Well Leg Compartment Syndrome After Abdominal Surgery.

Background: Well leg compartment syndrome (WLCS) is a complication to abdominal surgery. We aimed to identify risk factors for and outcome of WLCS in Denmark and literature.

Methods: Prospectively collected claims to the Danish Patient Compensation Association (DPCA) concerning WLCS after abdominal operations 1996-2013 and cases in literature 1970-2013 were evaluated.

Severe and fatal obstetric injury claims in relation to labor unit volume.

Objective: To assess possible association between the incidence of approved claims for severe and fatal obstetric injuries and delivery volume in Denmark.

Design And Setting: A nationwide panel study of labor units.

Population: Claimants seeking financial compensation due to injuries occurring in labor units in 1995-2012.

Doctor's delay in diagnosis of slipped capital femoral epiphysis.

Introduction: Slipped capital femoral epiphysis (SCFE) is one of the most common hip disorders in the adolescent child. The primary treatment is acute epiphysiodesis. Diffuse symptomology seems to delay diagnosis and delayed treatment entails a risk of complications.

The size of the labor wards: is bigger better when it comes to patient safety?

Objective: To assess possible associations between the size of labor units and the frequency of approved obstetric claims.

Design: A nationwide retrospective descriptive study.

Setting: Denmark.

Psychiatric claims to the Danish Patient Insurance Association have low recognition percentages.

Introduction: Since 1992 the Danish Patient Insurance Association (DPIA) has been receiving claims from patients who had suffered an injury during examination or treatment in Danish healthcare. We have presently collected more than 85,000 patient cases in our database, which we make accessible to research that can promote patient safety. We now want to draw attention to conditions that mainly apply to patients with mental disorders.

Analysis of deaths among children in the period 1996-2008 from closed claims registered by the Danish Patient Insurance Association.

Aim:   We investigated the death circumstances among children in the Danish healthcare system by analysing closed claims.

Methods:   This retrospective study investigated closed claims with regard to medically related deaths registered by the Danish Patient Insurance Association.

Results:   From 1996 to 2008, 45 953 claims were made to the Danish Patient Insurance Association (DPIA) covering all medical specialties.

Poor agreement between data from the National Patient Registry and the Danish Patient Insurance Association.

Introduction: Septic arthritis after knee arthroscopy requires in-patient treatment and should thus be reported to the National Patient Registry (NPR). It also meets the requirements for financial compensation if claimed to the Danish Patient Insurance Association (DPIA). The aim of this study was to assess data from the two independent data sources, the NPR and DPIA, with a view to comparing the registration of septic arthritis after knee arthroscopy.

Analysis of 136 ureteral injuries in gynecological and obstetrical surgery from completed insurance claims.

Objective: Iatrogenic ureteral injury during pelvic surgical procedures is a well-known complication and important cause of morbidity. The authors investigated the circumstances surrounding registered ureteral injuries in order to identify potential opportunities to prevent such injuries.

Design: Evaluation of claims concerning ureteral injuries reported to the Danish Patient Insurance Association.

[Hypoxic brain injuries notified to the Danish Patient Insurance Association during 1992-2004. Secondary publication].

We investigated the files of the Danish Patient Insurance Association for newborns suffering from hypoxic brain injuries. From 1992 to 2004, a total of 127 approved claims concerning peripartum hypoxic injury were registered. Thirty-eight newborns died and the majority of the 89 surviving children suffered major handicaps, primarily cerebral palsy.

[Pulmonary embolism with lethal outcome and claims to the Danish Patient Insurance Association].

Introduction: Venous thromboembolism can be prevented or treated by a variety of methods. Thrombosis may be prevented with drugs or by mechanical means in the exposed groups, and fully-developed thrombosis or embolism may be treated by thrombolysis or thrombectomy/embolectomy.

Materials And Methods: Pulmonary embolism (PE) with lethal outcome was the cause of five claims to the Danish Patient Insurance Association (DPIA) over five years (1996-2000).

[Mediastinitis following cardiac surgery. Patient insurance reports].

Introduction: Mediastinitis in cardiac surgery is a well-known complication associated with high morbidity, invalidity, and mortality. Since the establishment by law of patients insurance in Denmark 1992, it has been possible to get compensation in some instances.

Materials And Methods: During a period of 8 years (1996-2003) 30 cases of mediastinitis were reported to the Danish Patient Insurance Association (DPIA).

Analysis of 127 peripartum hypoxic brain injuries from closed claims registered by the Danish Patient Insurance Association.

Background: One of the most feared complications in medicine is hypoxic brain damage to a newborn. The authors investigated the circumstances of registered peripartum hypoxic brain injuries in order to identify potential opportunities to improve patient safety and prevent injuries.

Methods: The authors retrospectively investigated peripartum hypoxic brain injuries registered by the Danish Patient Insurance Association.

[Closed claims analysis of deaths related to anesthesia in the period 1996-2004 registered by the Danish Patient Insurance Association].

We investigated the Danish Patient Insurance Association's files on patients registered as dead after a complication to anaesthesia. In 24 cases the patient's death was considered to result from the anesthetic procedure: six deaths were related to airway or ventilation management, four to central venous catheter placement, four as a result of medication errors, four from infusion pump problems and four after complications from regional blockades. Severe hemorrhage caused one death, and in one case the cause was uncertain.

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

Background: Anesthesia is associated with complications, and some of them may be fatal. The authors investigated the circumstances under which deaths were associated with anesthesia. In Denmark, the specialty anesthesiology encompasses emergency medicine, chronic and acute pain medicine, anesthetic procedures, perioperative care medicine, and intensive care medicine.

[Patient injuries in response to anaesthetic procedures: cases evaluated by the Danish Patient Insurance Association--secondary publication].

We investigated the Danish Patient Insurance Association files of patients, who were given financial compensation, because of an injury caused by an anaesthetic procedure. In the six-year-period 1996-2002, 374 patients were compensated in total 8.0 million euros for an injury caused by an anaesthetic procedure.