Malpractice claims analysis yields widely applicable principles.
We received 50 claims of medical negligence in pediatric cardiology. From the analysis, patterns were identified and recommendations for improvement were found that apply generally to healthcare. Less than half (38%) of the claims were found to be medically meritorious. The impression of substandard care was often (7/50) created by an erroneous attribution of cause of death at autopsy. Both structured learning for caregivers and education of the public will reduce the frequency of malpractice forms-both valid and frivolous. Caregivers should document more effectively. The current tort system neither deters nor compensates as it was intended. The assignment of blame to a single individual is usually not in concert with the reality of modern medicine. Good health care is not a passive behavior; active participation by the public is required.
D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000331:legislation & jurisprudence* / Q000379:methods; D002309:Cardiology / Q000331:legislation & jurisprudence* / Q000592:standards / Q000706:statistics & numerical data; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D003625:Data Collection; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology; D007223:Infant; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D008499:Medical Records / Q000592:standards; D010372:Pediatrics / Q000331:legislation & jurisprudence* / Q000592:standards / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000331:legislation & jurisprudence; D012308:Risk Management; D014481:United States