دورية أكاديمية
Patterns and trends among physicians-in-training named in civil legal cases: a retrospective analysis of Canadian Medical Protective Association data from 1993 to 2017.
| العنوان: | Patterns and trends among physicians-in-training named in civil legal cases: a retrospective analysis of Canadian Medical Protective Association data from 1993 to 2017. |
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| المؤلفون: | McDougall A; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Zhang C; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Yang Q; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Taylor T; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Neilson HK; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Nuth J; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Tsai E; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Lee S; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Lefebvre G; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont., Calder LA; The Canadian Medical Protective Association (McDougall, Zhang, Yang, Neilson, Nuth, Tsai, Lee, Lefebvre, Calder); Faculty of Education (McDougall), University of Ottawa, Ottawa, Ont.; Department of Obstetrics & Gynecology (Taylor), Schulich School of Medicine & Dentistry, Centre for Education Research & Innovation, London, Ont.; Clinical Epidemiology Program (Calder), Ottawa Hospital Research Institute, Ottawa, Ont. research@cmpa.org. |
| المصدر: | CMAJ open [CMAJ Open] 2022 Sep 13; Vol. 10 (3), pp. E781-E788. Date of Electronic Publication: 2022 Sep 13 (Print Publication: 2022). |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Canadian Medical Association Country of Publication: Canada NLM ID: 101620603 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2291-0026 (Electronic) Linking ISSN: 22910026 NLM ISO Abbreviation: CMAJ Open Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Ottawa : Canadian Medical Association, [2013]-[2023] |
| مواضيع طبية MeSH: | Malpractice* , Physicians*, Canada ; Humans ; Patient Safety ; Retrospective Studies |
| مستخلص: | Background: Medico-legal data show opportunities to improve safe medical care; little is published on the experience of physicians-in-training with medical malpractice. The purpose of this study was to examine closed civil legal cases involving physicians-in-training over time and provide novel insights on case and physicians characteristics. Methods: We conducted a retrospective descriptive study of closed civil legal cases at the Canadian Medical Protective Association (CMPA), a mutual medico-legal defence organization for more than 105 000 physicians, representing an estimated 95% of physicians in Canada. Eligible cases involved at least 1 physician-in-training and were closed between 1993 and 2017 (for time trends) or 2008 and 2017 (for descriptive analyses). We analyzed case rates over time using Poisson regression and the annualized change rate. Descriptive analyses addressed case duration, medico-legal outcome and patient harm. We explored physician specialties and practice characteristics in a subset of cases. Results: Over a 25-year period (1993-2017), 4921 physicians-in-training were named in 2951 closed civil legal cases, and case rates decreased significantly (β = -0.04, 95% confidence interval -0.05 to -0.03, where β was the 1-year difference in log case rates). The annualized change rate was -1.1% per year. Between 2008 and 2017, 1901 (4.1%) of 45 967 physicians-in-training were named in 1107 civil legal cases. Cases with physicians-in-training generally involved more severe patient harm than cases without physicians-in-training. In a subgroup with available information ( n = 951), surgical specialties were named most often ( n = 531, 55.8%). Interpretation: The rate of civil legal cases involving physicians-in-training has diminished over time, but more recent cases featured severe patient harm and death. Efforts to promote patient safety may enhance medical care and reduce the frequency and severity of malpractice issues for physicians-in-training. Competing Interests: Competing interests: All authors except Taryn Taylor were employees of the Canadian Medical Protective Association (CMPA) during the preparation of this manuscript. No other competing interests were declared. (© 2022 CMA Impact Inc. or its licensors.) |
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| تواريخ الأحداث: | Date Created: 20220913 Date Completed: 20220915 Latest Revision: 20220927 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9477539 |
| DOI: | 10.9778/cmajo.20220075 |
| PMID: | 36100273 |
| قاعدة البيانات: | MEDLINE |
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