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Radiologists overestimate their overall risk of malpractice lawsuits in breast imaging
February 03, 2009Radiologists who work in breast imaging tend to overestimate their actual risk of medical malpractice lawsuits, according to a study performed at the University of Washington School of Public Health and Community Medicine in Seattle, WA.
The study included two separate surveys, one in 2002 and one in 2006 that asked radiologists in diverse regions of the US two questions: Have you ever had a previous malpractice claim related to mammography? And what do you think is your future probability of being sued in the next five years? Results showed that "the radiologist's median estimate for the likelihood of being sued was four times higher than their actual risk," said Joann G. Elmore, MD, lead author of the study. In 2002, a radiologist's perceived risk of being sued in the next five years was 41% and in 2006 was 35%. The actual percentage of radiologists who reported malpractice claims five years prior to 2002 was 8% and the actual percentage of radiologists who reported malpractice claims five years prior to the 2006 survey was 10%. "Their perception of risk is much higher than the reported reality," she said.
"Failure to detect breast cancer has been the leading cause of medical malpractice lawsuits. Malpractice litigation has a direct effect on healthcare delivery in the US and ultimately may influence the way we practice medicine," said Dr. Elmore. "Under such circumstances, doctors are turning to defensive medicine, where we order more tests to make certain we aren't missing something," she said.
Workforce shortages in breast imaging may also be considered the result of a physician's perceived risk of malpractice lawsuits. "We have seen fewer residents interested in going into breast imaging, partially because of their perceived risk of being sued," said Dr. Elmore.
American Roentgen Ray Society
Workforce shortages in breast imaging may also be considered the result of a physician's perceived risk of malpractice lawsuits. "We have seen fewer residents interested in going into breast imaging, partially because of their perceived risk of being sued," said Dr. Elmore.
American Roentgen Ray Society
Malpractice Current Events and Malpractice News RSSDiscussing adverse events with patients improves how they rate their hospital care
A survey of patients had who experienced some sort of adverse event during their hospitalization found that, although caregivers discussed the event with patients less than half the time, those patients to whom the adverse event had been disclosed rated the quality of their care higher than did patients whose caregivers did not address the problem.
Higher health insurance costs force doctors to talk about money with patients
As health insurers require people to base more treatment decisions on out-of-pocket costs, physicians should learn to talk to patients about money, according to researchers at Wake Forest University School of Medicine.
How many scientists fabricate and falsify research?
It's a long-standing and crucial question that, as yet, remains unanswered: just how common is scientific misconduct? In the online, open-access journal PLoS ONE, Daniele Fanelli of the University of Edinburgh reports the first meta-analysis of surveys questioning scientists about their misbehaviours.
Treating drug-addicted doctors is good medicine
Doctors who become addicted to alcohol and other drugs can be treated successfully and returned to medical practice with the help of special programs that couple referral to treatment and monitoring with rapid responses to noncompliance, University of Florida researchers report.
Electronic health records may lower malpractice settlements
Use of electronic health records (EHRs) may help reduce paid malpractice settlements for physicians, according to a new study.
A question of trust
Credit card firms and life insurance companies are the least trusted of all financial bodies in the UK, according to a unique new 'Trust Index' developed at The University of Nottingham by the Financial Services Research Forum.
Ruling out pulmonary embolism with a simple bedside protocol
Although clots in the lung (pulmonary embolism or PE) are the second-leading cause of sudden death in the United States, blood tests and ultrafast CT scanning to detect PE are being used on so many patients that over 90% of these tests are negative.
Study finds gap between practice, attitudes toward medical errors
When it comes to disclosing medical errors to patients, there is a gap between physicians' attitudes and their real-world experiences admitting such errors, according to a University of Iowa study.
A new focus for health care reform — realigning competition around patient value
The health care policy debate is stuck in a place that undermines physicians and the nation's health. The real problem is not cost, but value, according to an article in the March 14 issue of JAMA, a theme issue on access to care.
Older mothers more likely than younger mothers to deliver by Caesarean
Researchers funded by the National Institutes of Health have found that older mothers with normal, full-term pregnancies—particularly first-time older mothers—were more likely to undergo Caesarean delivery than were younger women with similarly low-risk pregnancies.
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