Medical malpractice in the management of small bowel obstruction: A 33-year review of case law

Asad J. Choudhry, Nadeem N. Haddad, Mariela Rivera, David S. Morris, Scott P. Zietlow, Henry J. Schiller, Donald H. Jenkins, Naadia M. Chowdhury, Martin D. Zielinski

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background Annually, 15% of practicing general surgeons face a malpractice claim. Small bowel obstruction accounts for 12–16% of all surgical admissions. Our objective was to analyze malpractice related to small bowel obstruction. Methods Using the search terms “medical malpractice” and “small bowel obstruction,” we searched through all jury verdicts and settlements for Westlaw. Information was collected on case demographics, alleged reasons for malpractice, and case outcomes. Results The search criteria yielded 359 initial case briefs; 156 met inclusion criteria. The most common reason for litigation was failure to diagnose and timely manage the small bowel obstruction (69%, n = 107). Overall, 54% (n = 84) of cases were decided in favor of the defendant (physician). Mortality was noted in 61% (n = 96) of cases. Eighty-six percent (42/49) of cases litigated as a result of failing to diagnose and manage the small bowel obstruction in a timely manner, resulting in patient mortality, had a verdict with an award payout for the plaintiff (patient). The median award payout was $1,136,220 (range, $29,575–$12,535,000). Conclusion A majority of malpractice cases were decided in favor of the defendants; however, cases with an award payout were costly. Timely intervention may prevent a substantial number of medical malpractice lawsuits in small bowel obstruction, arguing in favor of small bowel obstruction management protocols.

Original languageEnglish (US)
Pages (from-to)1017-1027
Number of pages11
JournalSurgery (United States)
Volume160
Issue number4
DOIs
StatePublished - Oct 1 2016

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losigame
Malpractice
Mortality
Jurisprudence
Demography
Physicians

ASJC Scopus subject areas

  • Surgery

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Choudhry, A. J., Haddad, N. N., Rivera, M., Morris, D. S., Zietlow, S. P., Schiller, H. J., ... Zielinski, M. D. (2016). Medical malpractice in the management of small bowel obstruction: A 33-year review of case law. Surgery (United States), 160(4), 1017-1027. https://doi.org/10.1016/j.surg.2016.06.031

Medical malpractice in the management of small bowel obstruction : A 33-year review of case law. / Choudhry, Asad J.; Haddad, Nadeem N.; Rivera, Mariela; Morris, David S.; Zietlow, Scott P.; Schiller, Henry J.; Jenkins, Donald H.; Chowdhury, Naadia M.; Zielinski, Martin D.

In: Surgery (United States), Vol. 160, No. 4, 01.10.2016, p. 1017-1027.

Research output: Contribution to journalArticle

Choudhry, AJ, Haddad, NN, Rivera, M, Morris, DS, Zietlow, SP, Schiller, HJ, Jenkins, DH, Chowdhury, NM & Zielinski, MD 2016, 'Medical malpractice in the management of small bowel obstruction: A 33-year review of case law', Surgery (United States), vol. 160, no. 4, pp. 1017-1027. https://doi.org/10.1016/j.surg.2016.06.031
Choudhry AJ, Haddad NN, Rivera M, Morris DS, Zietlow SP, Schiller HJ et al. Medical malpractice in the management of small bowel obstruction: A 33-year review of case law. Surgery (United States). 2016 Oct 1;160(4):1017-1027. https://doi.org/10.1016/j.surg.2016.06.031
Choudhry, Asad J. ; Haddad, Nadeem N. ; Rivera, Mariela ; Morris, David S. ; Zietlow, Scott P. ; Schiller, Henry J. ; Jenkins, Donald H. ; Chowdhury, Naadia M. ; Zielinski, Martin D. / Medical malpractice in the management of small bowel obstruction : A 33-year review of case law. In: Surgery (United States). 2016 ; Vol. 160, No. 4. pp. 1017-1027.
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abstract = "Background Annually, 15{\%} of practicing general surgeons face a malpractice claim. Small bowel obstruction accounts for 12–16{\%} of all surgical admissions. Our objective was to analyze malpractice related to small bowel obstruction. Methods Using the search terms “medical malpractice” and “small bowel obstruction,” we searched through all jury verdicts and settlements for Westlaw. Information was collected on case demographics, alleged reasons for malpractice, and case outcomes. Results The search criteria yielded 359 initial case briefs; 156 met inclusion criteria. The most common reason for litigation was failure to diagnose and timely manage the small bowel obstruction (69{\%}, n = 107). Overall, 54{\%} (n = 84) of cases were decided in favor of the defendant (physician). Mortality was noted in 61{\%} (n = 96) of cases. Eighty-six percent (42/49) of cases litigated as a result of failing to diagnose and manage the small bowel obstruction in a timely manner, resulting in patient mortality, had a verdict with an award payout for the plaintiff (patient). The median award payout was $1,136,220 (range, $29,575–$12,535,000). Conclusion A majority of malpractice cases were decided in favor of the defendants; however, cases with an award payout were costly. Timely intervention may prevent a substantial number of medical malpractice lawsuits in small bowel obstruction, arguing in favor of small bowel obstruction management protocols.",
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