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Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims
Janaka Lagoo1, William R Berry1, Kate Miller1
1Ariadne Labs, Boston, MA.
Annals of Surgery
|March 27, 2018
Summary
Surgeon behavior, as measured by 360-degree reviews, is linked to malpractice claims. Improving teamwork and communication may reduce malpractice risk and enhance patient care quality.
Area of Science:
- Medical Professionalism
- Surgical Quality Improvement
- Patient Safety
Background:
- Malpractice claims are often linked to poor physician-patient relationships.
- Physician behaviors, assessed via 360-degree reviews, may reflect aspects of patient interaction.
- This study investigates the association between surgeon 360-degree feedback and malpractice history.
Purpose of the Study:
- To analyze the relationship between surgeon 360-degree reviews and malpractice claims.
- To determine if specific surgeon behaviors are associated with an increased risk of malpractice.
Main Methods:
- 385 surgeons from 4 academic medical centers underwent 360-degree reviews.
- Data from 264 surgeons were matched with malpractice claims from 2000-2015.
- Regression analysis assessed the association between 23 behavioral items and malpractice claims.
Main Results:
- 48.1% of surgeons had at least one malpractice claim.
- Multiple positive and negative behaviors were significantly associated with malpractice risk (P < 0.05).
- Surgeons with the lowest scores in certain behavioral areas had a higher likelihood of claims.
Conclusions:
- Surgeon behavior, evaluated through 360-degree reviews, correlates with malpractice claims.
- Teamwork and communication are key factors in malpractice exposure.
- Identifying and modifying negative behaviors can mitigate malpractice risk and improve patient care.
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