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Patient complaints and malpractice risk.

Gerald B Hickson1, Charles F Federspiel, James W Pichert

  • 1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA. Gerald.Hickson@mcmail.vanderbilt.edu

JAMA
|June 8, 2002
PubMed
Summary
This summary is machine-generated.

Physician malpractice risk is linked to patient complaints. Tracking unsolicited patient feedback can help identify physicians at higher risk for malpractice claims and improve patient care.

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Area of Science:

  • Medical malpractice
  • Healthcare quality improvement
  • Patient safety

Background:

  • A subset of physicians faces a disproportionate number of malpractice claims.
  • Malpractice risk may correlate with patient dissatisfaction regarding interpersonal behaviors, care, and access.

Purpose of the Study:

  • To investigate the association between physicians' patient complaint records and their risk management experiences.

Main Methods:

  • Retrospective longitudinal cohort study of 645 physicians over 6 years.
  • Analysis of computerized unsolicited patient complaints and risk management records.
  • Logistic regression to assess correlations adjusted for clinical activity.

Main Results:

  • Surgeons had higher rates of both patient complaints and risk management events compared to nonsurgeons.
  • Patient complaints significantly correlated with risk management file openings, expenditures, and lawsuits, even after adjusting for clinical activity.
  • Predictive models showed high concordance for identifying risk management events based on complaint data.

Conclusions:

  • Unsolicited patient complaints recorded by a medical group are positively associated with physicians' risk management experiences.
  • Patient complaint data can serve as a potential monitoring tool for physician malpractice risk.