TY  - JOUR
PY  - 2015//
TI  - Medical Professional Liability in Psychiatry
JO  - Actas espanolas de psiquiatria
A1  - Martin-Fumadó, Carles
A1  - Gómez-Durán, Esperanza L.
A1  - Rodríguez-Pazos, Manuel
A1  - Arimany-Manso, Josep
SP  - 205
EP  - 212
VL  - 43
IS  - 6
N2  - INTRODUCTION: The safety of patients and the risk of malpractice claims are overriding concerns in medicine and psychiatry. MATERIAL AND METHODS: Claims for alleged malpractice in psychiatry managed by the Council of Colleges of Physicians of Catalonia between 1986 and 2009 were analyzed to evaluate their clinical and legal characteristics. <br><br>RESULTS: Ninety-four malpractice claims were found in a 23-year period, mainly claims related to diagnosis (63.83%, including assessment of suicide risk) and the legal figure of serious professional negligence resulting in death (46.8%). Most claims were for hospital (62.77%), emergency (52.5%), and team (53.75%) care. The possible affected party was male (51.58%) with a mean age of 36.6 years. In one-half of the cases, the harm claimed was death. The cases involved 139 specialists, predominantly male (69.57%), with a mean age of 41 years, and of Spanish nationality (91.4%). The time between the medical act and the respective claim was 1.28 years and the time to resolution was 2.68 years. Most of the cases (77.66%) were processed through the courts. The outcome of the cases was filing or dismissal in 91 (95.77%), conviction in 2 (2.81%), and settlement in 1 (1.41%). <br><br>CONCLUSIONS: The cumulative incidence of 0.013 claims (1.35%) in 23 years suggests that there is a very low risk of lawsuits in psychiatry, with a similarly low rate of sentences of professional liability and awards for financial compensation. Specific actions could improve clinical safety, particularly in suicide risk assessment.<p />  <p>Language: en</p>
LA  - en
SN  - 1139-9287
UR  - http://dx.doi.org/
ID  - ref1
ER  -