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[Malpractice assessment at the MDK in lower Saxony]
1MDK Niedersachsen, Hannover. rainer.kirchner@mdkn.de
Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|February 14, 2009
Summary
Medical malpractice assessments in Lower Saxony reveal surgical errors are most common, with diagnostic and case management issues occurring more frequently than surgical mistakes. The complaint rate remains stable at approximately 20%.
Area of Science:
- Medical Law
- Healthcare Quality Assurance
- Surgical Outcomes
Context:
- The Medical Service of the health insurances (MDK) in Lower Saxony handles over 2,000 clinical malpractice assessments annually.
- Assessments are conducted under German social law (Sect. 66 SGB V and Sect. 116 SGB X).
Purpose:
- To analyze the types and frequency of medical errors reported in malpractice cases in Lower Saxony.
- To identify trends in complaint rates over recent years.
Summary:
- Surgical fields exhibit the highest incidence of treatment errors compared to other medical disciplines.
- Surprisingly, diagnostic and case management errors are more prevalent than errors in surgical procedures themselves.
- The overall complaint rate has remained consistent at approximately 20% over the past several years.
Impact:
- Highlights critical areas for improvement in surgical patient care, particularly in diagnostics and case management.
- Provides data for policy-making and quality improvement initiatives within the German healthcare system.
- Informs healthcare providers about common malpractice claim drivers in surgical settings.
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