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Medical malpractice and rhinology.
Am J Rhinol. 2007 Sep-Oct; 21(5):584-90.AJ

Abstract

BACKGROUND

Physicians facing malpractice litigation are in uncharted territory. The language, concepts, rules, and strategies of the legal system are foreign to science-based physicians. Understanding the statistics of rhinology malpractice litigation may aid the physician to cope with the assault of a claim.

METHODS

Information from the 2006 Physician Insurers Association of America (PIAA) and the 2006 PIAA Risk Management Report (RMR)-Otorhinolaryngology were searched for claims data referable to the nose, nasal chamber, and paranasal sinuses. The PIAA data sharing report (DSR) is the largest single resource of malpractice claims data containing both settlement and trial judgment information.

RESULTS

The nose, nasal cavity, and paranasal sinuses represent nearly two-thirds of the total indemnity paid for improper performance from otolaryngology head and neck surgery (Oto-HNS) medical malpractice claims between 1985 and 2005 based on claims information. Improper performance accounts for 50.3% of total monies paid ($107.6 million of $213.6 million) to resolve Oto-HNS claims in this period. Of nearly 2400 operative claims closed in the period of 1985-2005, 34.1% involved procedures on the nose and sinuses. In the past 6 years, $103.5 million indemnity has been added to the otolaryngology total.

CONCLUSION

The area of endoscopic sinus surgery has substantially contributed to Oto-HNS claims in the PIAA DSR. Despite malpractice being a cost of medical practice, every claim is perceived as an assault on the surgeon's competence. Ensuring informed consent and complete documentation may assist the provider in defending their care.

Authors+Show Affiliations

Unity Health Care, Muscatine, Iowa 52761, USA. ddawson@unityiowa.orgNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17999795

Citation

Dawson, Douglas E., and Eric M. Kraus. "Medical Malpractice and Rhinology." American Journal of Rhinology, vol. 21, no. 5, 2007, pp. 584-90.
Dawson DE, Kraus EM. Medical malpractice and rhinology. Am J Rhinol. 2007;21(5):584-90.
Dawson, D. E., & Kraus, E. M. (2007). Medical malpractice and rhinology. American Journal of Rhinology, 21(5), 584-90.
Dawson DE, Kraus EM. Medical Malpractice and Rhinology. Am J Rhinol. 2007 Sep-Oct;21(5):584-90. PubMed PMID: 17999795.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medical malpractice and rhinology. AU - Dawson,Douglas E, AU - Kraus,Eric M, PY - 2007/11/15/pubmed PY - 2008/1/11/medline PY - 2007/11/15/entrez SP - 584 EP - 90 JF - American journal of rhinology JO - Am J Rhinol VL - 21 IS - 5 N2 - BACKGROUND: Physicians facing malpractice litigation are in uncharted territory. The language, concepts, rules, and strategies of the legal system are foreign to science-based physicians. Understanding the statistics of rhinology malpractice litigation may aid the physician to cope with the assault of a claim. METHODS: Information from the 2006 Physician Insurers Association of America (PIAA) and the 2006 PIAA Risk Management Report (RMR)-Otorhinolaryngology were searched for claims data referable to the nose, nasal chamber, and paranasal sinuses. The PIAA data sharing report (DSR) is the largest single resource of malpractice claims data containing both settlement and trial judgment information. RESULTS: The nose, nasal cavity, and paranasal sinuses represent nearly two-thirds of the total indemnity paid for improper performance from otolaryngology head and neck surgery (Oto-HNS) medical malpractice claims between 1985 and 2005 based on claims information. Improper performance accounts for 50.3% of total monies paid ($107.6 million of $213.6 million) to resolve Oto-HNS claims in this period. Of nearly 2400 operative claims closed in the period of 1985-2005, 34.1% involved procedures on the nose and sinuses. In the past 6 years, $103.5 million indemnity has been added to the otolaryngology total. CONCLUSION: The area of endoscopic sinus surgery has substantially contributed to Oto-HNS claims in the PIAA DSR. Despite malpractice being a cost of medical practice, every claim is perceived as an assault on the surgeon's competence. Ensuring informed consent and complete documentation may assist the provider in defending their care. SN - 1050-6586 UR - https://www.unboundmedicine.com/medline/citation/17999795/Medical_malpractice_and_rhinology_ DB - PRIME DP - Unbound Medicine ER -