Medical liability disputes involving thoracic and cardiovascular surgeons.
BACKGROUND
Medical malpractice claims against surgeons are increasing. In Germany, as in most other European countries, there is no central registry of medical malpractice claims. It is not known at which rate medical liability claims are decided in favor of the physician or the patient.


METHODS
All cases of reproaches of medical malpractice in which our clinic was involved within the 10-year period between 1989 to 1999 were reviewed. To compare our results with the general experience in the field of thoracic and cardiovascular surgery, we reviewed the data of the regional medical society in the same time period.


RESULTS
From 1989 to 1999, our Clinic was involved in 74 medical liability disputes. There were 28 reproaches of medical malpractice against our department (0.1% of cases performed). Malpractice was detected in only 7 of 74 claims (9.5%). Most reproaches were made for incorrectly performed operations (80%), but only 4 (6.8%) of 59 claims were regarded as medical malpractice.


CONCLUSIONS
Reliable data on reproaches of medical malpractice are virtually absent. Only 10% of all reproaches in our study were finally regarded as medical malpractice. A central registry of medical malpractice cases would allow analysis of the areas in which we have to improve performance, and how unjustified reproaches of medical malpractice can be avoided.
Department of Thoracic and Cardiovascular Surgery, Westphalian Wilhelms-University Münster, Germany. Juergen.Roetker@t-online.de
J
J
Rötker
F
F
Trösch
M C
MC
Deng
N
N
Roeder
H H
HH
Scheld
D006348:Cardiac Surgical Procedures / Q000331:legislation & jurisprudence*; D003675:Defensive Medicine; D005858:Germany; D006801:Humans; D016365:Liability, Legal; D008318:Malpractice / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013903:Thoracic Surgery / Q000331:legislation & jurisprudence*; D019616:Thoracic Surgical Procedures; D014656:Vascular Surgical Procedures / Q000331:legislation & jurisprudence*