Failures in testing processes account for over 50% of diagnosis-related claims

Failures in ordering, performing, receiving/transmitting and interpreting test results accounted for over half of diagnosis-related malpractice claims, according to a report published by Coverys, a medical liability insurance company.

Advertisement

The report analyzed the causes of diagnosis-related claims based on an analysis of 10,618 closed medical professional liability claims at Coverys from 2013-17.

Here are four findings from the report. 

1. Diagnosis-related events accounted for 33 percent of medical professional liability claims and 47 percent of indemnity payments.

2. Out of the 3,466 closed claims with diagnosis-related allegations during the report’s five-year period, claims involving cancer were the most prevalent (27 percent), followed by infections (13 percent), cardiac/vascular conditions (8 percent), fractures/dislocations (5 percent) and myocardial infarctions (4 percent).

3. The report revealed most diagnostic errors take place in outpatient settings, with 35 percent of diagnostic errors occurring in non-emergency department outpatient settings, such as physicians’ offices or clinics. Twenty-four percent of diagnosis-related claims took place in the ED and urgent care facilities.

4. When examining claims by provider type, the majority of diagnosis-related claims came from general medicine (24 percent) and hospital/facility-related claims (19 percent), followed by radiology (14 percent), medical subspecialties such as neurology and gastroenterology (11 percent) and emergency medicine (11 percent).

More articles on healthcare finance: 
New Jersey governor throws support behind reform to address surprise out-of-network charges: 5 things to know
CEO of Kansas safety-net clinic suspended after audit
CHS hires debt advisers: 4 things to know

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.