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Oral and Maxillofacial Surgery

, Volume 23, Issue 2, pp 187–192 | Cite as

Twenty four years of oral and maxillofacial surgery malpractice claims in Spain: patient safety lessons to learn

  • Sergio Bordonaba-Leiva
  • Esperanza L. Gómez-DuránEmail author
  • José M. Balibrea
  • Josep Benet-Travé
  • Carles Martin-Fumadó
  • Coro Bescos Atin
  • Javier Mareque-Bueno
  • Josep Arimany-Manso
Original Article
  • 43 Downloads

Abstract

Purpose

Oral and maxillofacial surgery (OMS) malpractice risk is of special interest due to both the aesthetic component of some procedures and the complexity of the pathologies involved. This study aims to identify relevant factors involved in OMS professional liability (PL) claims to help achive better management of risks and improve patient safety.

Methods

We performed a retrospective analysis of 315 OMS claims opened between 1990 and 2014 from the database of the PL Department of the Catalonian Council of Medical Colleges, and identified their clinical, economical and juridical characteristics.

Results

OMS showed a high rate of compensation (33.8%). Dental implant surgery, third molar surgery and rhinoplasty presented the greatest exposure to claims, and in these cases, lack of osteointegration of dental implants, neurologic injury of inferior dentoalveolar/lingual nerves and a poor aesthetic result were the most frequently compensated sequelae. Statistically, significant association was found between this perioperative complications group and the presence of PL. Poorly documented patient information (informed consent document) was also significantly related with PL outcome.

Conclusions

OMS is a specialty of medium risk for claims, especially oral surgery cases. Surgical complications, such as neurologic damage after oral/head and neck procedures and poor aesthetic results, do occur and deserve special attention to improve patient safety, as well as patient-information procedure.

Keywords

Malpractice Claims analysis Professional liability Patient safety 

Notes

Funding

The Professional Liability Department of the Council of Physicians Colleges of Catalonia had the financial support by the Spanish Ministry of Health (FIS10/00598).

Compliance with ethical standards

Conflict of interest

The research was carried out by the Professional Liability Department of the Council of Physicians Colleges of Catalonia.

Ethical approval

The Professional Liability Department of the Council of Physicians Colleges of Catalonia has the ethical approval to analyse records of claims by the Ethics Committee of the Barcelona’s College of Physicians.

Informed consent

There was no a priori informed consent for the use of data, regarding this record review. Any identifying information from the data set was removed before analysis and treated confidentially.

References

  1. 1.
    American College of Obstetricians and Gynecologists (1995) Coping with the stress of malpractice litigation. Int J Gynaecol Obstet 49:83–84CrossRefGoogle Scholar
  2. 2.
    World Health Organization (WHO) (2002) Quality of care: patient safety. Resolution WHA55.18. WHO, Geneva Available at: http://apps.who.int/gb/archive/pdf_files/WHA55/ewha5518.pdf. Accessed July 2018Google Scholar
  3. 3.
    Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, Howard KM, Weiler PC, Brennan TA (2000) Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 38:261–271CrossRefGoogle Scholar
  4. 4.
    Baker GR (2004) Harvard medical practice study. Qual Saf Health Care 13:151–152CrossRefGoogle Scholar
  5. 5.
    Hale RW (2006) Legal issues impacting women’s access to care in the United States-the malpractice insurance crisis. Int J Gynaecol Obstet 94:382–385CrossRefGoogle Scholar
  6. 6.
    Svider PF, Eloy JA, Folbe AJ, Carron MA, Zuliani GF, Shkoukani MA (2015) Craniofacial surgery and adverse outcomes: an inquiry into medical negligence. Ann Otol Rhinol Laryngol 124:515–522CrossRefGoogle Scholar
  7. 7.
    Pingarrón Martín L, Morán Soto MJ, Sánchez Burgos R, Burgueño García M (2010) Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature. Oral Maxillofac Surg 14(1):43–47CrossRefGoogle Scholar
  8. 8.
    Badenoch-Jones E, White BP, Lynham AJ (2016) The Australian litigation landscape - oral and maxillofacial surgery and general dentistry (oral surgery procedures): an analysis of litigation cases. Aust Dent J 61:310–316CrossRefGoogle Scholar
  9. 9.
    Arimany-Manso J (2007) La medicina defensiva: un peligroso boomerang. Humanitas, Humanidades Médicas 12:8–26Google Scholar
  10. 10.
    Wilson N, Strunk AL (2006) Survey on professional liability. ACOG Clin Rev 12:13–16Google Scholar
  11. 11.
    Gómez-Durán EL, Mulà-Rosías JA, Lailla-Vicens JM, Benet-Travé J, Arimany-Manso J (2013) Analysis of obstetrics and gynecology professional liability claims in Catalonia, Spain (1986-2010). J Forensic Legal Med 20:442–446CrossRefGoogle Scholar
  12. 12.
    Arimany-Manso J, Gómez-Durán EL, Bruguera M, Aubía J (2013) An integral and direct management model of medical professional liability insurance in Catalonia. Med Clin (Barc) 141:300–304CrossRefGoogle Scholar
  13. 13.
    Lydiatt DD (2002) Medical malpractice and cancer of the larynx. Laryngoscope 112:445–448CrossRefGoogle Scholar
  14. 14.
    Lydiatt DD (2002) Cancer of the oral cavity and medical malpractice. Laryngoscope 112:816–819CrossRefGoogle Scholar
  15. 15.
    Lydiatt DD (2003) Medical malpractice and facial nerve paralysis. Arch Otolaryngol Head Neck Surg 129:50–53CrossRefGoogle Scholar
  16. 16.
    Lydiatt DD (2003) Litigation and the lingual nerve. J Oral Maxillofac Surg 61:197–200CrossRefGoogle Scholar
  17. 17.
    Lydiatt DD (2003) Medical malpractice and the thyroid gland. Head Neck 25:429–431CrossRefGoogle Scholar
  18. 18.
    Lydiatt DD (2004) Medical malpractice and cancer of the skin. Am J Surg 187:688–694CrossRefGoogle Scholar
  19. 19.
    Lydiatt DD (2004) Medical malpractice and head and neck cancer. Curr Opin Otolaryngol Head Neck Surg 12:71–75CrossRefGoogle Scholar
  20. 20.
    Arimany-Manso J, Gómez-Durán EL, Aubia-Marimon J (2013) Malpractice claims by specialty in a non-US setting. Gac Sanit 27:92–93CrossRefGoogle Scholar
  21. 21.
    Gómez-Durán EL, Martin-Fumadó C, Benet-Travé J, Arimany-Manso J (2018) Malpractice risk at the physician level: claim-prone physicians. J Forensic Legal Med 58:152–154CrossRefGoogle Scholar
  22. 22.
    Gulati A, Herd MK, Nimako M, Anand R, Brennan PA (2012) Litigation in National Health Service oral and maxillofacial surgery: review of the last 15 years. Br J Oral Maxillofac Surg 50:385–388CrossRefGoogle Scholar
  23. 23.
    Perea-Pérez B, Labajo-González E, Santiago-Sáez A, Albarrán-Juan E, Villa-Vigil A (2014) Analysis of 415 adverse events in dental practice in Spain from 2000 to 2010. Med Oral Patol Oral Cir Bucal 19:e500–e505CrossRefGoogle Scholar
  24. 24.
    Marei HF (2013) Medical litigation in oral surgery practice: lessons learned from 20 lawsuits. J Forensic Legal Med 20:223–225CrossRefGoogle Scholar
  25. 25.
    Arimany-Manso J, Aragonés Rodríguez L, Benet-Travé J, Martin-Fumadó C, Bruguera Villagrasa R, Fuz F, Gómez-Durán EL (2018) Reclamaciones por cirugía en sitio erróneo (1986-2017). An Sist Sanit Navar 41.  https://doi.org/10.23938/ASSN.0309
  26. 26.
    Saigí-Ullastre U, Gómez-Durán EL, Arimany-Manso J (2013) Quantification of the loss of opportunity in professional medical responsibility. Rev Esp Med Legal 39(4):157–161Google Scholar
  27. 27.
    Roche E, Gómez-Durán EL, Benet-Travé J, Martin-Fumadó C, Arimany-Manso J (2014) Professional liability claims in vascular surgery practice. Ann Vasc Surg 28:324–329CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Sergio Bordonaba-Leiva
    • 1
  • Esperanza L. Gómez-Durán
    • 2
    • 3
    Email author
  • José M. Balibrea
    • 4
  • Josep Benet-Travé
    • 2
  • Carles Martin-Fumadó
    • 2
  • Coro Bescos Atin
    • 5
  • Javier Mareque-Bueno
    • 6
  • Josep Arimany-Manso
    • 2
    • 7
  1. 1.Department of Oral and Maxillofacial SurgeryGermans Trias i Pujol University Hospital; Universitat Autònoma de BarcelonaBarcelonaSpain
  2. 2.Area de PraxiCol-legi de Metges de BarcelonaBarcelonaSpain
  3. 3.Departamento de MedicinaUniversitat Internacional de CataluñaBarcelonaSpain
  4. 4.Department of General and Digestive SurgeryVall Hebrón University Hospital, Universitat Autònoma de BarcelonaBarcelonaSpain
  5. 5.Department of Oral and Maxillofacial SurgeryVall Hebrón University Hospital, Universitat Autònoma de BarcelonaBarcelonaSpain
  6. 6.Department of Oral and Maxillofacial SurgeryQuirón-Dexeus University Hospital, Universitat Internacional de CatalunyaBarcelonaSpain
  7. 7.Unidad de Medicina Legal y Forense, Departamento de Salud PúblicaUniversidad de BarcelonaBarcelonaSpain

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