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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
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This study analyses the outcomes of litigation claims in trauma and orthopaedic surgery between 2008/2009 and 2018/2019.
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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.
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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%).
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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.
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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.
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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
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Department of Hematology, Enze Hospital, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China
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evaluated patient satisfaction ( 13 , 14 , 15 , 16 ). Data from the study by Palate et al. were not pooled because no data were provided ( 15 ). In the remaining three studies, the earlier postoperative bathing group showed a significant increase in
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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
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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
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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
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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
Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
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Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
Department of Medical Psychology, Elisabeth-TweeSteden Hospital, Tilburg, Netherlands
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Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
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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
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-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
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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
