Medical errors across specialties: A systematic review and meta-analysis of global incidence and contributing factors

IF 0.1 Q4 MEDICINE, LEGAL

Medecine & Droit Pub Date : 2025-02-01 DOI:10.1016/j.meddro.2024.10.001

Mohamed S. Hemeda , Heba Youssef Sayed , Amany A. Mostafa , Almaza Ali Salem , Ibrahim Arafa Reyad Arafa , Hesham Hafez Abdelkhalek Mosa , Mohamed Hafez Mohamed Younes , Samar S. Ahmed , Yasser M. Saqr , Amir Bastawisy , Hytham Abdalla , Yahia Mohammed Ahmed Dawood , Mahmoud Ibrahim Elawamry , Gaber Eid , Mohamed Mohamed Aly Ibrahim , Emadeldeen Ali , Abd Elaziz Shokry Abd Elaziz , Aldosoky Abd Elaziz Alsaid , Ahmed A. Elhagary , Nashwa Ahmed , Emad Ahmed Abdelmooty

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引用次数: 0

Abstract

Background

Medical errors (MEs) refers to the professional negligence or wrongdoing by healthcare providers that result in harm to patients, it can vary significantly across different specialities due to variations in patient populations, diagnostic challenges, treatment complexity, and procedural risks.

Methods

We conducted an electronic search of PubMed, Scopus, Web of Science, and Embase databases to identify all relevant published records till 11th August 2023. The analyses were carried out in R studio using the meta package. The mean difference (MD) was used to pool continuous outcomes, while the odds ratio (OR) was used to pool dichotomous outcomes, both with 95% confidence intervals (CI). We used the New Castle Ottawa (NOS) Scale for the observational studies.

Results

We included 63 studies encompassing a diverse range of specialities and involving 376,574 participants. The highest rates of MEs were found in neurosurgery, orthopaedic surgery, and cardiology. The lowest rates were seen in dramatology, vascular surgery, gastroenterology, endocrinology, and rheumatology. There is a huge gap in research investigations of MEs in Middle Eastern countries.

Conclusion

Medical malpractice is a complicated issue that varies by speciality within the healthcare profession. Errors and neglect can occur in any area of medicine, including surgery and obstetrics, as well as internal medicine and family medicine.

查看原文本刊更多论文

背景医疗差错（MEs）是指医疗服务提供者的专业疏忽或错误行为导致患者受到伤害，由于患者群体、诊断难度、治疗复杂性和手术风险的不同，不同专业的医疗差错可能存在很大差异。方法我们对PubMed、Scopus、Web of Science和Embase数据库进行了电子检索，以确定截至2023年8月11日所有相关的发表记录。分析在 R studio 中使用 meta 软件包进行。平均差（MD）用于汇集连续性结果，而几率比（OR）用于汇集二分性结果，两者均有 95% 的置信区间（CI）。我们对观察性研究采用了新卡塞尔渥太华（NOS）量表。结果我们纳入了63项研究，涵盖了不同的专业领域，共有376,574人参与。神经外科、整形外科和心脏科的 ME 发生率最高。发病率最低的是戏剧学、血管外科、肠胃病学、内分泌学和风湿病学。中东国家对医疗事故的研究调查存在巨大差距。错误和疏忽可能发生在任何医学领域，包括外科和产科，以及内科和家庭医学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medecine & Droit MEDICINE, LEGAL-

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： The Scientific Committee of the journal Médecine et Droit includes professors of medicine, professors of law, magistrates, lawyers, court medical experts, and specialists in compensation for physical injury. Médecine et Droit provides: • rigorous and clear support for informative and educational matter • a tool for reflection and actualisation of knowledge • an essential link between doctors and lawyers. Médecine et Droit informs: • doctors on different aspects of law and regulations encountered in their profession • lawyers on the specific problems of the medical profession and important bio-ethical issues