Abstract：
OBJECTIVES:The relationship between medical malpractice risk and one of the fundamental characteristics of physician practice, clinical volume, remains undefined. This study examined how the annual and per-patient encounter medical malpractice claims risk varies with clinical volume. METHODS:Clinical volume was determined using health insurance charges and was linked at the physician level to malpractice claims data from a malpractice insurer. The annual medical malpractice claims risk was expressed as the percent of physicians with a malpractice claim, and the per-encounter medical malpractice claims risk was expressed as malpractice claims per 1000 patient encounters. Both of these malpractice claims risk metrics were analyzed as a function of clinical volume, using linear and spline regression. RESULTS:As clinical volume increased, the percent of physicians with a malpractice claim increased linearly. Among all physicians studied, for each decile increase in clinical volume, there was a 0.373% increase in physicians with a malpractice claim (95% confidence interval, 0.301%-0.446%; P < 0.0001). As clinical volume increased, the rate of malpractice claims per 1000 patient encounters decreased. This relationship between clinical volume and per-encounter claims risk was nonlinear. There was a clinical volume threshold, below which decreasing clinical volume was associated with increasing per-encounter claims risk, and above which claims risk no longer significantly varied with increases in clinical volume. CONCLUSIONS:Clinical volume is a crucial determinant of physician malpractice risk, with higher-volume physicians having higher annual risk but lower per-encounter risk. Clinical volume data should be incorporated into analyses of malpractice risk.
journal_name
J Patient Safjournal_title
Journal of patient safetyauthors
Schaffer AC,Babayan A,Yu-Moe CW,Sato L,Einbinder JSdoi
10.1097/PTS.0000000000000706subject
Has Abstractpub_date
2020-03-23 00:00:00eissn
1549-8417issn
1549-8425pub_type
杂志文章abstract：OBJECTIVES:This study aimed to review and critically appraise the published literature on 2 selected prospective risk analysis tools, Failure Mode and Effects Analysis and Socio-Technical Probabilistic Risk Assessment, as applied to the dispensing of medicines in both inpatient and outpatient pharmacy settings. METHOD...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000403
更新日期：2017-06-29 00:00:00
abstract：OBJECTIVE:Because internal medicine hospitalist programs were developed to address issues in medicine such as a need to improve quality, improve efficiency, and decrease healthcare cost, obstetrical (OB) hospitalist models were developed to address needs specific to the obstetrics and gynecology field. Our objective wa...
journal_title：Journal of patient safety
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000125
更新日期：2016-06-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000600
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:In-hospital falls (IHFs) are a significant burden to the healthcare industry and patients seeking inpatient care. Many falls lead to injuries that could be considered a hospital-acquired condition (HAC). We demonstrated how administrative data can be used to quantify how many IHFs occur and identify what cond...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000637
更新日期：2020-03-11 00:00:00
abstract：OBJECTIVES:Reporting of adverse and near miss events are essential to identify system level targets to improve patient safety. Resident physicians historically report few events despite their role as front-line patient care providers. We sought to evaluate barriers to adverse event reporting in an effort to improve rep...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000333
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:Little is known about patient safety performance under the social insurance medical fee schedule in Japan. The Health Ministry in Japan introduced the preferential patient safety countermeasure fee (PPSCF) to promote patient safety in 2006 and revised the PPSCF system in 2010. This study aims to address the ...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000432
更新日期：2017-11-16 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000630
更新日期：2019-10-22 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章,评审
doi：10.1097/PTS.0000000000000208
更新日期：2019-03-01 00:00:00
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journal_title：Journal of patient safety
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doi：10.1097/PTS.0000000000000168
更新日期：2018-03-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000101
更新日期：2017-03-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000415
更新日期：2017-08-28 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000693
更新日期：2020-03-13 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章,随机对照试验
doi：10.1097/PTS.0b013e31829e4b95
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:To identify and describe randomized controlled trials (RCTs) and systematic reviews (SRs) on patient safety published from 1973 onward. MATERIALS AND METHODS:We handsearched a total of 12 medical journals published in English with contents related to patient safety to identify RCTs and SRs published between ...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0b013e31827cda38
更新日期：2013-06-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000107
更新日期：2017-03-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000349
更新日期：2017-06-30 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0b013e3181d108cb
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:In this systematic review, we evaluate 2 of the most used trigger tools according to the criteria of the World Health Organization for evaluating methods. METHODS:We searched Embase, PubMed, and Cochrane databases for studies (2000-2017). Studies were included if medical record review (MRR) was performed wit...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000670
更新日期：2020-03-11 00:00:00
abstract：BACKGROUND:Despite increasing recognition that patients could play an important role in promoting the safety of their care, little is known on this issue regarding health-care professionals' (HCPs') attitudes toward patient involvement. OBJECTIVES:To investigate physicians' and nurses' attitudes toward patient involve...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0b013e318267c4aa
更新日期：2012-12-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000585
更新日期：2019-03-15 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000345
更新日期：2019-03-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000051
更新日期：2014-06-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000721
更新日期：2020-05-07 00:00:00
abstract：AIMS:This study measured the effect of aviation-style team training on 3 surgical teams from different specialties. It focused on team working and communication, particularly briefing, time-out, and debriefing, and sought to understand how improvements in team skills could be implemented in a broad range of naturalisti...
journal_title：Journal of patient safety
pub_type： 杂志文章,多中心研究
doi：10.1097/PTS.0b013e3181f100ea
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:Communication failures are consistently seen as a root cause of preventable adverse outcomes in obstetrics. We assessed whether use of an Obstetric Safe Surgery Checklist for cesarean deliveries (CDs), based on the WHO Safe Surgery Checklist, can improve communication; reduce team member confusion about urgen...
journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000327
更新日期：2020-12-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000770
更新日期：2020-09-08 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0000000000000711
更新日期：2020-06-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0b013e3182948a51
更新日期：2015-03-01 00:00:00
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journal_title：Journal of patient safety
pub_type： 杂志文章
doi：10.1097/PTS.0b013e3182995e5b
更新日期：2013-12-01 00:00:00
