Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.

<h4>Background</h4>Hemodialysis is a life-saving renal replacement treatment for patients with chronic kidney disease, but various complications occur during hemodialysis and associated procedures. This study was conducted to analyze the specific characteristics of hemodialysis-related c...

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Autores principales:	Ji Eun Kim, Shin Young Ahn, Soo Ick Cho, Young Joo Kwon, SuHwan Shin, Gang-Jee Ko
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e642a00efc6b4f5f801e8c4fa61914f3
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spelling	oai:doaj.org-article:e642a00efc6b4f5f801e8c4fa61914f32021-12-02T20:15:13ZMedical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.1932-620310.1371/journal.pone.0255020https://doaj.org/article/e642a00efc6b4f5f801e8c4fa61914f32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255020https://doaj.org/toc/1932-6203<h4>Background</h4>Hemodialysis is a life-saving renal replacement treatment for patients with chronic kidney disease, but various complications occur during hemodialysis and associated procedures. This study was conducted to analyze the specific characteristics of hemodialysis-related complications and malpractice that have led to legal disputes.<h4>Methods</h4>Judgments from cases litigated between 1991 and 2019 due to complications related to hemodialysis or vascular access were analyzed using the database of the Korean Supreme Court Judgment System.<h4>Results</h4>Of 32 dialysis-related litigation cases, 14 cases were dismissed and malpractice was recognized in 18 cases. Among all cases and those in which malpractice was recognized, the most common clinical complication was associated with central venous catheter (CVC) insertion (25.0% and 42.9%, respectively). In 22 of 32 (68.8%) cases, complications occurred before or after (not during) dialysis, and performance error was the most common clinical error leading to legal disputes (58.3%). Complications resulted in death in 59.4% of cases, and CVC-related complications were associated with the largest proportion (63.2%) of deaths.<h4>Conclusions</h4>Hemodialysis was implicated in various medical disputes, and CVC-related complications were the most common and serious adverse events. Clinicians' awareness of the incidence and severity of possible complications of hemodialysis procedures should be increased.Ji Eun KimShin Young AhnSoo Ick ChoYoung Joo KwonSuHwan ShinGang-Jee KoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255020 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ji Eun Kim Shin Young Ahn Soo Ick Cho Young Joo Kwon SuHwan Shin Gang-Jee Ko Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
description	<h4>Background</h4>Hemodialysis is a life-saving renal replacement treatment for patients with chronic kidney disease, but various complications occur during hemodialysis and associated procedures. This study was conducted to analyze the specific characteristics of hemodialysis-related complications and malpractice that have led to legal disputes.<h4>Methods</h4>Judgments from cases litigated between 1991 and 2019 due to complications related to hemodialysis or vascular access were analyzed using the database of the Korean Supreme Court Judgment System.<h4>Results</h4>Of 32 dialysis-related litigation cases, 14 cases were dismissed and malpractice was recognized in 18 cases. Among all cases and those in which malpractice was recognized, the most common clinical complication was associated with central venous catheter (CVC) insertion (25.0% and 42.9%, respectively). In 22 of 32 (68.8%) cases, complications occurred before or after (not during) dialysis, and performance error was the most common clinical error leading to legal disputes (58.3%). Complications resulted in death in 59.4% of cases, and CVC-related complications were associated with the largest proportion (63.2%) of deaths.<h4>Conclusions</h4>Hemodialysis was implicated in various medical disputes, and CVC-related complications were the most common and serious adverse events. Clinicians' awareness of the incidence and severity of possible complications of hemodialysis procedures should be increased.
format	article
author	Ji Eun Kim Shin Young Ahn Soo Ick Cho Young Joo Kwon SuHwan Shin Gang-Jee Ko
author_facet	Ji Eun Kim Shin Young Ahn Soo Ick Cho Young Joo Kwon SuHwan Shin Gang-Jee Ko
author_sort	Ji Eun Kim
title	Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
title_short	Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
title_full	Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
title_fullStr	Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
title_full_unstemmed	Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.
title_sort	medical malpractice related to dialysis and vascular access: an analysis of lawsuit judgements in south korea.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e642a00efc6b4f5f801e8c4fa61914f3
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Medical malpractice related to dialysis and vascular access: An analysis of lawsuit judgements in South Korea.

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