器官移植中的医疗事故:公众指控和主要法律结果。

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES Frontiers in health services Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.3389/frhs.2024.1408934
Panos Arvanitis, Michel R Davis, Abby London, Dimitrios Farmakiotis
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摘要

导言:尽管在手术技术和患者治疗效果方面取得了重大进展,但器官移植(OT)仍然充满了法律挑战和伦理困境。本研究旨在填补与器官移植相关的渎职索赔方面的文献空白,深入探讨诉讼趋势、结果以及对医疗实践和患者护理的影响:我们回顾性地查询了1988年至2023年的Verdictsearch数据库,获取了涉及多个器官的渎职索赔。我们收集了有关人口统计学、器官类型和诉讼结果的数据,以比较不同类别渎职的赔偿情况和患者的治疗效果:在已确定的 292 起渎职案件中,有 62 起符合纳入标准,这些案件分布在 19 个州,其中涉及最多的器官是肾脏(46.8%)。53.2%的案件被告胜诉,29.0%的案件达成和解,16.1%的案件原告胜诉。手术失误和并发症是最常见的指控,其次是用药和治疗失误。已故原告的赔偿中位数(1,300,000 美元)明显高于诉讼开始时在世的原告(128,000 美元):我们的研究揭示了作业治疗领域渎职诉讼的挑战和趋势。通过确定关键关注领域以及患者结果对诉讼解决的影响,本研究为医疗服务提供者、法律从业者和政策制定者提供了有价值的见解,旨在加强患者安全、降低诉讼风险,并促进对作业治疗领域复杂的伦理和法律问题的深入了解。
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Medical malpractice in organ transplantation: public allegations and key legal outcomes.

Introduction: Despite significant advances in surgical techniques and patient outcomes, organ transplantation (OT) remains fraught with legal challenges and ethical dilemmas. This study aims to address the notable gap in literature on malpractice claims specifically related to OT, providing insights into litigation trends, outcomes, and implications for medical practice and patient care.

Methods: We retrospectively queried the Verdictsearch database from 1988 to 2023, and captured malpractice claims involving several organs. Data on demographics, organ types, and litigation outcomes were collected to compare compensation across different categories of malpractice and patient outcomes.

Results: Out of 292 malpractice cases identified, 62 met inclusion criteria, distributed across 19 states with kidney being the most implicated organ (46.8%). Defendants prevailed in 53.2% of cases, while settlements were reached in 29.0%, and plaintiffs won in 16.1% of cases. Surgical errors and complications were the most frequent allegations, followed by medication and treatment errors. The median compensation for deceased plaintiffs was significantly higher ($1,300,000) compared to living plaintiffs at litigation initiation ($128,000).

Discussion: Our study sheds light on the challenges and trends in malpractice litigation within the field of OT. By identifying key areas of concern and the influence of patient outcomes on litigation resolution, this study offers valuable insights for healthcare providers, legal practitioners, and policymakers aimed at enhancing patient safety, reducing litigation risks, and fostering a deeper understanding of the ethical and legal complexities in OT.

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