title: A review of prehospital care litigation in a large metropolitan EMS system.
abstract: A retrospective review of all claims brought against a large, metropolitan emergency medical services (EMS) system related to paramedic-patient encounters during the 12-year period from 1976 through 1987 was undertaken to review and describe the incidence and types of malpractice claims. During this period, EMS units responded to approximately 2 million calls and transported more than 1 million patients. Sixty claims occurred during the incidence study period (1976 through 1985). The overall litigation rate was one lawsuit per 27,371 paramedic-patient encounters and one lawsuit per 17,995 patient transports. While the total number of runs and transports did not change significantly during the study period, the data indicate a trend of increasing claims filed against the prehospital care provider. To date, 26 cases (38%) have been settled with the majority involving either no monetary awards or nominal out-of-court settlements.
authors.affiliation: University of Illinois Affiliated Hospitals Emergency Medicine Residency, Chicago.
authors.forename: R J
authors.initials: RJ
authors.lastname: Goldberg
authors.forename: J L
authors.initials: JL
authors.lastname: Zautcke
authors.forename: M D
authors.initials: MD
authors.lastname: Koenigsberg
authors.forename: R W
authors.initials: RW
authors.lastname: Lee
authors.forename: F W
authors.initials: FW
authors.lastname: Nagorka
authors.forename: M
authors.initials: M
authors.lastname: Kling
authors.forename: S A
authors.initials: SA
authors.lastname: Ward
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000488:Allied Health Personnel; D002641:Chicago; D002648:Child; D004630:Emergencies; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D008318:Malpractice / Q000191:economics / Q000639:trends*; D008875:Middle Aged