Neurological negligence claims in the NHS from 1995 to 2005.

摘要: The objective of this study was to review available data on negligence claims for neurological disease treated by National Health Service (NHS) clinicians in England and Wales. The design a retrospective the NHS Litigation Authority (NHSLA) database, which holds against from 1995 2005. This database searched retrieve abstracts concerning all specialities. Abstracts were systematically reviewed extract following information: speciality clinician, pathology involved, misadventure, patient injury value claim. A complete set 559 cases. chi-squared test used investigate differences between neurologists/neurosurgeons non-specialists. The most frequently cited neurosurgery (241) followed neurology (172). Non-neurologists non-neurosurgeons defendant 146 cases, predominantly general physicians (42), orthopaedic surgeons (39) emergency (33). common pathologies intervertebral disc (27%), CNS tumours (21%), infection (11%) subarachnoid haemorrhage (9%). frequent misadventure diagnostic error (44%). In 47% cases major permanent (e.g. blindness, hemiplegia) resulted misadventure. died 17% total cost closed £37 million (2% expenditure medical surgical specialities over 2005). This is first systematic treatment disorders UK. prominence highlights need early assessment neurologists prompt use neuroimaging during acute phase.