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What is medical malpractice? Under
the law you need four components that must be met for a lawsuit
to succeed:
1) Duty, 2) Breach, 3) Causation, and 4) Injury.
This is the legal criteria that makes you vulnerable. But strangely
many other factors, not related to the criteria, create suits.
There is a lot that is peculiar about the malpractice lawsuit
system. The Harvard Malpractice study of 1998 suggests
that only about 3% of breaches of care and injuries turn into litigation.
An Archives of Internal Medicine study suggests that communications
skills are more important than clinical skills, and that 71% sue
due to communication issues.
Two separate studies about adverse medical events which pose a
significant health problem during hospitalization report that such
events are prevalent, yet there was no correlation between
negligent care and malpractice claims. These were from
Brigham and Women's Hospital and Harvard School of Public Health,
in the March issue of Medical Care, a journal of the American Public
Health Association. This weak correlation has been reported in other
prior studies.
Are most malpractice cases about bad outcomes? Actually
studies indicate they have a lot more to do with bad attitudes and
bad relationships. Then when one looks at claims, only
1 in 6 are estimated to be negligent injury. What makes it likely
a claim will be being filed? Predictors of litgation are patient
dissatisfaction, communications skills, sense of humor.
But severity of injury does play an important role once
cases move into the litigation system. And moderately to
seriously injured patients are 2-3 times more likely to file a suit
than ones with lesser injuries. Most of the highest payouts are
for failure to diagnose and treat. Of claims that go to court the
rate of payment is relatively low, in the 10% to 50% range, but
more likely at the lower end of that range.
There is also a study by Kaiser which feels that most patients
feel there is too much litigation, and that there should
be a limit on punitive damages and pain and suffering.
Therefore your likelihood of having a lawsuit depends on
your relationship with the patient first, and bad outcomes second.
But your likelihood of winning a lawsuit, depends on the medical
record, the severity of the injury, and your demeanor.
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