Closed claim review from a single carrier in New York

The real costs of malpractice in surgery and factors that determine outcomes

Jeremy C. Zenilman, Michael A. Haskel, John McCabe, Michael E. Zenilman

Research output: Contribution to journalArticle

Abstract

Introduction: We postulated that a closed claim review of surgical cases would identify not only the quality of care elements but also factors that will predict successful legal outcomes. Methods: One hundred eighty-seven closed surgical cases from a single carrier, which insured physicians practicing in 4 university hospitals in New York State, were reviewed, cataloged, and analyzed. Results: Most suits occurred during midcareer and routine operations. Seventy-three percent of cases were won. The average payment and expenses per case were $220,846 ± $38,984 and $40,175 ± $4,204, respectively. Poor communication was identified in 24% of cases and was a predictor of a negative outcome (41% lost, P

Original languageEnglish (US)
Pages (from-to)733-740
Number of pages8
JournalAmerican Journal of Surgery
Volume203
Issue number6
DOIs
StatePublished - Jun 2012
Externally publishedYes

Fingerprint

Insurance Claim Review
Quality of Health Care
Malpractice
Communication
Physicians
Costs and Cost Analysis

Keywords

  • Attending supervision
  • Closed claim reviews
  • Communication
  • Expert witness
  • Medical malpractice
  • Surgical quality of care

ASJC Scopus subject areas

  • Surgery

Cite this

Closed claim review from a single carrier in New York : The real costs of malpractice in surgery and factors that determine outcomes. / Zenilman, Jeremy C.; Haskel, Michael A.; McCabe, John; Zenilman, Michael E.

In: American Journal of Surgery, Vol. 203, No. 6, 06.2012, p. 733-740.

Research output: Contribution to journalArticle

Zenilman, Jeremy C. ; Haskel, Michael A. ; McCabe, John ; Zenilman, Michael E. / Closed claim review from a single carrier in New York : The real costs of malpractice in surgery and factors that determine outcomes. In: American Journal of Surgery. 2012 ; Vol. 203, No. 6. pp. 733-740.
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