Injuries as a result of treatment of tibial fractures in children: Claims for compensation submitted to the Patient Insurance Center in Finland
Background and purpose Tibial fractures comprise 10% of all fractures in children. To our knowledge there have been no previous reports of treatment injuries in these fractures. We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine...
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Veröffentlicht in: | Acta orthopaedica 2009, Vol.80 (1), p.78-82 |
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description | Background and purpose Tibial fractures comprise 10% of all fractures in children. To our knowledge there have been no previous reports of treatment injuries in these fractures. We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine preventable causes of treatment injuries.
Material and methods In Finland, the Patient Insurance Center (PIC) provides financial compensation for patients who have sustained an injury in connection with medical treatment or operation. We retrospectively analyzed all claims for compensation arising from treatment of tibial fractures in children that had been received by the PIC between 1997 and 2004. The mode of treatment, complications, and permanent sequelae were assessed. We also estimated the number of avoidable treatment injuries.
Results and interpretation The PIC received 50 claims for compensation during the 8-year study period. The claims were based on the following issues: pain, incorrect diagnosis and treatment, permanent disability, extra treatment expenses, inappropriate behavior of the medical personnel, and loss of income of the parents. 35/50 claims had received compensation, of which 32 were related to the treatment and 3 to infections. The treatment injuries that had led to compensation comprised a delay in diagnosis and treatment in 15 patients, inappropriate casting in 9, inappropriate operative treatment in 5, and other causes in 3 patients. An unsatisfactory standard of treatment and missed diagnosis were the most common reasons for compensation. In restrospect, all but 1 of the 35 injuries that had led to compensation were considered to be avoidable. |
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Material and methods In Finland, the Patient Insurance Center (PIC) provides financial compensation for patients who have sustained an injury in connection with medical treatment or operation. We retrospectively analyzed all claims for compensation arising from treatment of tibial fractures in children that had been received by the PIC between 1997 and 2004. The mode of treatment, complications, and permanent sequelae were assessed. We also estimated the number of avoidable treatment injuries.
Results and interpretation The PIC received 50 claims for compensation during the 8-year study period. The claims were based on the following issues: pain, incorrect diagnosis and treatment, permanent disability, extra treatment expenses, inappropriate behavior of the medical personnel, and loss of income of the parents. 35/50 claims had received compensation, of which 32 were related to the treatment and 3 to infections. The treatment injuries that had led to compensation comprised a delay in diagnosis and treatment in 15 patients, inappropriate casting in 9, inappropriate operative treatment in 5, and other causes in 3 patients. An unsatisfactory standard of treatment and missed diagnosis were the most common reasons for compensation. In restrospect, all but 1 of the 35 injuries that had led to compensation were considered to be avoidable.</description><identifier>ISSN: 1745-3674</identifier><identifier>EISSN: 1745-3682</identifier><identifier>DOI: 10.1080/17453670902805080</identifier><identifier>PMID: 19297789</identifier><language>eng</language><publisher>Basingstoke: Taylor & Francis</publisher><subject><![CDATA[Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Diagnostic Errors - legislation & jurisprudence ; Diagnostic Errors - statistics & numerical data ; Diseases of the osteoarticular system ; Female ; Finland ; Fracture Fixation - adverse effects ; Fracture Fixation - standards ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - standards ; Humans ; Iatrogenic Disease ; Injuries of the limb. Injuries of the spine ; Insurance Claim Review - legislation & jurisprudence ; Insurance Claim Review - statistics & numerical data ; Male ; Malpractice - legislation & jurisprudence ; Malpractice - statistics & numerical data ; Medical Errors - legislation & jurisprudence ; Medical Errors - statistics & numerical data ; Medical sciences ; Quality Assurance, Health Care ; Retrospective Studies ; Tibial Fractures - diagnosis ; Tibial Fractures - surgery ; Traumas. Diseases due to physical agents]]></subject><ispartof>Acta orthopaedica, 2009, Vol.80 (1), p.78-82</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright: © Nordic Orthopedic Federation 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3276-9fc9ad20179f58c89101ade9328612962de9ddf3c61710d615ef7e8c9021cf443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823237/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823237/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21257611$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19297789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palmu, Sauli</creatorcontrib><creatorcontrib>Paukku, Reijo</creatorcontrib><creatorcontrib>Mäyränpää, Mervi K</creatorcontrib><creatorcontrib>Peltonen, Jari</creatorcontrib><creatorcontrib>Nietosvaara, Yrjänä</creatorcontrib><title>Injuries as a result of treatment of tibial fractures in children: Claims for compensation submitted to the Patient Insurance Center in Finland</title><title>Acta orthopaedica</title><addtitle>Acta Orthop</addtitle><description>Background and purpose Tibial fractures comprise 10% of all fractures in children. To our knowledge there have been no previous reports of treatment injuries in these fractures. We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine preventable causes of treatment injuries.
Material and methods In Finland, the Patient Insurance Center (PIC) provides financial compensation for patients who have sustained an injury in connection with medical treatment or operation. We retrospectively analyzed all claims for compensation arising from treatment of tibial fractures in children that had been received by the PIC between 1997 and 2004. The mode of treatment, complications, and permanent sequelae were assessed. We also estimated the number of avoidable treatment injuries.
Results and interpretation The PIC received 50 claims for compensation during the 8-year study period. The claims were based on the following issues: pain, incorrect diagnosis and treatment, permanent disability, extra treatment expenses, inappropriate behavior of the medical personnel, and loss of income of the parents. 35/50 claims had received compensation, of which 32 were related to the treatment and 3 to infections. The treatment injuries that had led to compensation comprised a delay in diagnosis and treatment in 15 patients, inappropriate casting in 9, inappropriate operative treatment in 5, and other causes in 3 patients. An unsatisfactory standard of treatment and missed diagnosis were the most common reasons for compensation. In restrospect, all but 1 of the 35 injuries that had led to compensation were considered to be avoidable.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnostic Errors - legislation & jurisprudence</subject><subject>Diagnostic Errors - statistics & numerical data</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finland</subject><subject>Fracture Fixation - adverse effects</subject><subject>Fracture Fixation - standards</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - standards</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Insurance Claim Review - legislation & jurisprudence</subject><subject>Insurance Claim Review - statistics & numerical data</subject><subject>Male</subject><subject>Malpractice - legislation & jurisprudence</subject><subject>Malpractice - statistics & numerical data</subject><subject>Medical Errors - legislation & jurisprudence</subject><subject>Medical Errors - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Quality Assurance, Health Care</subject><subject>Retrospective Studies</subject><subject>Tibial Fractures - diagnosis</subject><subject>Tibial Fractures - surgery</subject><subject>Traumas. Diseases due to physical agents</subject><issn>1745-3674</issn><issn>1745-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kF1LBCEUhiWKdvv4Ad3E3NTdlkdnRoUIYukLFrqpa3EdLcMZN50p-vcZu21FBILH43NeX1-EDgCfAOb4FFhZ0ZphgQnHVe5soPFnb0JrTjbXNStHaCelZ4wpLwXeRiMQRDDGxRhd3HbPQ3QmFSqvIpo0-L4ItuijUX1ruuXBzZ3yhY1K90NmCtcV-sn5JppuD21Z5ZPZX-276OHq8n56M5ndXd9OL2YTTQmrJ8JqoRqCgQlbcc0FYFCNEZTwGoioSa6bxlJdAwPc1FAZywzX-W-gbVnSXXS-1F0M89Y0OluLystFdK2K7zIoJ3_fdO5JPoZXSTihhLIscLwSiOFlMKmXrUvaeK86E4Ykc5AlY4xmEJagjiGlaOz6EcDyM3j5J_g8c_jT3ffEKukMHK0AlbTyOcpOu7TmCJCK1QCZO1tyrrMhtuotRN_IXr37EL-G6P8-PgCjGZ28</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Palmu, Sauli</creator><creator>Paukku, Reijo</creator><creator>Mäyränpää, Mervi K</creator><creator>Peltonen, Jari</creator><creator>Nietosvaara, Yrjänä</creator><general>Taylor & Francis</general><general>Informa Healthcare</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2009</creationdate><title>Injuries as a result of treatment of tibial fractures in children</title><author>Palmu, Sauli ; Paukku, Reijo ; Mäyränpää, Mervi K ; Peltonen, Jari ; Nietosvaara, Yrjänä</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3276-9fc9ad20179f58c89101ade9328612962de9ddf3c61710d615ef7e8c9021cf443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnostic Errors - legislation & jurisprudence</topic><topic>Diagnostic Errors - statistics & numerical data</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finland</topic><topic>Fracture Fixation - adverse effects</topic><topic>Fracture Fixation - standards</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - standards</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Insurance Claim Review - legislation & jurisprudence</topic><topic>Insurance Claim Review - statistics & numerical data</topic><topic>Male</topic><topic>Malpractice - legislation & jurisprudence</topic><topic>Malpractice - statistics & numerical data</topic><topic>Medical Errors - legislation & jurisprudence</topic><topic>Medical Errors - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Quality Assurance, Health Care</topic><topic>Retrospective Studies</topic><topic>Tibial Fractures - diagnosis</topic><topic>Tibial Fractures - surgery</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmu, Sauli</creatorcontrib><creatorcontrib>Paukku, Reijo</creatorcontrib><creatorcontrib>Mäyränpää, Mervi K</creatorcontrib><creatorcontrib>Peltonen, Jari</creatorcontrib><creatorcontrib>Nietosvaara, Yrjänä</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta orthopaedica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmu, Sauli</au><au>Paukku, Reijo</au><au>Mäyränpää, Mervi K</au><au>Peltonen, Jari</au><au>Nietosvaara, Yrjänä</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Injuries as a result of treatment of tibial fractures in children: Claims for compensation submitted to the Patient Insurance Center in Finland</atitle><jtitle>Acta orthopaedica</jtitle><addtitle>Acta Orthop</addtitle><date>2009</date><risdate>2009</risdate><volume>80</volume><issue>1</issue><spage>78</spage><epage>82</epage><pages>78-82</pages><issn>1745-3674</issn><eissn>1745-3682</eissn><abstract>Background and purpose Tibial fractures comprise 10% of all fractures in children. To our knowledge there have been no previous reports of treatment injuries in these fractures. We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine preventable causes of treatment injuries.
Material and methods In Finland, the Patient Insurance Center (PIC) provides financial compensation for patients who have sustained an injury in connection with medical treatment or operation. We retrospectively analyzed all claims for compensation arising from treatment of tibial fractures in children that had been received by the PIC between 1997 and 2004. The mode of treatment, complications, and permanent sequelae were assessed. We also estimated the number of avoidable treatment injuries.
Results and interpretation The PIC received 50 claims for compensation during the 8-year study period. The claims were based on the following issues: pain, incorrect diagnosis and treatment, permanent disability, extra treatment expenses, inappropriate behavior of the medical personnel, and loss of income of the parents. 35/50 claims had received compensation, of which 32 were related to the treatment and 3 to infections. The treatment injuries that had led to compensation comprised a delay in diagnosis and treatment in 15 patients, inappropriate casting in 9, inappropriate operative treatment in 5, and other causes in 3 patients. An unsatisfactory standard of treatment and missed diagnosis were the most common reasons for compensation. In restrospect, all but 1 of the 35 injuries that had led to compensation were considered to be avoidable.</abstract><cop>Basingstoke</cop><pub>Taylor & Francis</pub><pmid>19297789</pmid><doi>10.1080/17453670902805080</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Biological and medical sciences Child Child, Preschool Diagnostic Errors - legislation & jurisprudence Diagnostic Errors - statistics & numerical data Diseases of the osteoarticular system Female Finland Fracture Fixation - adverse effects Fracture Fixation - standards Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - standards Humans Iatrogenic Disease Injuries of the limb. Injuries of the spine Insurance Claim Review - legislation & jurisprudence Insurance Claim Review - statistics & numerical data Male Malpractice - legislation & jurisprudence Malpractice - statistics & numerical data Medical Errors - legislation & jurisprudence Medical Errors - statistics & numerical data Medical sciences Quality Assurance, Health Care Retrospective Studies Tibial Fractures - diagnosis Tibial Fractures - surgery Traumas. Diseases due to physical agents |
title | Injuries as a result of treatment of tibial fractures in children: Claims for compensation submitted to the Patient Insurance Center in Finland |
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