Trial and error: learning from malpractice claims in childhood surgery.

James M Prieto; Bianca Falcone; Penny Greenberg; Alicia G Sykes; William B Sisson; Kenneth W Gow; Romeo C Ignacio

Study

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Prieto JM, Falcone B, Greenberg P, et al. J Surg Res. 2022;279:84-88.

View more articles from the same authors.

Hospitalized children are vulnerable to patient safety risks. Using a large malpractice claims database, researchers found that a wide range of pediatric surgical specialties – including orthopedics, general surgery, and otolaryngology – are most frequently associated with malpractice lawsuits. The study identified several potentially modifiable factors (i.e., patient evaluations, technical performance, and communication) that can lead to improvements in pediatric surgical safety.

PubMed citation

Available at

Related Resources From the Same Author(s)

Crisis recovery in surgery: error management and problem solving in safety-critical situations.

September 14, 2022

Intraoperative deaths: who, why, and can we prevent them?

March 9, 2022

Malpractice cases in breast surgery: an assessment of litigation involving surgeons.

December 1, 2021

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.

March 2, 2022

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

Variation in the reporting of elective surgeries and its influence on patient safety indicators.

July 6, 2022

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Mortality due to hospital-acquired infection after cardiac surgery.

June 1, 2022

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences.

September 22, 2021

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

Surgical fire in the United States: 2000-2020.

March 15, 2023

Crisis preparedness: a systems-based framework for avoiding harm in surgery.

November 30, 2022

The deterrent effect of tort law: evidence from medical malpractice reform.

September 28, 2022

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

Adverse event reporting priorities: an integrative review.

June 29, 2022

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

Non-technical skills in surgery during the COVID-19 pandemic: an observational study.

March 9, 2022

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care.

May 11, 2022

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.

January 18, 2023

Beyond communication: the role of standardized protocols in a changing health care environment.

January 11, 2012

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.

August 26, 2020

Implementation of participatory organizational change in long term care to improve safety.

September 1, 2021

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Six major steps to make investigations of suicide valuable for learning and prevention.

November 2, 2022

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.

February 8, 2023

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

State medical board regulation of compounding in physician offices.

June 9, 2021

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.

July 20, 2022

Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.

October 5, 2022

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs.

July 21, 2021

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction.

January 25, 2023

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.

July 13, 2022

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery.

March 15, 2023

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?

June 8, 2022

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis.

March 10, 2021

Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice.

July 13, 2022

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Communication disparities between nursing home team members.

July 20, 2022

Psychometric properties of the perinatal missed care survey and missed care during labor and birth.

January 19, 2022

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs.

March 2, 2022

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Errors in surgery: a case control study.

December 14, 2022

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

Untenable expectations: nurses' work in the context of medication administration, error, and the organization.

February 1, 2023

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.

March 23, 2022

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Medication discrepancy rates and sources upon nursing home intake: a prospective study.

April 6, 2022

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Racial disparities in diagnostic delay among women with breast cancer.

August 18, 2021

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

Lessons from walking the medical distancing tightrope.

July 22, 2020

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement.

December 7, 2022

Diagnostic errors in paediatric cardiac intensive care.

February 21, 2018

Association of past and future paid medical malpractice claims.

March 1, 2023

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.

May 18, 2022

To err is human, but what happens when surgeons err?

September 28, 2022

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

Patient safety systems for case management.

March 27, 2005

Experience of learning from everyday work in daily safety huddles: a multi-method study.

September 14, 2022

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.

July 28, 2021

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

An observational study of postoperative handoff standardization failures.

June 23, 2021

Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.

November 16, 2022

Making safety training stickier: a richer model of safety training engagement and transfer.

September 15, 2021

Missing the near miss: recognizing valuable learning opportunities in radiation oncology.

December 16, 2020

Preventable closed claims in the AANA Foundation closed malpractice claims database.

February 12, 2020

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

A mixed-methods systematic review of interventions to address incivility in nursing.

July 15, 2020

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19.

July 22, 2020

Predictors of prescription errors involving anticancer chemotherapy agents.

February 15, 2012

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

Designing safety interventions for specific contexts: results from a literature review.

October 26, 2022

Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.

January 16, 2008

Related Resources

On Patient Safety.

November 7, 2023

WebM&M Cases

Delay in Malignancy Diagnosis Reflects Systemic Failures

October 31, 2023

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions.

October 18, 2023

Work system barriers and facilitators of a team health information technology.

September 13, 2023

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.

August 30, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Factors associated with diagnostic error: an analysis of closed medical malpractice claims.

April 19, 2023

Quality and Safety.

November 2, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.

September 21, 2022

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

WebM&M Cases

Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest

January 26, 2022

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.

January 19, 2022

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Patient Safety Innovations

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

September 29, 2021

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

Reducing surgical specimen errors through multidisciplinary quality improvement.

June 16, 2021

Supporting recovery after adverse events: an essential component of surgeon well-being.

February 10, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Race, postoperative complications, and death in apparently healthy children.

August 12, 2020

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

April 29, 2020

Preventable closed claims in the AANA Foundation closed malpractice claims database.

February 12, 2020

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.

January 15, 2020

Before mea culpa, Children’s was confident its air systems weren’t source of infection

December 11, 2019

Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

December 4, 2019

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

See More About The Topic

Operating Room

Children's Hospitals

Risk Managers

Quality and Safety Professionals

Orthopedic Surgery

Trial and error: learning from malpractice claims in childhood surgery.

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Trial and error: learning from malpractice claims in childhood surgery.

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site