule, Babatunde" uniqKey="Oremule B" first="Babatunde" last="Oremule">Babatunde Oremule</name><affiliation wicri:level="1"><nlm:affiliation>Health Education England North West, Stepping Hill Hospital, Poplar Grove, Hazel Grove, SK2 7JE, UK. Electronic address: b.oremule@doctors.org.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Education England North West, Stepping Hill Hospital, Poplar Grove, Hazel Grove, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author></analytic><series><title level="j">The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland</title><idno type="ISSN">1479-666X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Litigation in healthcare is a large financial burden to the NHS and can be a cause of great stress to clinicians. The overall number of claims across specialities, from the years 1995-2017 have increased. Despite being one of the smaller surgical specialities, litigation costs are still significant within Otolaryngology. In this piece we sought to analyse the available data to identify trends within litigation and therefore which areas of practise could be improved.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A freedom of information request was submitted to NHS Resolution for summarised data on claims coded under 'Otolaryngology' or 'ENT' between 1996 and 2017. Information was collected on the total number of claims, the number of successful claims and details on the reasons for making claims.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The total number of claims made against Otolaryngology departments from 1996/97 to 2016/17 was 1952. The overall number of claims have increased during this time period. The total amount of money paid out between 1996 and 2017 was £108, 240, 323. The top causes of claim by injury were unnecessary pain and unnecessary operations. The highest number of claims by cause were for failure or delay in diagnosis and intraoperative problems.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>These results highlight areas that local units can focus on to reduce their litigation burden. Targeted initiatives aimed at improving patient-clinician communication, the consent process and improving local organisational efficiency will address a significant proportion of claims. Re-examination of this data on a regular basis can serve as a useful adjunct in assessing the impact of quality improvement initiatives and implementation of best practiseswithin the speciality.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">31331864</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1479-666X</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Apr</Month></PubDate></JournalIssue><Title>The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland</Title><ISOAbbreviation>Surgeon</ISOAbbreviation></Journal><ArticleTitle>What can we learn from the last 20 years: A review of litigation trends in otolaryngology.</ArticleTitle><Pagination><MedlinePgn>75-79</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1479-666X(19)30066-6</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.surge.2019.06.001</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Litigation in healthcare is a large financial burden to the NHS and can be a cause of great stress to clinicians. The overall number of claims across specialities, from the years 1995-2017 have increased. Despite being one of the smaller surgical specialities, litigation costs are still significant within Otolaryngology. In this piece we sought to analyse the available data to identify trends within litigation and therefore which areas of practise could be improved.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A freedom of information request was submitted to NHS Resolution for summarised data on claims coded under 'Otolaryngology' or 'ENT' between 1996 and 2017. Information was collected on the total number of claims, the number of successful claims and details on the reasons for making claims.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The total number of claims made against Otolaryngology departments from 1996/97 to 2016/17 was 1952. The overall number of claims have increased during this time period. The total amount of money paid out between 1996 and 2017 was £108, 240, 323. The top causes of claim by injury were unnecessary pain and unnecessary operations. The highest number of claims by cause were for failure or delay in diagnosis and intraoperative problems.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results highlight areas that local units can focus on to reduce their litigation burden. Targeted initiatives aimed at improving patient-clinician communication, the consent process and improving local organisational efficiency will address a significant proportion of claims. Re-examination of this data on a regular basis can serve as a useful adjunct in assessing the impact of quality improvement initiatives and implementation of best practiseswithin the speciality.</AbstractText><CopyrightInformation>Copyright © 2019 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Alisha</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Health Education England North West, Otolaryngology Department, Tameside General Hospital, Fountain Street, Ashton-Under-Lyne, OL6 9RW, UK. Electronic address: apatel0690@doctors.org.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Harrison</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Health Education England North West, Plastic Surgery Department, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT, UK. Electronic address: rebecca.harrison19@nhs.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oremule</LastName><ForeName>Babatunde</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Health Education England North West, Stepping Hill Hospital, Poplar Grove, Hazel Grove, SK2 7JE, UK. Electronic address: b.oremule@doctors.org.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Surgeon</MedlineTA><NlmUniqueID>101168329</NlmUniqueID><ISSNLinking>1479-666X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Litigation</Keyword><Keyword MajorTopicYN="N">Medico-legal</Keyword><Keyword MajorTopicYN="N">NHS</Keyword><Keyword MajorTopicYN="N">Otolaryngology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>05</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>06</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>7</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>7</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31331864</ArticleId><ArticleId IdType="pii">S1479-666X(19)30066-6</ArticleId><ArticleId IdType="doi">10.1016/j.surge.2019.06.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Patel, Alisha" sort="Patel, Alisha" uniqKey="Patel A" first="Alisha" last="Patel">Alisha Patel</name></noRegion><name sortKey="Harrison, Rebecca" sort="Harrison, Rebecca" uniqKey="Harrison R" first="Rebecca" last="Harrison">Rebecca Harrison</name><name sortKey="Oremule, Babatunde" sort="Oremule, Babatunde" uniqKey="Oremule B" first="Babatunde" last="Oremule">Babatunde Oremule</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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