Medical professional liability (MPL), also commonly referred to as medical malpractice, is a costly issue in health care today, accounting for roughly 2.4% of total health care expenditure in the United States. Almost all physicians currently in clinical practice will either be subject to a lawsuit themselves or work with someone who has. Given a lack of formal structured education about MPL in medicine for trainees, this review aims to define and discuss the relevant concepts in MPL as a reference for early career interventionalists to understand the current medicolegal environment and learn best practices to avoid litigation.
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References
1.
MelloM.M.ChandraA.GawandeA.A.StuddertD.M.National costs of the medical liability systemHealth Aff2920101569–1577Mello MM, Chandra A, Gawande AA, Studdert DM. National costs of the medical liability system. Health Aff 2010;29:1569-1577.
2.
AustinC.KusumotoF.Updates in medical professional liability: a primer for electrophysiologists[Epub ahead of print]. J Interv Card Electrophysiol2018 10.1007/s10840-018-0453-9 Austin C, Kusumoto F. Updates in medical professional liability: a primer for electrophysiologists. J Interv Card Electrophysiol 2018.
3.
JenaA.B.SeaburyS.LakdawallaD.ChandraA.Malpractice risk according to physician specialtyN Engl J Med3652011629–636Jena AB, Seabury S, Lakdawalla D, Chandra A. Malpractice risk according to physician specialty. N Engl J Med 2011;365:629-636.
4.
HillG.Q.SmouseH.B.Lessons learned on how to protect an interventional radiologist against malpractice claimsSemin Intervent Radiol232006315–318Hill GQ, Smouse HB. Lessons learned on how to protect an interventional radiologist against malpractice claims. Semin Intervent Radiol 2006;23:315-318.
5.
BerlinL.Medicolegal-malpractice and ethical issues in radiologyAJR Am J Roentgenol2092017 W333–4
6.
HicksonG.B.EntmanS.S.Physician practice behavior and litigation risk: evidence and opportunityClin Obstet Gynecol512008688–699Hickson GB, Entman SS. Physician practice behavior and litigation risk: evidence and opportunity. Clin Obstet Gynecol 2008;51:688-699.
7.
DuclosC.W.EichlerM.TaylorL.Patient perspectives of patient–provider communication after adverse eventsInt J Qual Health Care172005479–486Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care 2005;17:479-486.
8.
ChiuY.C.What drives patients to sue doctors? The role of cultural factors in the pursuit of malpractice claims in TaiwanSoc Sci Med712010702–707Chiu YC. What drives patients to sue doctors? The role of cultural factors in the pursuit of malpractice claims in Taiwan. Soc Sci Med 2010;71:702-707.
9.
BismarkM.DauerE.PatersonR.StuddertD.Accountability sought by patients following adverse events from medical care: the New Zealand experienceCMAJ1752006889–894Bismark M, Dauer E, Paterson R, Studdert D. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ 2006;175:889-894.
10.
VincentC.YoungM.PhillipsA.Why do people sue doctors? A study of patients and relatives taking legal actionLancet34319941609–1613Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet 1994;343:1609-1613.
11.
FisherM.SchneiderP.Stroke and the law: principles and practiceStroke4520143141–3146Fisher M, Schneider P. Stroke and the law: principles and practice. Stroke 2014;45:3141-3146.
12.
MoffettP.MooreG.The standard of care: legal history and definitions: the bad and good newsWest J Emerg Med122011109–112Moffett P, Moore G. The standard of care: legal history and definitions: the bad and good news. West J Emerg Med 2011;12:109-112.
13.
SanbarS.WarnerJ.Medical malpractice overviewSanbarS.FirestoneM.FiscinaS.LeBlangT.WechtC.ZaremskiM. Legal Medicine 7th ed. 2007Mosby ElsevierPhiladelphia253–264
14.
KesslerD.P.Evaluating the medical malpractice system and options for reformJ Econ Perspect25201193–110Kessler DP. Evaluating the medical malpractice system and options for reform. J Econ Perspect 2011;25:93-110.
15.
FunakiB.Medical malpractice issues related to interventional radiology complicationsSemin Intervent Radiol32201561–64Funaki B. Medical malpractice issues related to interventional radiology complications. Semin Intervent Radiol 2015;32:61-64.
16.
OetgenW.J.ParikhP.D.CacchioneJ.G.Characteristics of medical professional liability claims in patients with cardiovascular diseasesAm J Cardiol1052010745–752Oetgen WJ, Parikh PD, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol 2010;105:745-752.
17.
Malpractice insurance: what you need to knowJ Oncol Pract32007274–277Malpractice insurance: what you need to know. J Oncol Pract 2007; 3:274-277.
18.
TeichmanP.G.BunchN.E.Depositions: defending your careFam Pract Manag8200134–36Teichman PG, Bunch NE. Depositions: defending your care. Fam Pract Manag 2001;8:34-36.
19.
Guidelines for expert witness testimony in medical malpractice litigation. Committee on Medical Liability. American Academy of PediatricsPediatrics1092002974–979Guidelines for expert witness testimony in medical malpractice litigation. Committee on Medical Liability. American Academy of Pediatrics. Pediatrics 2002;109:974-979.
20.
BalB.S.The expert witness in medical malpractice litigationClin Orthop Relat Res4672009383–391Bal BS. The expert witness in medical malpractice litigation. Clin Orthop Relat Res 2009;467:383-391.
21.
LocalioA.R.LawthersA.G.BrennanT.A.Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study IIIN Engl J Med3251991245–251Localio AR, Lawthers AG, Brennan TA, et al. Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. N Engl J Med 1991;325:245-251.
22.
United States Code ServiceFederal Rules of Evidence. Article VII. Opinions and Expert Testimony. 2008Matthew BenderNew York, NY
23.
KreimerS.Managing risk: how to prevent patient injury and avoid lawsuitsMed Econ90201346–49Kreimer S. Managing risk: how to prevent patient injury and avoid lawsuits. Med Econ 2013;90:46-49.
24.
SaittaN.HodgeS.D.Efficacy of a physician's words of empathy: an overview of state apology lawsJ Am Osteopath Assoc1122012302–306Saitta N, Hodge SD. Efficacy of a physician's words of empathy: an overview of state apology laws. J Am Osteopath Assoc 2012;112:302-306.
25.
CarrafielloG.FloridiC.PellegrinoC.Errors and malpractice in interventional radiologySemin Ultrasound CT MR332012371–375Carrafiello G, Floridi C, Pellegrino C, et al. Errors and malpractice in interventional radiology. Semin Ultrasound CT MR 2012;33:371-375.
26.
RipleyB.A.TiffanyD.LehmannL.S.Improving the informed consent conversation: a standardized checklist that is patient centered, quality driven, and legally soundJ Vasc Interv Radiol2620151639–1646Ripley BA, Tiffany D, Lehmann LS, et al. Improving the informed consent conversation: a standardized checklist that is patient centered, quality driven, and legally sound. J Vasc Interv Radiol 2015;26:1639-1646.
27.
RequarthJ.A.Informed consent challenges in frail, delirious, demented, and do-not-resuscitate adult patientsJ Vasc Interv Radiol2620151647–1651Requarth JA. Informed consent challenges in frail, delirious, demented, and do-not-resuscitate adult patients. J Vasc Interv Radiol 2015;26:1647-1651.
28.
AbaunzaH.RomerK.Elements for adequate informed consent in the surgical contextWorld J Surg3820141594–1604Abaunza H, Romer K. Elements for adequate informed consent in the surgical context. World J Surg 2014;38:1594-1604.
CannavaleA.SantoniM.MancarellaP.Malpractice in radiology: what should you worry about?Radiol Res Pract20132013219259Cannavale A, Santoni M, Mancarella P, et al. Malpractice in radiology: what should you worry about? Radiol Res Pract 2013;2013:219259.
RehmS.J.BordenB.L.The emotional impact of a malpractice suit on physicians: maintaining resilienceCleve Clin J Med832016177–178Rehm SJ, Borden BL. The emotional impact of a malpractice suit on physicians: maintaining resilience. Cleve Clin J Med 2016;83:177-178.
SmithJ.E.StearnsT.H.MusgroveJ.Malpractice insurance considerations for employed physiciansMed Econ92201548–50Smith JE, et al. Malpractice insurance considerations for employed physicians. Medical Economics 2015;92:48,50.
