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英国血管外科的诉讼趋势:NHS解决方案数据和COVID-19大流行影响的回顾性分析

  • 0Department of Vascular Surgery, York & Scarborough Teaching Hospitals NHS Trust, York, UK.

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概括

此摘要是机器生成的。

血管外科手术中的诉讼是由治疗延迟和截肢驱动的. COVID-19 疫情加剧了系统性问题,增加了成本,并强调了改善护理流程以减少索赔的必要性.

科学领域

  • 血管外科
  • 医疗诉讼
  • 医疗管理

背景情况

  • 血管外科 (VS) 涉及复杂的手术和高风险的患者,
  • 对诉讼趋势的分析可以识别反复出现的临床漏洞,并为质量改进举措提供信息.

研究的目的

  • 分析过去十年 (2014/15-2023/24) 英格兰血管外科诉讼的趋势.
  • 评估COVID-19大流行对美国人诉讼量,原因,伤害和成本的影响.

主要方法

  • 通过信息自由请求提交给NHS决议的与VS相关索赔的追溯审查.
  • 在指定期间分析索赔量,所谓的原因,伤害类型和相关的财务成本.

主要成果

  • 审查了1288起索赔,其中814起导致了2. 5亿英的损失.
  • 最常见的原因:治疗失败/延迟 (36.6%),诊断失败/延迟 (10.7%) 和不适当的治疗 (6.5%).
  • 最常见的伤害:下肢截肢 (33.8%) 和死亡 (13.5%). 疫情后的诉讼费用增加了30.8%.

结论

  • 治疗延误和截肢是血管手术诉讼的主要驱动因素.
  • 由于COVID-19疫情加剧了现有的压力,导致诉讼费用增加.
  • 改善治疗,文件和沟通的及时性对于减少索赔和改善患者的结果至关重要.

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