Background: In recent decades, in the field of healthcare, awareness of the problems inherent to the quality has steadily increased. Currently, the evaluation of healthcare activities is one of the ways in which health systems regulate internal relationships and define strategic decisions.

Objective: The study aims to describe in detail the entire process of developing a group of Key Performance Indicators for monitoring and implementing the management of litigation due to medical liability. Particularly, the objective is to centralize and standardize the indicators to provide scientifically reliable data on claims management to hospital professionals responsible for strategic choices.

Methods: The study was conducted to analyze data relating to the claims management at Umberto I General Hospital in Rome from 2012 to 2018. All claims reported were classified according to a selection of the categories coded in the International Classification for Patient Safety system, the economic features, and the chronological references of the main management extrajudicial and judicial phases. The Process Analysis Method was followed to develop significant indicators for measuring the performance and the quality of claims management.

Results and Conclusion: The results obtained demonstrate how the assessment of performance in claims management can potentially lead to greater risk control with significant repercussions in terms of reduction of disputes, speed in settling claims, reduction of management times, planning of loss prevention measures, and implementation of quality of care.

背景：近几十年来，在医疗保健领域，人们对质量固有问题的认识稳步提高。目前，对医疗活动的评估是卫生系统规范内部关系和定义战略决策的方式之一。

目的：本研究旨在详细描述制定一组关键绩效指标以监测和实施医疗责任诉讼管理的整个过程。特别是，目标是集中和标准化指标，为负责战略选择的医院专业人员提供科学可靠的索赔管理数据。

方法：本研究旨在分析 2012 年至 2018 年罗马 Umberto I 综合医院索赔管理的相关数据。所有报告的索赔均根据国际患者安全分类系统中编码的类别进行分类，经济特征，以​​及主要管理法外和司法阶段的时间顺序参考。遵循过程分析方法制定了衡量索赔管理绩效和质量的重要指标。

结果和结论：获得的结果表明，索赔管理绩效评估如何潜在地导致更大的风险控制，并在减少争议、解决索赔的速度、减少管理时间、规划损失预防措施以及实施护理质量。