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病院内および診療室での不良事象に対する有料の医療過失請求
Tara F Bishop1, Andrew M Ryan, Andrew K Ryan
1Division of Outcomes and Effectiveness, Department of Public Health, Weill Cornell Medical College, New York, New York 10021, USA. tlfernan@med.cornell.edu
JAMA
|June 16, 2011
まとめ
診察室での医療過失の請求は,診察室での医療過失の請求は,診察室での医療過失の請求と同じくらい一般的であり,診察の誤差は診察室での医療過失の主要な原因である. 病院内での請求に対する平均支払いは,診療外での請求よりも高かった.
科学分野:
- 医療ミス訴訟 医療ミス訴訟
- 医療の品質と安全性について
- 医療サービス 研究 医療サービス
背景:
- 有料の医療ミス請求の分析は,不良医療イベントの洞察を提供します.
- 医療エラーの状況を理解することは,患者の安全性を向上させる上で極めて重要です.
研究 の 目的:
- 病院内と病院外での有給の医療過失の請求件数,規模,および種類を比較する.
- 医療ミス請求の傾向と要因を特定する.
主な方法:
- 全国医療従事者データバンク (2005年 - 2009年) から支払われた医療不良の請求の遡及的分析.
- クレームの特徴,支払い額,エラータイプ,および設定によるアウトカム (入院 vs 外来) の評価.
主要な成果:
- 2009年,診療室での請求は,入院患者請求 (47.6%) と似て,有給の医療過失請求の43.1%を占めました.
- 診察誤差は,診察室での請求 (45.9%) の最も頻繁な理由であり,入院請求 (34.1%) では外科的誤差が優勢であった.
- 重傷と死亡は,両方の設定で一般的な結果であり,入院イベントの平均支払いは,門診イベント (290,111ドル) と比較して,入院イベントの平均支払いが高かった (362,965ドル).
結論:
- 診療外での事件に対する有料の医療過失賠償請求の量は,入院での事件と同等である.
- 診断上の誤差は,門診医療の安全性の改善のための重要な分野を表しています.
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