Hand and Wrist Malpractice Claims in the Netherlands: 1993-2008

We analysed hand and wrist injury and disorder related liability claims in the Netherlands to identify causes and to contribute to the prevention of such claims. Data was collected from 743 hand and wrist claims filed between 1993 and 2007. Consultants were involved in 417 claims (56.1%). Treatment...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2010-06, Vol.35 (5), p.381-384
Main Authors: Mahdavian Delavary, B., Cremers, J.E.L., Ritt, M.J.P.F.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Compensation and Redress
Diagnostic Errors
Diseases of the osteoarticular system
Emergency Service, Hospital
Female
General Surgery
Hand Injuries - diagnosis
Hand Injuries - therapy
Humans
Internship and Residency
Liability, Legal
Male
Malpractice - statistics & numerical data
Medical sciences
Netherlands
Peripheral Nerve Injuries
Tendon Injuries - diagnosis
Tendon Injuries - therapy
Wrist Injuries - diagnosis
Wrist Injuries - therapy
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Summary:We analysed hand and wrist injury and disorder related liability claims in the Netherlands to identify causes and to contribute to the prevention of such claims. Data was collected from 743 hand and wrist claims filed between 1993 and 2007. Consultants were involved in 417 claims (56.1%). Treatment in the emergency department (ED) accounted for 64.9% of these 287 claims involved residents (59.5%). The majority of accepted claims in the ED included treatment by general surgeons (89.2%). The percentage of accepted claims was highest in the general surgery group (26.4%). Of accepted claims in the ED which involved a resident, 93.2% involved a general surgery resident. Better training and supervision is indicated. This paper supports hand injury treatment by adequately trained surgeons and preferably, where possible, by a trained hand surgeon.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193409355735