Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases
ObjectiveThis study aimed to analyze the characteristics of surgical litigation cases and the risk factors that contribute to catastrophic compensation.MethodsWe downloaded and retrieved all cases related to surgical litigation cases from the China Jufaanli Database between 2008 and 2023. Multivaria...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1486451/full |
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| author | Qin Chen Qin Chen Xiaoyu Liu Xiaoyan Liu Pan Song Xiaoyan Quan Huarong Xiong Dan Wang Xiaoli Hu Hua Zhang Meihong Shi Meihong Shi |
| author_facet | Qin Chen Qin Chen Xiaoyu Liu Xiaoyan Liu Pan Song Xiaoyan Quan Huarong Xiong Dan Wang Xiaoli Hu Hua Zhang Meihong Shi Meihong Shi |
| author_sort | Qin Chen |
| collection | DOAJ |
| description | ObjectiveThis study aimed to analyze the characteristics of surgical litigation cases and the risk factors that contribute to catastrophic compensation.MethodsWe downloaded and retrieved all cases related to surgical litigation cases from the China Jufaanli Database between 2008 and 2023. Multivariate logistic regression analysis was employed to identify independent risk factors that may contribute to catastrophic compensation.ResultsThis study included a total of 8,331 successfully resolved surgical litigation cases. Of these, 5,114 hospitals were defendants, with 25.34% of them involved in two or more lawsuits, thereby categorized as “repeat defendants.” The total compensation amount was $269,163,545, with the highest compensation reaching $540,008. Most surgical litigation cases were concentrated in the eastern regions of China, with tertiary hospitals being the most frequently involved. The most common type of injury outcome was patient death. Compensation amounts and high compensation rates for severe disability exceeded those for death (p < 0.05). Independent risk factors associated with catastrophic compensation in surgical medical liability disputes included: Eastern region (OR = 1.462, 95% CI 1.038–2.060), secondary liability (OR = 2.457, 95% CI 1.633–3.696), main liability (OR = 9.353, 95% CI 6.195–14.121), major or full liability (OR = 10.878, 95% CI 7.152–16.546), severe disability (OR = 24.605, 95% CI 3.395–178.337), neurosurgery (OR = 3.488, 95% CI 2.265–5.373), thoracic surgery (OR = 1.810, 95% CI 1.017–3.219), general surgery (OR = 2.465, 95% CI 1.593–3.816), hepatobiliary surgery (OR = 3.251, 95% CI 1.980–5.338), gastrointestinal surgery (OR = 2.260, 95% CI 1.391–3.671), cardiovascular surgery (OR = 2.544, 95% CI 1.367–4.733), vascular surgery (OR = 2.916, 95% CI 1.246–6.827), and spinal surgery (OR = 2.921, 95% CI 1.763–4.841).ConclusionThis study analyzes the characteristics of surgical medical malpractice disputes in China from multiple perspectives and identifies independent risk factors for catastrophic compensation in surgical malpractice litigation. Our research has the potential to aid medical institutions in preventing and reducing surgical malpractice disputes, while also contributing to the provision of improved surgical care and nursing services for patients. |
| format | Article |
| id | doaj-art-efe938ad08b0432f890a1b3eec01dd3a |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| spelling | doaj-art-efe938ad08b0432f890a1b3eec01dd3a2025-08-20T01:54:50ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.14864511486451Improving surgical quality of care: learning from 8,331 surgical medical malpractice casesQin Chen0Qin Chen1Xiaoyu Liu2Xiaoyan Liu3Pan Song4Xiaoyan Quan5Huarong Xiong6Dan Wang7Xiaoli Hu8Hua Zhang9Meihong Shi10Meihong Shi11Department of Spine Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Spine Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Endocrinology, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaDepartment of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaLaw School,Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaObjectiveThis study aimed to analyze the characteristics of surgical litigation cases and the risk factors that contribute to catastrophic compensation.MethodsWe downloaded and retrieved all cases related to surgical litigation cases from the China Jufaanli Database between 2008 and 2023. Multivariate logistic regression analysis was employed to identify independent risk factors that may contribute to catastrophic compensation.ResultsThis study included a total of 8,331 successfully resolved surgical litigation cases. Of these, 5,114 hospitals were defendants, with 25.34% of them involved in two or more lawsuits, thereby categorized as “repeat defendants.” The total compensation amount was $269,163,545, with the highest compensation reaching $540,008. Most surgical litigation cases were concentrated in the eastern regions of China, with tertiary hospitals being the most frequently involved. The most common type of injury outcome was patient death. Compensation amounts and high compensation rates for severe disability exceeded those for death (p < 0.05). Independent risk factors associated with catastrophic compensation in surgical medical liability disputes included: Eastern region (OR = 1.462, 95% CI 1.038–2.060), secondary liability (OR = 2.457, 95% CI 1.633–3.696), main liability (OR = 9.353, 95% CI 6.195–14.121), major or full liability (OR = 10.878, 95% CI 7.152–16.546), severe disability (OR = 24.605, 95% CI 3.395–178.337), neurosurgery (OR = 3.488, 95% CI 2.265–5.373), thoracic surgery (OR = 1.810, 95% CI 1.017–3.219), general surgery (OR = 2.465, 95% CI 1.593–3.816), hepatobiliary surgery (OR = 3.251, 95% CI 1.980–5.338), gastrointestinal surgery (OR = 2.260, 95% CI 1.391–3.671), cardiovascular surgery (OR = 2.544, 95% CI 1.367–4.733), vascular surgery (OR = 2.916, 95% CI 1.246–6.827), and spinal surgery (OR = 2.921, 95% CI 1.763–4.841).ConclusionThis study analyzes the characteristics of surgical medical malpractice disputes in China from multiple perspectives and identifies independent risk factors for catastrophic compensation in surgical malpractice litigation. Our research has the potential to aid medical institutions in preventing and reducing surgical malpractice disputes, while also contributing to the provision of improved surgical care and nursing services for patients.https://www.frontiersin.org/articles/10.3389/fmed.2024.1486451/fullmedical malpracticemedical damage liability disputescompensationsurgeryChina |
| spellingShingle | Qin Chen Qin Chen Xiaoyu Liu Xiaoyan Liu Pan Song Xiaoyan Quan Huarong Xiong Dan Wang Xiaoli Hu Hua Zhang Meihong Shi Meihong Shi Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases Frontiers in Medicine medical malpractice medical damage liability disputes compensation surgery China |
| title | Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases |
| title_full | Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases |
| title_fullStr | Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases |
| title_full_unstemmed | Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases |
| title_short | Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases |
| title_sort | improving surgical quality of care learning from 8 331 surgical medical malpractice cases |
| topic | medical malpractice medical damage liability disputes compensation surgery China |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1486451/full |
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