Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases

Objective. By analyzing closed criminal malpractice claims involving resident physicians, we aimed to clarify the characteristics of litigations and examine the litigious errors leading to guilty verdicts. Design. A retrospective descriptive study. Setting/Study Participants. The verdicts pertaining...

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Main Authors: Kuan-Han Wu, Po-Chun Chuang, Chih-Min Su, Fu-Jen Cheng, Chien-Hung Wu, Fu-Cheng Chen, Yii-Ting Huang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2020/7692964
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author Kuan-Han Wu
Po-Chun Chuang
Chih-Min Su
Fu-Jen Cheng
Chien-Hung Wu
Fu-Cheng Chen
Yii-Ting Huang
author_facet Kuan-Han Wu
Po-Chun Chuang
Chih-Min Su
Fu-Jen Cheng
Chien-Hung Wu
Fu-Cheng Chen
Yii-Ting Huang
author_sort Kuan-Han Wu
collection DOAJ
description Objective. By analyzing closed criminal malpractice claims involving resident physicians, we aimed to clarify the characteristics of litigations and examine the litigious errors leading to guilty verdicts. Design. A retrospective descriptive study. Setting/Study Participants. The verdicts pertaining to physicians recorded on the national database of the Taiwan justice system were reviewed. Main Outcome Measures. The characteristics of litigations were documented. Negligence and guilty verdicts were further analyzed to identify litigious errors. Results. Between January 1, 2000, and December 31, 2014, from a total of 436 closed criminal malpractice cases, 40 included resident physicians. Five (12.5%) cases received guilty verdicts with mean imprisonment sentences of 5.4 ± 4.1 months. An average of 77.2 months was required for the final adjudication, and surgery residents were involved most frequently (38.9%). Attending physicians were codefendants in 82.5% of cases and were declared guilty in 60% of them. Sepsis (37.5%) was the most common disease in the 40 cases examined, followed by operation/procedure complications (25%). Performance errors (70%) were more than twice as common than diagnostic errors (30%), but the percentage of guilty verdicts in performance error cases was much lower (7.1% vs. 25%). Four negligence cases received nonguilty verdicts, which were mostly due to lack of causation. Conclusion. Closed criminal malpractice cases involving residents took on average 6.22 years to conclude. Performance errors accounted for 70% of cases, with treatment of sepsis and operation/procedure complications predominant. To reduce medicolegal risk, residents should learn experiences from analyzing malpractice cases to avoid similar litigious pitfalls.
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spelling doaj-art-4ac31687196a49718b652b971f5253fa2025-02-03T00:58:41ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/76929647692964Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice CasesKuan-Han Wu0Po-Chun Chuang1Chih-Min Su2Fu-Jen Cheng3Chien-Hung Wu4Fu-Cheng Chen5Yii-Ting Huang6Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 833, TaiwanObjective. By analyzing closed criminal malpractice claims involving resident physicians, we aimed to clarify the characteristics of litigations and examine the litigious errors leading to guilty verdicts. Design. A retrospective descriptive study. Setting/Study Participants. The verdicts pertaining to physicians recorded on the national database of the Taiwan justice system were reviewed. Main Outcome Measures. The characteristics of litigations were documented. Negligence and guilty verdicts were further analyzed to identify litigious errors. Results. Between January 1, 2000, and December 31, 2014, from a total of 436 closed criminal malpractice cases, 40 included resident physicians. Five (12.5%) cases received guilty verdicts with mean imprisonment sentences of 5.4 ± 4.1 months. An average of 77.2 months was required for the final adjudication, and surgery residents were involved most frequently (38.9%). Attending physicians were codefendants in 82.5% of cases and were declared guilty in 60% of them. Sepsis (37.5%) was the most common disease in the 40 cases examined, followed by operation/procedure complications (25%). Performance errors (70%) were more than twice as common than diagnostic errors (30%), but the percentage of guilty verdicts in performance error cases was much lower (7.1% vs. 25%). Four negligence cases received nonguilty verdicts, which were mostly due to lack of causation. Conclusion. Closed criminal malpractice cases involving residents took on average 6.22 years to conclude. Performance errors accounted for 70% of cases, with treatment of sepsis and operation/procedure complications predominant. To reduce medicolegal risk, residents should learn experiences from analyzing malpractice cases to avoid similar litigious pitfalls.http://dx.doi.org/10.1155/2020/7692964
spellingShingle Kuan-Han Wu
Po-Chun Chuang
Chih-Min Su
Fu-Jen Cheng
Chien-Hung Wu
Fu-Cheng Chen
Yii-Ting Huang
Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
Emergency Medicine International
title Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
title_full Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
title_fullStr Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
title_full_unstemmed Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
title_short Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases
title_sort medical liability of residents in taiwan criminal court an analysis of closed malpractice cases
url http://dx.doi.org/10.1155/2020/7692964
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