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Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013-2018
A V Navaratnam1,2, A L Pendolino3, A Kaura3
1Getting it Right First Time programme, NHS England and NHS Improvement, London, UK.
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.
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