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Analysis of Inadequacies in Hospital Care through Medical Liability Litigation

Author

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  • Raffaele La Russa

    (Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy
    IRCSS Neuromed Mediterranean Neurological Institute, Via Atinense 18, 86077 Pozzilli, Italy)

  • Rocco Valerio Viola

    (Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy)

  • Stefano D’Errico

    (Department of Medicine, Surgery and Health, University of Trieste, Strada di Fiume 44, 34149 Trieste, Italy)

  • Mariarosaria Aromatario

    (Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Aniello Maiese

    (Department of Surgical Pathology, Medical, Molecular and Critical Area, University of Pisa, Ospedale Santa Chiara, Via Roma 55, 56126 Pisa, Italy)

  • Paolo Anibaldi

    (Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Christian Napoli

    (Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy)

  • Paola Frati

    (IRCSS Neuromed Mediterranean Neurological Institute, Via Atinense 18, 86077 Pozzilli, Italy
    Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy)

  • Vittorio Fineschi

    (IRCSS Neuromed Mediterranean Neurological Institute, Via Atinense 18, 86077 Pozzilli, Italy
    Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy)

Abstract

Over the past two decades, health litigation has followed an exponentially incremental trend. As insurance companies tend to limit their interest because of the high risk of loss, health facilities increasingly need to internalize dispute management. This study was conducted through a retrospective analysis of existing files concerning the civil litigation of the Sant’Andrea Hospital in Rome. All claims from 1 June 2010 to 30 June 2019 were included. Paid claims were further classified according to the areas of health care inappropriateness found. Authors indexed 567 different claims along the study period, with an average number of 59 per year (range 38–77). The total litigation involved 47 different units; more than 40% concerned 5 high-incidence wards or services. Concerning the course of disputes, 91 cases were liquidated before a judicial procedure was instituted, while 177 cases landed in a civil court. Globally, 131 different claims hesitated in compensation, for a total of 16 million 625 thousand euros, 41% of which was related to the internal medicine area. Dealing with the inappropriateness analysis, clinical performance alone involved 76 cases, for a total of 10 million 320 thousand euros, while organization defects involved 20 disputes equivalent to 1 million 788 thousand euros. The aim of this study was to enhance the clinical risk management at our facility through a litigation analysis.

Suggested Citation

  • Raffaele La Russa & Rocco Valerio Viola & Stefano D’Errico & Mariarosaria Aromatario & Aniello Maiese & Paolo Anibaldi & Christian Napoli & Paola Frati & Vittorio Fineschi, 2021. "Analysis of Inadequacies in Hospital Care through Medical Liability Litigation," IJERPH, MDPI, vol. 18(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3425-:d:524251
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    References listed on IDEAS

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    1. Andrea Piccioni & Sara Cicchinelli & Luisa Saviano & Emanuele Gilardi & Christian Zanza & Mattia Brigida & Gianluca Tullo & Gianpietro Volonnino & Marcello Covino & Francesco Franceschi & Raffaele La , 2020. "Risk Management in First Aid for Acute Drug Intoxication," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
    2. Marco Bonetti & Pasquale Cirillo & Paola Musile Tanzi & Elisabetta Trinchero, 2016. "An Analysis of the Number of Medical Malpractice Claims and Their Amounts," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-30, April.
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    Cited by:

    1. Giuseppe Davide Albano & Arianna Rifiorito & Ginevra Malta & Erika Serena Sorrentino & Vincenzo Falco & Alberto Firenze & Antonina Argo & Stefania Zerbo, 2022. "The Impact on Healthcare Workers of Italian Law n. 24/2017 “Gelli–Bianco” on Patient Safety and Medical Liability: A National Survey," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    2. Tomasz Leśniak & Aleksandra Sierocka & Dariusz Kostrzewa & Remigiusz Kozłowski & Michał Marczak, 2022. "Financial Expenses and “Losses” of the Polish Healthcare System Resulting from the Occurrence of Adverse Events," IJERPH, MDPI, vol. 19(13), pages 1-20, June.
    3. Davide Ferorelli & Lorenzo Moretti & Marcello Benevento & Maurizio Mastrapasqua & Michele Telegrafo & Biagio Solarino & Alessandro Dell’Erba & Davide Bizzoca & Biagio Moretti, 2022. "Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review," IJERPH, MDPI, vol. 19(23), pages 1-9, November.
    4. Raffaele La Russa & Stefano Ferracuti, 2022. "Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk," IJERPH, MDPI, vol. 19(2), pages 1-2, January.

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