背景:骨科手术是有医疗事故索赔风险的专业。我们旨在评估过去15年中与荷兰骨科手术有关的涉嫌渎职案件的频率。
方法:我们在2009年1月至2023年7月期间,系统地搜索了荷兰医学纪律法院数据库中与骨科手术有关的判决,并提取了病例数据以及有关指控和结果的数据。
结果:我们确定了158项判决(平均每年10.5项),其中151人(96%)针对专家,7人(4%)针对居民。病例最常被归类为不正确的治疗/诊断(n=107,67.7%)。病例与膝关节亚专科有关(n=34,21.5%),髋关节(n=31,19.6%),脚踝(n=25,15.8%),脊柱(n=22,13.9%),和肩膀(n=19,12.0%)。共有32例(20.3%)被判定为部分成立,9例(6%)被判定为成立。荷兰医学纪律法院发出了28次警告,十次训斥,3个临时停赛。共提出68项申诉,其中95%因提交患者而被拒绝。在三种情况下,毫无根据的判决改为两次警告和谴责。在整形外科医生的四次上诉中,警告和谴责被驳回,两个训斥被改为警告。
结论:在荷兰,针对骨科医生的渎职案件数量相对较低。我们研究中的案例可以改善我们对针对医生的指控的理解,并提高患者护理质量。
BACKGROUND: Orthopedic surgery is a specialty at risk for medical malpractice claims. We aimed to assess the frequency of alleged malpractice cases related to orthopedic surgery in the Netherlands from the last 15 years.
METHODS: We systematically searched the database of the Dutch Medical Disciplinary Court for verdicts related to orthopedic surgery between January 2009 and July 2023 and extracted case data and data on allegations and outcomes.
RESULTS: We identified 158 verdicts (mean of 10.5 per year), of which 151 (96%) were filed against specialists and 7 (4%) against residents. Cases were most frequently classified as incorrect treatment/diagnosis (n = 107, 67.7%). Cases were related to the subspecialties of knee (n = 34, 21.5%), hip (n = 31, 19.6%), ankle (n = 25, 15.8%), spine (n = 22, 13.9%), and shoulder (n = 19, 12.0%). A total of 32 cases (20.3%) were judged as partially founded and 9 (6%) as founded. The Dutch Medical Disciplinary Court imposed 28 warnings, 10 reprimands, and 3 temporary suspensions. A total of 68 appeals were submitted, of which 95% were rejected for filing patients. In three instances, unfounded verdicts were changed to two warnings and a reprimand. In four appeals by an orthopedic surgeon, a warning and reprimand were dismissed, and two reprimands were changed to warnings.
CONCLUSIONS: The amount of malpractice cases against orthopedic surgeons in the Netherlands is relatively low. The cases in our study may improve our understanding of allegations against physicians and improve the quality of patient care.