patients satisfaction during the surgical journey. 9 The main changes have regarded the indications, that have increased for both younger and older patients, the surgical techniques (approaches, tissue preservation and reconstruction), some
This study analyses the outcomes of litigation claims in trauma and orthopaedic surgery between 2008/2009 and 2018/2019.
Utilizing a formal request to the NHS Resolution under the Freedom of Information Act, the data related to claims against orthopaedic surgery were obtained. A total of 8548 claims were analysed and re-grouped to perform a meaningful analysis for the type of claims and the type of injuries.
The total pay-out cost for the settled claims was over £1.2 billion. The most common types of claims were related to mismanagement (39.0%), diagnostic issues (17.6%), perioperative issues (15.9%) and alleged incompetence (10.2%). The most common primary causes for claims were patients’ dissatisfaction (52.2%), damage to the limbs (19.0%) and neurological injuries (9.2%).
The highest amounts of damages paid out were related to patients’ dissatisfaction (37.7%), burns and bruising (31.0%), neurological injuries (24.5%) and damage to the limbs (22.3%). The number of claims and the pay-out cost were found to be steadily increasing; however, there was a slightly declining trend observed during the last two years.
The cost of litigation continues to have a significant financial impact on the NHS. The recent declining trend is encouraging; however, surgeons need to take consistent diligent steps to avoid preventable causes that lead to litigation claims.
The proposed change in the coding system of claims in the NHS Resolution will not only help to formulate a clear classification system but will also improve the learning from previous experience.
Cite this article: EFORT Open Rev 2021;6:152-159. DOI: 10.1302/2058-5241.6.200100
Christian Smith, Razi Zaidi, Jagmeet Bhamra, Anna Bridgens, Caesar Wek, and Michail Kokkinakis
Tables 5a , 5b and 5c . Radiological normal values are derived from the work by Lamm et al. 41 There was an improvement of all outcome parameters investigated. Patient satisfaction was reported by four studies 16 , 25 , 31 , 32 from 231
Paul Hoogervorst, Peter van Schie, and Michel PJ van den Bekerom
natural anatomy and length of the fractured clavicle. There are uniform reports of lower non-union rates of approximately 2%. 49 , 54 , 55 An improved patient satisfaction and earlier return to work compared with conservative treatment is also
Ahmed Siddiqi, Timothy Horan, Robert M. Molloy, Michael R. Bloomfield, Preetesh D. Patel, and Nicolas S. Piuzzi
Introduction As value in healthcare has shifted to a measurement of quality relative to the cost, there is a greater emphasis on improving clinical and functional outcomes and patient satisfaction. 1 This is especially relevant in
reports of patient satisfaction rates greater than 80% in the short term, these implants gradually started to fail because of excessive wear and the semi-constrained design. 23 Many complications with silastic prostheses emerged in the 1980s
Frederique J. Hafkamp, Taco Gosens, Jolanda de Vries, and Brenda L. den Oudsten
This type of dissatisfaction is commonly examined with the reliable and validated self-administered Patient Satisfaction Scale, 18 and thereby refers to overall satisfaction with surgery, with pain relief, and with the ability to perform work and
Young Yi and Woochun Lee
-term results after re-alignment surgery are promising, with substantial post-operative pain relief and functional improvement that is reflected by high rates of patient satisfaction. 5 - 7 This review aims to examine the indications, results and
Michał Górecki and Piotr Czarnecki
shoulder arthrodesis in adult patients for whom the surgical indication was a brachial plexus injury and the impact of this type of surgery on the final result, the functioning of the upper limb, and patient satisfaction. Material and methods This
Alli Gokeler, Bart Dingenen, Caroline Mouton, and Romain Seil
the course of rehabilitation. Therefore, detailed patient information on the reasonable outcomes of a specific operation seems to be essential to improve patient satisfaction. Sonesson et al 39 found that higher motivation during rehabilitation