title: Medical characteristics of 61 unwarranted malpractice claims.
abstract: We describe malpractice claims closed by plaintiff attorneys after initial medical expert (ME) review. This retrospective study includes 61 cases, of which 33 originated in hospitals, 18 in physicians' offices, and 10 in nursing homes. No claims were against state or federal agencies. The reviews were done between 1987 and 1994 for 29 attorneys from 11 states. The cases fell into 12 diagnostic groups, and leading causes for action were late diagnosis (13 cases), drug administration (11 cases), sepsis (6 cases), and strokes (5 cases). We conclude that internists are particularly liable to unwarranted malpractice claims when unexpected complications occur and when treatment fails to cure infectious disease. However, such claims may be terminated following the initial ME review.
mesh_terms: D000058:Accidental Falls; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy; D002318:Cardiovascular Diseases / Q000517:prevention & control; D003951:Diagnostic Errors; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008318:Malpractice / Q000706:statistics & numerical data*; D018529:Nutritional Support; D010437:Peptic Ulcer / Q000517:prevention & control; D011014:Pneumonia / Q000628:therapy; D011655:Pulmonary Embolism / Q000517:prevention & control; D012189:Retrospective Studies; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents