dc.creator | Vicente Guijarro, Jorge de | es |
dc.creator | Valencia Martín, José Lorenzo | es |
dc.creator | Fernández Herreruela, Carlos | es |
dc.creator | Sousa, Paulo | es |
dc.creator | Mira Solves, José Joaquín | es |
dc.creator | Aranaz Andrés, Jesús María | es |
dc.date.accessioned | 2022-12-20T14:08:34Z | |
dc.date.available | 2022-12-20T14:08:34Z | |
dc.date.issued | 2022-06 | |
dc.identifier.citation | Vicente Guijarro, J.d., Valencia Martín, J.L., Fernández Herreruela, C., Sousa, P., Mira Solves, J.J. y Aranaz Andrés, J.M. (2022). Surgical Error Compensation Claims as a Patient Safety Indicator Causes and Economic Consequences in the Murcia Health System, 2002 to 2018. Journal of patient safety, 18 (4), 276-286. https://doi.org/10.1097/pts.0000000000000917. | |
dc.identifier.issn | 1549-8425;1549-8417 | es |
dc.identifier.uri | https://hdl.handle.net/11441/140671 | |
dc.description.abstract | Objectives
Compensation claims are a useful source of information on patient safety research. The purpose of this study was to determine the main causes of surgical compensation claims and their financial impact on the health system.
Methods
A descriptive observational study with analytical components was carried out on compensation claims brought against the surgical area of the Murcia Health System between 2002 and 2018. We analyzed the frequency, causes, consequences, locations and surgical settings of these claims, the time of judicial procedure, and compensation adjusted to the Consumer Price Index.
Results
There were 1172 compensation claims. “orthopedic surgery and traumatology” (27.4%), “gynecology and obstetrics” (25.7%), and “general surgery” (17.2%) were the main surgical settings involved. The most frequent causes were surgical error (42.4%) and treatment error (30.9%). The main sequelae were musculoskeletal (20.0%), neurological (17.7%), and obstetric (17.7%). The average time from incident to resolution of claims was 6.3 years. A total of 20.1% of these claims were successful, particularly those involving retained surgical foreign bodies (71.4% successful claims; P < 0.001). The total compensation paid was €56,338,247 (an average of €17,207 per claim). Compensation was higher in cases with respiratory sequelae (median, 131,600; P = 0.033), death (75,916; P < 0.001), and neurological (60,000; P = 0.024).
Conclusions
Compensation claims associated with surgical procedures are made on a variety of grounds. They are drawn-out proceedings, and patients are only successful in 20% of cases. | es |
dc.format | application/pdf | es |
dc.format.extent | 11 p. | es |
dc.language.iso | eng | es |
dc.publisher | Ovid Technologies (Wolters Kluwer Health) | es |
dc.relation.ispartof | Journal of patient safety, 18 (4), 276-286. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | specialties | es |
dc.subject | surgical | es |
dc.subject | administrative claims | es |
dc.subject | health care | es |
dc.subject | patient safety | es |
dc.subject | malpractice | es |
dc.subject | retrospective studies | es |
dc.subject | humans | es |
dc.subject | Spain | es |
dc.title | Surgical Error Compensation Claims as a Patient Safety Indicator Causes and Economic Consequences in the Murcia Health System, 2002 to 2018 | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública | es |
dc.relation.projectID | PI16/00971 | es |
dc.relation.publisherversion | https://journals.lww.com/journalpatientsafety/Fulltext/2022/06000/Surgical_Error_Compensation_Claims_as_a_Patient.3.aspx | es |
dc.identifier.doi | 10.1097/pts.0000000000000917 | es |
dc.journaltitle | Journal of patient safety | es |
dc.publication.volumen | 18 | es |
dc.publication.issue | 4 | es |
dc.publication.initialPage | 276 | es |
dc.publication.endPage | 286 | es |
dc.contributor.funder | Instituto de Salud Carlos III | es |