Locarlio AR et al. "Relation between malpractice claims and adverse events due to negligence." NEJM 1991;325:245

8:1 ratio of adverse evenets caused by negligence to malpractice claims

most of the claims which do go to court are not valid

Results

Adverse Events and Adverse Events Due to Negligence

1% caused by negligence

Analysis of Matched records

0.11% malpractice claims

Satewide Estimates of Adverse Events Due to Negligence Not Resulting in Malpractice Claims

98%

58% recovered within 6 months

5,400 did not recover--over half of these were under 70

Follow-up Reviews of Medical Records and Claims

Relative Frequency of Negligence and Malpractice Claims

claims occur only 13-14% the rate of injuries

however only 1.53% of injuries result in claims

Discussion

don’t know why patients don’t sue more often when they are injured--relationship with physicians, fear of lawyers, minor injuries

criteria in civil litigation is different--jury, not physicians decide if the case has merit

lawyers only take cases they feel will win


Table of Contents

Copyright 2000 by David Black-Schaffer