title: Surgical malpractice in California: res judicata.
abstract: Medical negligence claims are of increasing concern to surgeons. Although noneconomic damage awards in California are limited by the Medical Injury Compensation Reform Act (MICRA) law to $250,000, the total amount of such settlements can increase significantly based on claims for economic damages. We reviewed negligence litigation involving California surgeons to determine outcomes and monetary awards through retrospective review of surgical malpractice cases published in a legal journal. This review was limited to actions involving general surgeons. Such litigation was voluntarily reported by either defense's or plaintiff's counsel at the conclusion of the litigation. Data reviewed included alleged damages incurred by the plaintiff; plaintiff's pretrial settlement demand, plaintiff or defense verdict, use of alternate means of resolution such as arbitration or mediation, and total monetary award to the plaintiff. A total of 69 cases were reported over a 20-month period: 32 (46%) were plaintiffs' verdicts, whereas 37 (54%) were in favor of the surgeon. Only 10 (31%) of the plaintiff verdicts were by jury trial, whereas the rest were settled by pretrial agreement, mediation, or arbitration. Of cases settled by alternate dispute resolution, the median settlement was $820,000 (n = 22) compared with a median jury trial award of $300,000 (n = 10).
authors.affiliation: Harbor-UCLA Medical Center, Department of Surgery, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Torrance, California, USA.
authors.forename: Erik R
authors.initials: ER
authors.lastname: Barthel
authors.forename: Bruce E
authors.initials: BE
authors.lastname: Stabile
authors.forename: David
authors.initials: D
authors.lastname: Plurad
authors.forename: Dennis
authors.initials: D
authors.lastname: Kim
authors.forename: Angela
authors.initials: A
authors.lastname: Neville
authors.forename: Scott
authors.initials: S
authors.lastname: Bricker
authors.forename: Brant
authors.initials: B
authors.lastname: Putnam
authors.forename: Fred
authors.initials: F
authors.lastname: Bongard
mesh_terms: D002140:California; D013502:General Surgery / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D008318:Malpractice / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D012189:Retrospective Studies