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A decade of litigation regarding surgical informed consent in the Netherlands.
Veerman, M M; van der Woude, L A; Tellier, M A; Legemaate, J; Scheltinga, M R; Stassen, L P S; Leclercq, W K G.
Afiliación
  • Veerman MM; Department of Plastic Surgery, Rivierenland Hospital, Tiel, The Netherlands; Department of Surgery, Máxima Medisch Centrum, Eindhoven - Veldhoven, The Netherlands.
  • van der Woude LA; Department of Plastic Surgery, Rivierenland Hospital, Tiel, The Netherlands; Department of Plastic Surgery, Isala klinieken, Zwolle, The Netherlands; Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands; Department of Surgery, Maastricht University Medical Center, Maastri
  • Tellier MA; Department of Plastic Surgery, Isala klinieken, Zwolle, The Netherlands.
  • Legemaate J; Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands.
  • Scheltinga MR; Department of Plastic Surgery, Rivierenland Hospital, Tiel, The Netherlands; Department of Plastic Surgery, Isala klinieken, Zwolle, The Netherlands; Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands; Department of Surgery, Maastricht University Medical Center, Maastri
  • Stassen LPS; Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
  • Leclercq WKG; Department of Plastic Surgery, Rivierenland Hospital, Tiel, The Netherlands; Department of Plastic Surgery, Isala klinieken, Zwolle, The Netherlands; Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands; Department of Surgery, Maastricht University Medical Center, Maastri
Patient Educ Couns ; 102(2): 340-345, 2019 02.
Article en En | MEDLINE | ID: mdl-30173877
OBJECTIVE: An inadequate surgical informed consent process (SIC) may result in a medical malpractice claim or medical disciplinary board (MDB) complaint. Aim of this study was to analyse characteristics of a decade of malpractice claims and MDB decisions regarding SIC in the Netherlands. METHODS: A retrospective analysis of malpractice claims and MDB decisions concerning SIC disputes in four major surgical specialties was conducted based on company data from the largest medical malpractice insurance company and two public available online MDB databases. RESULTS: A total of 11376 malpractice claims and 661 MDB complaints were filed between 2004-2013 and 676(6%) of these claims and 69(10%) of these complaints involved an alleged deficient SIC process. A random sample of 245(37%) claims and all MDB decisions were analysed. Reasons for filing a claim or complaint were insufficient counselling or recording of SIC elements. In 20% of lawsuits and 25% of claims the case resulted in favour of the complainant. CONCLUSION: A substantial portion of malpractice claims and MDB decisions is related to a deficient SIC process. PRACTICE IMPLICATIONS: Focusing on crucial SIC elements for patients may improve satisfaction and expectations and result in a lower risk for malpractice claims and MDB complaints.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Operativos / Revisión de Utilización de Seguros / Compensación y Reparación / Consentimiento Informado / Mala Praxis Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Patient Educ Couns Año: 2019 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Irlanda
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Operativos / Revisión de Utilización de Seguros / Compensación y Reparación / Consentimiento Informado / Mala Praxis Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Patient Educ Couns Año: 2019 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Irlanda