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dc.contributor.authorTabner, Andrew
dc.contributor.authorTilbury, Nicholas
dc.contributor.authorJones, Michael
dc.contributor.authorFakis, Apostolos
dc.contributor.authorEvans, Nicola
dc.contributor.authorJohnson, Graham
dc.date.accessioned2022-03-16T15:54:58Z
dc.date.available2022-03-16T15:54:58Z
dc.identifier.citationMed Leg J. 2022 Feb 14:258172211057000. doi: 10.1177/00258172211057000. Online ahead of print.en_US
dc.identifier.urihttp://hdl.handle.net/20.500.12904/15278
dc.description.abstractThe objectives of this study are to examine trends in litigation related to emergency department care within the NHS. The study is based on retrospective database analysis. NHS Resolution databases of litigation activity pertaining to Type I emergency departments within the NHS are used. The main outcome measures were number of claims, number of successful claims, costs associated with litigation and costs per claim, all in comparison to patterns of ED attendance numbers and inflation. The results showed that the annual cost of litigation relating to emergency department care within the NHS has increased from £25.5 million in 2005/6 to £161.9 million in 2017/18. Mean cost per claim has increased from £58,252 in 2005/6 to £168,966 in 2017/18. The number of claims received has increased significantly; the proportion of these which were successful has remained constant. Therefore, it was concluded that the costs of litigation are increasing disproportionately to inflation and attendance numbers. Multiple potential causes are discussed, with significant implications for clinical practice.
dc.language.isoenen_US
dc.subjectEmergency Medicineen_US
dc.subjectEmergency Departmenten_US
dc.subjectLitigationen_US
dc.titleTrends in emergency department litigation within the NHS: a retrospective database analysis.en_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecordDOI: 10.1177/00258172211057000en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2022-02
html.description.abstractThe objectives of this study are to examine trends in litigation related to emergency department care within the NHS. The study is based on retrospective database analysis. NHS Resolution databases of litigation activity pertaining to Type I emergency departments within the NHS are used. The main outcome measures were number of claims, number of successful claims, costs associated with litigation and costs per claim, all in comparison to patterns of ED attendance numbers and inflation. The results showed that the annual cost of litigation relating to emergency department care within the NHS has increased from £25.5 million in 2005/6 to £161.9 million in 2017/18. Mean cost per claim has increased from £58,252 in 2005/6 to £168,966 in 2017/18. The number of claims received has increased significantly; the proportion of these which were successful has remained constant. Therefore, it was concluded that the costs of litigation are increasing disproportionately to inflation and attendance numbers. Multiple potential causes are discussed, with significant implications for clinical practice.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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