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Review of Cardiac Malpractice Cases Involving a Trainee
Cardiology in Review ( IF 2.0 ) Pub Date : 2023-01-01 , DOI: 10.1097/crd.0000000000000413
Megan M McElhinny 1, 2 , Dominic K Pappas 2 , Rachel A Lindor 2
Affiliation  

Lawsuits involving medical trainees are underappreciated and poorly documented, including within cardiology-related fields. The purpose of this review was to characterize clinical characteristics and legal outcomes of cardiology- and cardiac surgery-related lawsuits involving trainees. Westlaw, an online legal research database containing legal records from around the United States, was retrospectively reviewed for malpractice cases involving medical students, residents, or fellows through November 2020. Cases included both cardiac and cardiac surgery cases. A total of 28 cases were identified, with 16 involving female patients (57%). In the 17 cases in which patient age was included, the median age was 51 years. A total of 22 (79%) cases resulted in death or permanent disability. The most common alleged errors included procedural issues (n = 14, 50%) and failure to diagnose (n = 7, 25%). A total of 14 cases (50%) ended in favor of the physicians, 9 (32%) ended in a settlement or verdict against the physician, and 5 cases had an unknown outcome. Of the 8 cases in which the settlement or verdict amount was reported, the median payment was $1,291,992 with a range of $220,507–$30,000,000. This review of cardiac and cardiac surgery malpractice cases involving a trainee suggests trainee involvement in procedures and diagnosis may confer relatively high liability risks for both trainees and their supervisors.



中文翻译:

涉及实习生的心脏事故案件的审查

涉及医学实习生的诉讼未得到充分重视,且记录很少,包括在心脏病学相关领域。本综述的目的是描述涉及学员的心脏病学和心脏手术相关诉讼的临床特征和法律结果。Westlaw 是一个包含美国各地法律记录的在线法律研究数据库,对截至 2020 年 11 月涉及医学生、住院医师或研究员的医疗事故案件进行了回顾性审查。案件包括心脏和心脏手术案件。共发现 28 例病例,其中 16 例涉及女性患者(57%)。在纳入患者年龄的 17 例病例中,中位年龄为 51 岁。共有 22 例 (79%) 病例导致死亡或永久残疾。最常见的错误包括程序问题(n = 14,50%)和诊断失败(n = 7,25%)。共有 14 起案件(50%)最终对医生有利,9 起(32%)以和解或对医生不利的判决告终,5 起案件结果未知。在报告和解或判决金额的 8 起案件中,支付金额中位数为 1,291,992 美元,范围为 220,507 美元至 30,000,000 美元。对涉及实习生的心脏和心脏手术事故案例的回顾表明,实习生参与手术和诊断可能会给实习生及其主管带来相对较高的责任风险。

更新日期:2022-12-05
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