Peri-op management key in surgical resident malpractice

September 4, 2017

(HealthDay)—The perioperative period appears critical in malpractice cases involving surgical residents, according to a study published online Aug. 30 in JAMA Surgery.

Cornelius A. Thiels, D.O., M.B.A., from the Mayo Clinic in Rochester, Minn., and colleagues collected data on patient demographics, case characteristics, and outcomes from an online legal research database for cases involving surgical interns, residents, or fellows.

The researchers identified 87 malpractice cases involving surgical trainees during a 10-year period. Overall, 67 cases (77 percent) resulted in death or permanent disability. Sixty-one cases (70 percent) involved elective surgery and named a junior resident as a defendant (69 percent). Cases more often questioned perioperative medical knowledge, decision making errors, and injuries than intraoperative errors and injuries (61 versus 49 percent). The involvement of junior residents was mainly in lawsuits related to medical (87 percent). Ten cases (12 percent) cited residents' failure to evaluate the patients, and lack of direct supervision by attending physicians was mentioned in 48 cases (55 percent). Overall, 48 percent of cases resulted in a jury verdict or settlement in favor of the plaintiff, with a $900,000 median payout.

"This review of malpractice cases involving highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention," the authors write.

Explore further: Study examines malpractice litigation in peds ophthalmology

More information: Abstract/Full Text

Related Stories

Study examines malpractice litigation in peds ophthalmology

September 6, 2016
(HealthDay)—In ophthalmology medical malpractice litigation, cases involving pediatric versus adult patients are more likely to result in verdicts in favor of the plaintiff and have higher jury awards and indemnity payments, ...

Rhytidectomy litigation usually resolved in defendant's favor

February 10, 2017
(HealthDay)—Most cases of rhytidectomy malpractice litigation are resolved in the defendant's favor, according to research published online Feb. 9 in JAMA Facial Plastic Surgery.

Study examines trends in tracheotomy malpractice suits

January 15, 2015
(HealthDay)—Malpractice litigation relating to complications from tracheotomies can result in high award amounts, especially in pediatric cases, according to a study published online Dec. 18 in Head & Neck.

Massachusetts primary care malpractice claims related to alleged misdiagnoses

September 30, 2013
Most of the primary care malpractice claims filed in Massachusetts are related to alleged misdiagnoses, according to study in JAMA Internal Medicine by Gordon D. Schiff, M.D., of the Harvard Medical School and Brigham and ...

Majority of surgical residents object to regulated hours

May 16, 2013
(HealthDay)—About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education (ACGME) Common Program requirements, which place restrictions on duty hours, ...

Statin use among nursing home residents varies significantly

August 14, 2017
(HealthDay)—Statin prescribing is considerable among nursing home residents, with significant variation in prescribing seen across physicians, according to a study published online Aug. 9 in the Journal of the American ...

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.