Medical malpractice litigation related to gastrointestinal endoscopy in Japan:A two-decade review of

• 作 者: Toru Hiyama Shinji Tanaka Masaharu Yoshihara Tatsuma Fukuhara Shinichi Mukai Kazuaki Chayama
• 机 构: Health Service Center Hiroshima University Higashihiroshima,Department of Endoscopy Hiroshima Unive
• 出 处: World Journal of Gastroenterology
• 发表日期: 2006年42期
• 关键词: endoscopy court civil consent colonoscopy informed sphincterotomy doctor duodena

AIM: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken. RESULTS: Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to eso- phagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 (22%) to endoscopic sphincterotomy, and 2 (11%) to endoscopic retrograde cholangiopancreatography. Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30%); (3) performance error during the treatment after the endoscopic procedure (n = 4, 13%); (4) premedication error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure (n = 1, 3%). CONCLUSION: These data may aid in the design of risk prevention strategies to be used by gastrointestinal endoscopists.

AIM: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken. RESULTS: Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to eso phagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the treatment after the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30% = 4, 13%); (4) premedicati on error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure in the design of risk prevention strategies to be used by gastrointestinal endoscopists.