[Complaints against radiologists in Italy].
BACKGROUND
Legal claims against radiologists are a relevant phenomenon also in our country and represent an increasing risk for a radiologist's professional activity.


METHODS
We reviewed the 1993-1998 insurance claims against Italian radiologists. We found 259 claims subdivided by type into: 1) misdiagnosis; 2) complications of the examination; 3) missed referral for further examinations/treatment; 4) (non)ionizing radiation treatment; 5) slip-and-fall injuries; 6) miscellaneous cases. All claims were reviewed anonymously.


CONCLUSIONS
Most of the 259 malpractice claims were filed late after the event, which makes the actual incidence of the phenomenon difficult to evaluate. Nevertheless the incidence of malpractice claims can be estimated at 32 per thousand people a year, meaning that an Italian radiologist's risk of being sued by a patient at least once in his/her professional life exceeds 1. Alleged misdiagnosis was the most frequent claim category. Missed bone abnormalities of any type, including fractures, dislocations, malignant lesions and other nonspecific conditions accounted for 52.9% of cases. Missed abnormalities on breast and chest examinations accounted for 17.5% and 15.3%, respectively. Within this claim category, missed breast lesions exhibited the most increasing trend. Alleged complications from radiological examinations accounted for 20% of cases and mostly involved i.v. contrast agent administration, interventional procedures and barium enema. Slip-and-fall injuries, where the patients falls off the examination table, slips on the floor, bumps into a piece of equipment and so on, accounted for 7% of cases. Missed referral to further examinations accounted for 1.5% only. Finally, radiologists were frequently sued as one of many defendants, together with medical/surgical doctors, in case of patient's death, in 20% of all cases.


CONCLUSIONS
Italian radiologists currently run the same risk of being sued for malpractice as their American colleagues. Strict compliance with radiological standards is recommended to try to decrease the risk and to obviate litigation.
Fileni
A
A
Istituto Nazionale di Riposo e Cura dell'Anziano (INRCA), Roma.
Magnavita
N
N
D003951:Diagnostic Errors / Q000145:classification / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D007345:Insurance Claim Review / Q000706:statistics & numerical data / Q000639:trends; D007558:Italy; D008318:Malpractice / Q000145:classification / Q000706:statistics & numerical data / Q000639:trends; D011871:Radiology / Q000706:statistics & numerical data / Q000639:trends; D013997:Time Factors; D000078329:Workforce
Denunce contro i radiologi in Italia.