입원전담전문의로서 의료과실 분쟁을 피하기 위한 전략
Strategies to Reduce the Risk of Medical Malpractice Claims against Hospitalists
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초록
The hospitalist system has recently been implemented in Korea. Claims against hospitalists may become a new medicolegal issue, as the number of medical malpractice claims is increasing. Hospitalist medical malpractice cases frequently involve more severe patient injuries than those involving claims against other physicians, and these cases frequently involve errors in clinical judgment and communication. Doctor-patient relationship issues, poor communication skills, and physicians at high risk of malpractice claims are risk factors for medical malpractice claims against hospitalists. Strategies to lower the risk of medical malpractice claims against hospitalists include empathetic communication with patients, standardized handoffs or discharge summaries, direct and close communication with outpatient physicians, and timely referral and consultation. Hospitalists will soon have a significant impact on inpatient care in Korea.
Abstract
The hospitalist system has recently been implemented in Korea. Claims against hospitalists may become a new medicolegal issue, as the number of medical malpractice claims is increasing. Hospitalist medical malpractice cases frequently involve more severe patient injuries than those involving claims against other physicians, and these cases frequently involve errors in clinical judgment and communication. Doctor-patient relationship issues, poor communication skills, and physicians at high risk of malpractice claims are risk factors for medical malpractice claims against hospitalists. Strategies to lower the risk of medical malpractice claims against hospitalists include empathetic communication with patients, standardized handoffs or discharge summaries, direct and close communication with outpatient physicians, and timely referral and consultation. Hospitalists will soon have a significant impact on inpatient care in Korea.
참고문헌 (19)
- Seung Jun Han, "Comparisons of Clinical Outcomes between Weekday-Only and Full-Time, 24-Hour", 7-Day Coverage HospitalistSystems, 2020, pp.35(18), 1~7[DOI]
- 정윤빈, "A surgical hospitalist system in Korea: a preliminary study of the effects on hospital costs and postoperative outcomes", Annals of Surgical Treatment and Research, 100(5), pp.298~304 (2021), 대한외과학회
- Chae W, "Improved inpatient care through greater patient-doctor contact under the hospitalist management approach : a real-time assessment", Int J Environ Res Public Health, 18, pp.5718~ (2021)
- Kohn LT, "To err is human : building a safer health system" (2000), National Academy Press
- 이동필, "최근 의료분쟁 현황, 전망과 유의할 점", 대한내과학회지, 94(3), pp.231~236 (2019), 대한내과학회[DOI]
- Brennan TA, "Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I", N Engl J Med, 324, pp.370~376 (1991)
- Schaffer AC, "Rates and characteristics of paid malpractice claims among US physicians by specialty, 1992-2014", JAMA Intern Med, 177, pp.710~718 (2017)
- "Hospitalist closed claims study: an expert analysis of medical malpractice allegations" (2016)[URL]
- Localio AR, "Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III", N Engl J Med, 325, pp.245~251 (1991)
- Studdert DM, "Claims, errors, and compensation payments in medical malpractice litigation", N Engl J Med, 354, pp.2024~2033 (2006)
- Beckman HB, "Lessons from plaintiff depositions", Arch Intern Med, 154, pp.1365~1370 (1994)
- Levinson W, "Developing physician communication skills for patient-centered care", Health Aff(Millwood), 29, pp.1310~1318 (2010)
- Hickson GB, "Obstetricians'prior malpractice experience and patients' satisfaction with care", JAMA, 272, pp.1583~1587 (1994)
- Hickson GB, "Patient complaints and malpractice risk", JAMA, 287, pp.2951~2957 (2002)
- Stelfox HT, "The relation of patient satisfaction with complaints against physicians and malpractice lawsuits", Am J Med, 118, pp.1126~1133 (2005)
- McKean S, "Principles and Practice of Hospital Medicine" (2017), McGraw-Hill Medical
- Roy CL, "Patient safety concerns arising from test results that return after hospital discharge", Ann Intern Med, 143, pp.121~128 (2005)
- 신동호, "입원전담전문의 제도, 어디로 가야 하는가?", 대한내과학회지, 96(1), pp.1~6 (2021), 대한내과학회[DOI]
- Adams TN, "Hospitalist perspective of interactions with medicine subspecialty consult services", J Hosp Med, 13, pp.318~323 (2018)
