Publication

Trend analysis of emergency department malpractice claims in the Netherlands: a retrospective cohort analysis

Wansink, L., Kuypers, M. I., Boeije, T., van den Brand, C. L., de Waal, M., Holkenborg, J. & Ter Avest, E., 1-Sep-2018, In : European journal of emergency medicine. 6 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Wansink, L., Kuypers, M. I., Boeije, T., van den Brand, C. L., de Waal, M., Holkenborg, J., & Ter Avest, E. (2018). Trend analysis of emergency department malpractice claims in the Netherlands: a retrospective cohort analysis. European journal of emergency medicine. https://doi.org/10.1097/MEJ.0000000000000572

Author

Wansink, Luuk ; Kuypers, Maybritt I ; Boeije, Tom ; van den Brand, Crispijn L ; de Waal, Manon ; Holkenborg, Joris ; Ter Avest, Ewoud. / Trend analysis of emergency department malpractice claims in the Netherlands : a retrospective cohort analysis. In: European journal of emergency medicine. 2018.

Harvard

Wansink, L, Kuypers, MI, Boeije, T, van den Brand, CL, de Waal, M, Holkenborg, J & Ter Avest, E 2018, 'Trend analysis of emergency department malpractice claims in the Netherlands: a retrospective cohort analysis', European journal of emergency medicine. https://doi.org/10.1097/MEJ.0000000000000572

Standard

Trend analysis of emergency department malpractice claims in the Netherlands : a retrospective cohort analysis. / Wansink, Luuk; Kuypers, Maybritt I; Boeije, Tom; van den Brand, Crispijn L; de Waal, Manon; Holkenborg, Joris; Ter Avest, Ewoud.

In: European journal of emergency medicine, 01.09.2018.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Wansink L, Kuypers MI, Boeije T, van den Brand CL, de Waal M, Holkenborg J et al. Trend analysis of emergency department malpractice claims in the Netherlands: a retrospective cohort analysis. European journal of emergency medicine. 2018 Sep 1. https://doi.org/10.1097/MEJ.0000000000000572


BibTeX

@article{7f24dc1029e04751a842986bcb025332,
title = "Trend analysis of emergency department malpractice claims in the Netherlands: a retrospective cohort analysis",
abstract = "BACKGROUND: Over the past two decades, several quality improvement projects have been implemented in emergency departments (EDs) in the Netherlands, one of these being the training and deployment of emergency physicians. In this study we aim to perform a trend analysis of ED quality of care in Dutch hospitals, as measured by the incidence of medical malpractice claims.PATIENTS AND METHODS: We performed a multicentre retrospective cohort study of malpractice claims in five Dutch EDs over the period 1998-2014. Incidence risk ratios were calculated to demonstrate any relation of specific quality improvement initiatives with the primary outcome, defined as the number of claims per 10 000 ED visits per year.RESULTS: During the study period, the cumulative number of ED visits increased significantly from 99 145 in 1998 to 162 490 in 2014 (P<0.01). In total, 228 of 2 348 417 ED visits (0.97/10 000) resulted in a malpractice claim. At the same time, the yearly number of ED claims filed decreased with 0.07 (0.03-0.10) per 10 000 each year. The claim rate was higher in the period before emergency physicians were employed in the ED [1.18 (0.98-1.41) claims per 10 000 visits] compared with the period after they were employed [0.81 (0.67-0.97), incidence risk ratio 0.69 (0.53-0.89), P<0.01].CONCLUSION: Even though the number of ED visits increased significantly over the past two decades, the number of malpractice claims filed after an ED visit decreased. Various quality improvement initiatives, including the training and employment of emergency physicians, may have contributed to the observed decrease in claims.",
author = "Luuk Wansink and Kuypers, {Maybritt I} and Tom Boeije and {van den Brand}, {Crispijn L} and {de Waal}, Manon and Joris Holkenborg and {Ter Avest}, Ewoud",
year = "2018",
month = "9",
day = "1",
doi = "10.1097/MEJ.0000000000000572",
language = "English",
journal = "European journal of emergency medicine",
issn = "0969-9546",
publisher = "LIPPINCOTT WILLIAMS & WILKINS",

}

RIS

TY - JOUR

T1 - Trend analysis of emergency department malpractice claims in the Netherlands

T2 - a retrospective cohort analysis

AU - Wansink, Luuk

AU - Kuypers, Maybritt I

AU - Boeije, Tom

AU - van den Brand, Crispijn L

AU - de Waal, Manon

AU - Holkenborg, Joris

AU - Ter Avest, Ewoud

PY - 2018/9/1

Y1 - 2018/9/1

N2 - BACKGROUND: Over the past two decades, several quality improvement projects have been implemented in emergency departments (EDs) in the Netherlands, one of these being the training and deployment of emergency physicians. In this study we aim to perform a trend analysis of ED quality of care in Dutch hospitals, as measured by the incidence of medical malpractice claims.PATIENTS AND METHODS: We performed a multicentre retrospective cohort study of malpractice claims in five Dutch EDs over the period 1998-2014. Incidence risk ratios were calculated to demonstrate any relation of specific quality improvement initiatives with the primary outcome, defined as the number of claims per 10 000 ED visits per year.RESULTS: During the study period, the cumulative number of ED visits increased significantly from 99 145 in 1998 to 162 490 in 2014 (P<0.01). In total, 228 of 2 348 417 ED visits (0.97/10 000) resulted in a malpractice claim. At the same time, the yearly number of ED claims filed decreased with 0.07 (0.03-0.10) per 10 000 each year. The claim rate was higher in the period before emergency physicians were employed in the ED [1.18 (0.98-1.41) claims per 10 000 visits] compared with the period after they were employed [0.81 (0.67-0.97), incidence risk ratio 0.69 (0.53-0.89), P<0.01].CONCLUSION: Even though the number of ED visits increased significantly over the past two decades, the number of malpractice claims filed after an ED visit decreased. Various quality improvement initiatives, including the training and employment of emergency physicians, may have contributed to the observed decrease in claims.

AB - BACKGROUND: Over the past two decades, several quality improvement projects have been implemented in emergency departments (EDs) in the Netherlands, one of these being the training and deployment of emergency physicians. In this study we aim to perform a trend analysis of ED quality of care in Dutch hospitals, as measured by the incidence of medical malpractice claims.PATIENTS AND METHODS: We performed a multicentre retrospective cohort study of malpractice claims in five Dutch EDs over the period 1998-2014. Incidence risk ratios were calculated to demonstrate any relation of specific quality improvement initiatives with the primary outcome, defined as the number of claims per 10 000 ED visits per year.RESULTS: During the study period, the cumulative number of ED visits increased significantly from 99 145 in 1998 to 162 490 in 2014 (P<0.01). In total, 228 of 2 348 417 ED visits (0.97/10 000) resulted in a malpractice claim. At the same time, the yearly number of ED claims filed decreased with 0.07 (0.03-0.10) per 10 000 each year. The claim rate was higher in the period before emergency physicians were employed in the ED [1.18 (0.98-1.41) claims per 10 000 visits] compared with the period after they were employed [0.81 (0.67-0.97), incidence risk ratio 0.69 (0.53-0.89), P<0.01].CONCLUSION: Even though the number of ED visits increased significantly over the past two decades, the number of malpractice claims filed after an ED visit decreased. Various quality improvement initiatives, including the training and employment of emergency physicians, may have contributed to the observed decrease in claims.

U2 - 10.1097/MEJ.0000000000000572

DO - 10.1097/MEJ.0000000000000572

M3 - Article

JO - European journal of emergency medicine

JF - European journal of emergency medicine

SN - 0969-9546

ER -

ID: 79454945