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Malpractice Risk According to Physician Specialty
Open accessAbstract
BACKGROUND: Data are lacking on the proportion of physicians who face malpractice claims in a year, the size of those claims, and the cumulative career malpractice risk according to specialty. METHODS: We analyzed malpractice data from 1991 through 2005 for all physicians who were covered by a large professional liability insurer with a nationwide client base (40,916 physicians and 233,738 physician-years of coverage). For 25 specialties, we reported the proportion of physicians who had malpractice claims in a year, the proportion of claims leading to an indemnity payment (compensation paid to a plaintiff), and the size of indemnity payments. We estimated the cumulative risk of ever being sued among physicians in high- and low-risk specialties. RESULTS: Each year during the study period, 7.4% of all physicians had a malpractice claim, with 1.6% having a claim leading to a payment (i.e., 78% of all claims did not result in payments to claimants). The proportion of physicians facing a claim each year ranged from 19.1% in neurosurgery, 18.9% in thoracic-cardiovascular surgery, and 15.3% in general surgery to 5.2% in family medicine, 3.1% in pediatrics, and 2.6% in psychiatry. The mean indemnity payment was $274,887, and the median was $111,749. Mean payments ranged from $117,832 for dermatology to $520,923 for pediatrics. It was estimated that by the age of 65 years, 75% of physicians in low-risk specialties had faced a malpractice claim, as compared with 99% of physicians in high-risk specialties. CONCLUSIONS: There is substantial variation in the likelihood of malpractice suits and the size of indemnity payments across specialties. The cumulative risk of facing a malpractice claim is high in all specialties, although most claims do not lead to payments to plaintiffs. (Funded by the RAND Institute for Civil Justice and the National Institute on Aging.).
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“Although psychiatry is at low risk of malpractice claims in comparison to other specialties 275 , surveys in different countries report that the majority of interviewed psychiatrists acknowledged having resorted to defensive practices, which, in their opinion, compromised the quality of the provided care 274,276,277 .”
From Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs (2024) · cites this paper as [275]
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“04 Filing time in months, median (IQR) 15 (11, 24) 14 (9, 25) 16 (10, 25) 16 (11, 24) 14 (11, 24) 12 (5, 23) 0.”
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Nassar, A. A., & Demyati, A. K. (2021) · Saudi Journal of Health Systems Research · doi:10.1159/000514405 · Cited by 8
Malpractice claims in psychiatry: approaches to reducing risk
Appelbaum, P. S. (2021) · World Psychiatry · doi:10.1002/wps.20907 · Cited by 8
A Malpractice Claims Study of a Family Medicine Department: A 20-Year Review
Schacht, K. P., Furst, W., Jimbo, M., & Chavey, W. E. (2022) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2022.02.210260 · Cited by 7
“Over one third of physicians involved in a malpractice claim have considered leaving medicine or early retirement.(1) Within the state of Michigan, a claim must contain allegations of professional negligence involving licensed health care practitioners and facilities.”
BackgroundInfluentialMalpractice Risk According to Physician Specialty
Stockman, J. A. (2012) · Yearbook of Pediatrics · doi:10.1016/j.yped.2011.12.002 · Cited by 8
Assessment of malpractice claims associated with rotator cuff surgery
Deckey, D. G., Eltorai, A. E. M., Gil, J. A., & Daniels, A. H. (2018) · Orthopedic Reviews · doi:10.4081/or.2018.7703 · Cited by 8
“In total, 60% (24) resulted in a defendant ruling, 25% (10) in a plaintiff ruling, and 15% (6) in a settlement.”
BackgroundUtility of Early Postoperative Imaging after Combined Endoscopic and Open Ventral Skull Base Surgery
Mendelson, Z., Echanique, K. A., Crippen, M. M., Vazquez, A., Liu, J. K., & Eloy, J. A. (2017) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2017.31.4429 · Cited by 8
Cesarean section rates in each region of Greece: A retrospective analysis
Kontopanos, A., Tsakiridis, I. G., Dagklis, T., Boureka, E., Mamopoulos, A. M., & Athanasiadis, A. P. (2023) · Hellenic Journal of Obstetrics and Gynecology · doi:10.33574/hjog.0522 · Cited by 7
An Experimental Analysis of Patient Dumping Under Different Payment Systems
Castro, M. F., Lisi, D., & Romeo, D. (2023) · The B E Journal of Economic Analysis & Policy · doi:10.1515/bejeap-2022-0419 · Cited by 7
“10 Not all physicians suffer however from the same liability risks, since medical specialists are more exposed to litigations (Jena et al., 2011).”
Doolin, J. W., Schaffer, A. C., Tishler, R. B., & Jacobson, J. O. (2023) · Journal of Healthcare Risk Management · doi:10.1002/jhrm.21563 · Cited by 7
Patient Safety in Orthopedics and Traumatology
Barneschi, G., Raspanti, F., & Capanna, R. (2020) · Springer eBooks · doi:10.1007/978-3-030-59403-9_19 · Cited by 7
Malpractice Litigation in Hand Surgery: A Comprehensive Nationwide Analysis
Umpierrez, E., Ohliger, E., Scollan, J. P., & Styron, J. F. (2021) · Hand · doi:10.1177/1558944721998007 · Cited by 7
“The following inclusion criteria were applied for each case: (1) the surgery was performed on the hand, finger, thumb, or wrist; (2) the surgeon who performed the surgery was named as a defendant; and (3) the patient was aged above 18 years.”
MethodMedical Malpractice and Vestibular Schwannomas: A Nationwide Review
Bader, E. R., Boyke, A. E., Alvi, M. A., Sethi, A., Funari, A., & Agarwal, V. J. (2021) · World Neurosurgery · doi:10.1016/j.wneu.2021.03.093 · Cited by 7
Formal Patient Complaints and Malpractice Events Involving Orthopedic Spine Surgeons
Rae, M., Rocha, D. F. B., Hayes, D. S., Haak, M. H., Maniar, H. H., & Grandizio, L. C. (2021) · Spine · doi:10.1097/brs.0000000000004272 · Cited by 7
The Anatomy of a Malpractice Lawsuit
Attaluri, P. K., Wirth, P. J., Moura, S. P., Shaffrey, E. C., & Rao, V. K. (2023) · Aesthetic Surgery Journal Open Forum · doi:10.1093/asjof/ojad008 · Cited by 7
Association of Past and Future Paid Medical Malpractice Claims
Hyman, D. A., Lerner, J. Y., Magid, D. J., & Black, B. S. (2023) · JAMA Health Forum · doi:10.1001/jamahealthforum.2022.5436 · Cited by 7
Refractive Surgery: Malpractice Litigation Outcomes
Custer, B., Ballard, S. R., Carroll, R. B., Barnes, S. D., & Justin, G. A. (2017) · Cornea · doi:10.1097/ico.0000000000001289 · Cited by 7
“Other surgeries reported were epikeratophakia (3), arcuate keratotomy (2), keratotomy (2), horizontal keratotomy (1), laser subepithelial keratomileusis (1), phototherapeutic keratectomy (1), and superficial keratectomy (1).”
BackgroundPediatric neurosurgery malpractice claims in Germany
Beez, T., Steiger, H., Weber, B., & Ahmadi, S. A. (2018) · Child s Nervous System · doi:10.1007/s00381-018-3963-y · Cited by 7
Peterson, J. (2019) · Seminars in Diagnostic Pathology · doi:10.1053/j.semdp.2019.06.006 · Cited by 7
LARS study: Latin American rheumatologist survey
Intriago, M., Maldonado, G., Guerrero, R. P., Soriano, E. R., Moreno, L., & Ríos, C. (2020) · Clinical Rheumatology · doi:10.1007/s10067-020-05240-y · Cited by 7
Chan, A. K.-H., Santacatterina, M., Pennicooke, B. H., Shahrestani, S., Ballatori, A. M., Orrico, K. O., Burke, J. F., Manley, G. T., Tarapore, P. E., Huang, M. C., et al. (2020) · Neurosurgical FOCUS · doi:10.3171/2020.8.focus20610 · Cited by 7
“Emergency 44,292 (10) 8,364 (11) 16,896 (13) 10,391 (8) 8,641 (8)”
Reducing Legal Risks and Social Media Issues for Cosmetic Surgery
Marion, T., Werbel, T., & Torres, A. (2023) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2023.01.017 · Cited by 7
Syafrawati, S., Machmud, R., Aljunid, S. M., & Semiarty, R. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1147709 · Cited by 7
“The study also explains that surgeons have the highest proportion of doctors who face malpractice claims based on their specialization (58).”
BackgroundMenger, R., Wolf, M. E., Lang, R. W., Smith, D. R., Nanda, A., Letarte, P. B., & Rosner, M. K. (2015) · Neurosurgery · doi:10.1227/neu.0000000000001084 · Cited by 7
“In 2011, The New England Journal of Medicine noted neurosurgery as the specialty with the highest proportion of physicians with a malpractice claim.(17) In 39% of neurosurgeons, malpractice insurance premiums represented 10% to 19% of the gross annual income.”
Background
Metadata
- Authors
- Jena, A. B., Seabury, S., Lakdawalla, D., & Chandra, A.
- Affiliations
- Harvard University (US)
- RAND Corporation (US)
- University of Southern California (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2011-08-18
- Volume
- 365
- Issue
- 7
- Pages
- 629-636
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC3204310
- OpenAlex
- W2148118870
- Cited by
- 1,180
- References
- 19
- Citations by year
- 2026: 59 · 2025: 71 · 2024: 83 · 2023: 101 · 2022: 84 · 2021: 95 · 2020: 86 · 2019: 106 · 2018: 97 · 2017: 89 · 2016: 71 · 2015: 75 · 2014: 55 · 2013: 58 · 2012: 42
- FWCI
- 122.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01ag031544-05)
- National Institute on Aging (7R01AG031544, RC4AG039036, P01 AG19783-02, R01 AG031544, P30AG043073, P01AG019783, P30AG024968)
- Topics
- Social Sciences › Law › Medical Malpractice and Liability Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- medical malpractice, malpractice claims, physician specialty, professional liability insurance, indemnity payments, neurosurgery, general practice, general surgery
- MeSH terms
- Malpractice, Medicine, Physicians, Risk, Specialties, Surgical, United States, Models, Statistical, Physicians, Primary Care
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