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The Use of Patient Satisfaction Surveys and Alternative Coding Procedures to Predict Malpractice Risk

Bibliographic Data

ID9100515
AuthorsFrancis Fullam (corresponding author), Andrew N Garman (0000-0001-6733-4951, Rush University, corresponding author), Tricia J Johnson (0000-0003-4768-0042, Rush University, corresponding author), E C Hedberg (0000-0003-0679-0720, University of Chicago)
Year2009
Volume47
Issue5
Pages553-559
Publication date2009-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3181923fd7
PMID19365294
OpenAlexW1985036670
LanguageEN
Citations received1
References cited27

PURPOSE: Because costs associated with malpractice litigation draw substantial resources away from patient care, many health care organizations are seeking efficient methods to manage these risks. The purpose of this study was to identify methods by which commonly available patient satisfaction indicators could be used to identify potential malpractice litigation risks. SUBJECT AND METHODS: Using data from the risk management department of a large academic medical center, we combined yearly administrative records from 1998 to 2006 of malpractice-related litigation activity, with patient satisfaction scores related to attending physicians. We then applied 3 approaches to code patient satisfaction for each year: (1) calculating the overall mean, (2) assigning tertiles, and (3) identifying the minimum satisfaction response to any question. We then estimated 3 versions of random-effect logit models to examine which estimators predicted whether an attending physician was named in a lawsuit in a given year. RESULTS: Minimum satisfaction score was significantly associated with malpractice activity; the other analytic approaches did not yield significant associations. Although patient satisfaction explained little variation in an individual physician's contribution to malpractice risk, accounting for the minimum score explained more than a quarter of a department's contribution. CONCLUSIONS: Findings suggest that minimum satisfaction score may provide a useful metric for identifying and prioritizing malpractice risks

Actuarial science · Business · Coding (social sciences) · Family medicine · Health care · Lawsuit · Logistic regression · Malpractice · Medical emergency · Medical malpractice · Metric (unit) · Patient satisfaction · Statistics · Healthcare Policy and Management · Marketing · Medical Malpractice and Liability Issues · Medicine · Nursing · Patient Safety and Medication Errors · Psychology

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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