英国における血管外科における訴訟傾向:NHSの解決データとCOVID-19のパンデミックの影響に関する遡及的分析
Porya Hassan Abadi1, Behrad Barmayehvar2, Andrew Thompson1
1Department of Vascular Surgery, York & Scarborough Teaching Hospitals NHS Trust, York, UK.
Annals of vascular surgery
|September 5, 2025
まとめ
血管外科 (VS) の訴訟は治療の遅延や切断によって引き起こされます. COVID-19 パンデミックはシステム上の問題を悪化させ,費用を増加させ,請求を減らすための改善されたケアプロセスの必要性を強調しました.
科学分野:
- 血管 外科
- 医療 訴訟
- 医療管理
背景:
- 血管外科 (VS) は複雑な手順と高リスクの患者を含んでおり,医療法上の請求が容易です.
- 訴訟の動向の分析は,再発する臨床的脆弱性を特定し,品質改善のイニシアチブに情報を提供することができます.
研究 の 目的:
- 過去10年間 (2014/15~2023/24) のイングランドにおける血管外科 (VS) 訴訟の動向を分析する.
- COVID-19 パンデミックの訴訟量,原因,負傷,費用への影響を評価する.
主な方法:
- 情報提供の自由要求を通じてNHSの決議に提出されたVS関連クレームの遡及的審査.
- 特定期間の請求量,疑いのある原因,損害の種類,および関連する財務費用の分析
主要な成果:
- 1,288件の請求が審査され,そのうち814件が損害賠償として2億5千万ポンドとなった.
- 最も一般的な原因:治療の失敗/遅延 (36.6%),診断の失敗/遅延 (10.7%),不適切な治療 (6.5%).
- 最も頻繁な負傷は,下肢の切断 (33. 8%) と死亡 (13. 5%). 訴訟費用はパンデミック後30.8%増加しました.
結論:
- 治療の遅延や切断は 主な血管外科訴訟の原動力です
- COVID-19 パンデミックにより,既存の圧力が悪化し,訴訟費用が増加しました.
- 治療のタイムリー化,文書化,コミュニケーションの改善は,クレームを削減し,患者のアウトカムを改善するために不可欠です.
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