Why the study?
Anesthesiologists consider professional insurance and medico-legal problems a remarkable aspect of their job.
Observational (n=1,309)
Yes
Anesthesiologists and intensivists in Italy face frequent litigation, predominantly criminal complaints, often related to post-operative complications and death, with a higher proportion of claims in smaller hospitals.
Answers are grounded in this paper and cite their sources.
Anesthesiologists face substantial litigation even without direct responsibility; leaves open optimal risk-reduction strategies in perioperative and ICU care.
Anesthesiologists consider professional insurance and its medico-legal problems as a remarkable aspect of their job. “Associazione Anestesisti Rianimatori Ospedalieri Italiani—Emergenza ed Area Critica” (AAROI-EMAC) is the Italian professional association of anesthesiologists and intensivists that works to train its subscribers on safety measures. This is a retrospective observational study on an insurance complaints database for anesthetic accidents that result in injuries to patients. The analyzed period runs from 1 January 2014 to 31 December 2016. A total of 1309 complaints related to 873 insurance claims were analyzed. Criminal complaints comprised 805 (64.4%) of the total, and civil complaints were 445 (35.6%). The iatrogenic damage claimed included: death (58% of the cases); peripheral nerve damage (8%); spinal cord injuries (5%); unspecified injuries (7%); dental damage (4%); infections (3%); needing second surgical procedure (2%); and other injuries (13%). There is a statistical significance between the size of the hospital and the number of the claims: small hospital complaints comprised 40.1% of the cases, while complaints against medium-sized and large hospitals constituted 20.6% of the cases (χ2GL = 8 = 39.87, p = 0.00). In Italy, anesthesiologists and intensivists are often involved in litigation even when they are not directly responsible for iatrogenic injuries, and the most frequent claims in ICU are related post-operative complications.
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Petrucci et al. (2021) conducted an observational in Anesthetic accidents resulting in injuries (n=1,309). Small hospital size vs. Medium-sized and large hospitals was evaluated on Proportion of complaints (p=0.00).
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