针对加拿大眼科医生的医疗法律案件趋势:一项10年回顾性审查(2013-2022)。

IF 2.8 4区 医学 Q1 OPHTHALMOLOGY
Derek M Waldner, Gary Garber, Anne Steen, P J Finestone, Richard Liu, Donna Perron, Qian Yang, Anna MacIntyre, Natalie Gagné, Tricia Savoy, Kevin Warrian, Alex Ragan
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引用次数: 0

摘要

目的:调查十年间(2013-2022年)加拿大眼科医生的医疗法律投诉趋势。方法:使用加拿大医疗保护协会(CMPA)的数据,对涉及眼科医生的法律、医院和监管案件进行回顾性分析。护士分析人员使用加拿大健康干预分类(ICD-10-CA)和特定的促成因素模式对病例进行系统编码。数据分析采用SAS软件(9.4)和Prism GraphPad软件(9.4.1)。结果:共收集到970例有足够数据可供分析的结案案例,其中高校投诉584例,法律投诉340例,医院投诉46例。投诉人以女性为主(55.4%),大部分年龄在30至64岁之间。在被点名的1021名眼科医生中,210名面临多重投诉,其中82%的投诉对象是从业10年以上的医生。最常见的临床表现是晶状体疾病(37.1%)、脉络膜和视网膜疾病(17.3%)和屈光疾病(14.9%)。最常见的并发症包括视力障碍(22.0%)和视网膜并发症(13.8%)。540例病例(55.7%)注意到同行专家的担忧,常见的问题是文件不足(31.5%),同意程序(25.9%)和沟通(20.6%)。大约50.9%的案例对CMPA会员有不利的结果,尽管最常见的不利的大学结果是“担忧地忽视”。结论:本综述突出了加拿大眼科护理的差距,使眼科医生能够解决这些问题。未来的工作将集中于对病例的详细评估和同行专家的关注,并为临床实践提出具体建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in medico-legal cases against Canadian ophthalmologists: a 10-year retrospective review (2013-2022).

Objective: To investigate trends in medico-legal complaints against Canadian ophthalmologists over a ten-year period (2013-2022).

Methods: Retrospective review of closed legal, hospital, and regulatory cases involving ophthalmologists was conducted using data from the Canadian Medical Protective Association (CMPA). Cases were systematically coded by nurse analysts using the Canadian Classification of Health Interventions, ICD-10-CA, and a specific schema for contributing factors. Data analyses utilized SAS software (9.4) and Prism GraphPad (9.4.1).

Results: A total of 970 closed cases with sufficient data for analysis were identified, including 584 college complaints, 340 legal complaints, and 46 hospital complaints. Complainants were predominantly female (55.4%) and mostly aged 30-64. Of the 1021 ophthalmologists named, 210 faced multiple complaints, with 82% of complaints against those with over ten years of practice. The most common clinical presentations generating complaints were disorders of the lens (37.1%), disorders of the choroid and retina (17.3%), and disorders of refraction (14.9%). The most common complications cited in complaints included visual disturbances (22.0%) and retinal complications (13.8%). Peer expert concerns were noted in 540 cases (55.7%), with common issues being inadequate documentation (31.5%), consent processes (25.9%), and communication (20.6%). Approximately 50.9% of cases had unfavorable outcomes for CMPA members, though the most frequent unfavourable college outcome was "dismissed with concern".

Conclusion: This review highlights gaps in Canadian ophthalmic care, empowering ophthalmologists to address these concerns. Future work will focus on detailed assessments of cases with peer expert concerns and developing specific recommendations for clinical practice.

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来源期刊
CiteScore
3.20
自引率
4.80%
发文量
223
审稿时长
38 days
期刊介绍: Official journal of the Canadian Ophthalmological Society. The Canadian Journal of Ophthalmology (CJO) is the official journal of the Canadian Ophthalmological Society and is committed to timely publication of original, peer-reviewed ophthalmology and vision science articles.
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