The medical liability climate and prospects for reform

JAMA - Journal of the American Medical Association

Volumn 312, Issue 20, 2014, Pages 2146-2155

  Mello, Michelle M ^a,b   Studdert, David M ^a,b   Kachalia, Allen ^c  

^a STANFORD LAW SCHOOL   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COMPENSATION; HEALTH ECONOMICS; HEALTH INSURANCE; HUMAN; LAW; LEGAL ASPECT; MALPRACTICE; MEDICAL ERROR; MEDICAL LIABILITY; REVIEW; UNITED STATES; COST; ECONOMICS; INSURANCE; LEGAL LIABILITY; RETROSPECTIVE STUDY; TRENDS;

COMPENSATION AND REDRESS; COSTS AND COST ANALYSIS; INSURANCE, LIABILITY; LIABILITY, LEGAL; MALPRACTICE; RETROSPECTIVE STUDIES; UNITED STATES;

EID: 84914127231     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2014.10705     Document Type: Review

References (89)

1. Hultgren R. No Republican alternatives to Obamacare? think again. Fox News website. http://www.foxnews.com/opinion/2014/04/03/whyam-co-sponsoring-save-american-workers-act. April 4, 2014. Accessed July 16, 2014.
2. American Medical Association. Physician Characteristics and Distribution in the US. Chicago, IL: American Medical Association; 1994-2013.
3. Bureau of Labor Statistics. Table 24. Historical consumer price index for all urban consumers (CPI-U): US city average, all items. In: CPI Detailed Report. http://www.bls.gov/cpi/cpid1309.pdf Published October 16, 2013. Accessed July 16, 2014.
4. Annual Rate Survey. Medical Liability Monitor. 2004;29(10):1-24.
5. Annual Rate Survey. Medical Liability Monitor. 2005;30(10):1-28.
6. Annual Rate Survey. Medical Liability Monitor. 2006;31(10):1-27.
7. Annual Rate Survey. Medical Liability Monitor. 2007;32(10):1-38.
8. Annual Rate Survey. Medical Liability Monitor. 2008;33(10):1-27.
9. Annual Rate Survey. Medical Liability Monitor. 2009;34(10):1-38.
10. Annual Rate Survey. Medical Liability Monitor. 2010;35(10):1-43.
11. Annual Rate Survey. Medical Liability Monitor. 2011; 36(10):1-43.
12. Annual Rate Survey. Medical Liability Monitor. 2012;37(10):1-47.
13. Annual Rate Survey. Medical Liability Monitor. 2013;38(10):1-47.
14. PaikM, Black B, Hyman DA. The receding tide of medical malpractice litigation,I: national trends. J Empirical Leg Stud. 2013;10(4):612-638.
15. Public Citizen. Medical malpractice payments sunk to record low in 2011. http://www.citizen.org/npdb-report-2012. Published July 2012. Accessed July 16, 2014.
16. Bishop TF, Ryan AM, Casalino LP. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-2431.
17. Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6): e002985.
18. Saber Tehrani AS, Lee H, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank. BMJ Qual Saf. 2013;22(8):672-680.
19. Mello MM, Studdert DM, Brennan TA. The new medical malpractice crisis. N Engl J Med. 2003; 348(23):2281-2284.
20. Mello MM, Chandra A, Gawande AA, Studdert DM. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577.
21. Sorrel AL. AMA analysis reaffirms-tort reforms work. American Medical News website. http://www.amednews.com/article/20080303/profession/303039964/4/#exli. Published March 3, 2008. Accessed October 15, 2014.
22. American College of Physicians. Medical liability reform: innovative solutions for a new health care system. http://www.acponline.org/acp-policy/policies/medical-liability-reform-2014.pdf Published 2014. Accessed July 16, 2014.
23. Kachalia A, Mello MM. New directions in medical liability reform. N Engl J Med. 2011;364(16): 1564-1572.
24. Mello MM. Medical Malpractice: Impact of the Crisis and Effect of State Tort Reforms. Princeton, NJ: RobertWood Johnson Foundation; 2006. http://www.rwjf.org/content/dam/supplementary-assets/2006/05/15168.medmalpracticeimpact .report.pdf Accessed July 16, 2014.
25. Mello MM, Kachalia A. Evaluation of options for medical malpractice system reform.Washington, DC: MedPAC; 2010. http://www.medpac.gov/documents/Apr10-MedicalMalpractice-CONTRACTOR.pdf Accessed July 16, 2014.
26. Avraham R. Database of State Tort Law Reforms (DSTLR 5th), 1980-2012. http://www.utexas.edu/law/faculty/ravraham/dstlr .html. Accessed July 16, 2014.
27. National Conference of State Legislatures. Medical liability/medical malpractice laws. http://www.ncsl.org/research/financial-services-and-commerce/medical-liability-medical-malpractice-laws.aspx. Updated August 15, 2011. Accessed July 16, 2014.
28. S 6A, 54th Leg, 1st Extraordinary Sess (Okla 2013).
29. HR 7015, 2013 Leg, 115th Sess (Fla 2013).
30. HR 1545, 2013 Leg,Reg Sess (Va 2013).
31. Abraham R. Database of state tort law reforms (5th). http://papers.ssrn.com/sol3/papers.cfm ?abstract-id902711. Accessed Oct 15, 2014.
32. Mason M. Backers of malpractice cap ballot measure submit signatures. Los Angeles Times, March 24, 2014. http://www.latimes.com/local/political/la-me-pc-micra-initiatve-signatures-20140324,0,5362494.story#axzz2z3Nm6WHF. Accessed July 16, 2014.
33. Watts vs Lester E. Cox Med. Ctrs, 376 SW3d 633 (Mo 2012).
34. Estate of McCall vs United States, 134 So 3d 894 (Fla 2014).
35. Mello MM, Kachalia A, Goodell S. Medical Malpractice-Update. Princeton, NJ: RobertWood Johnson Foundation; 2011, http://www.rwjf.org/content/dam/farm/reports/reports/2011/rwjf70017. Accessed July 16, 2014.
36. Nelson LJ III, Morrisey MA, Kilgore ML. Damages caps in medical malpractice cases. Milbank Q. 2007;85(2):259-286.
37. Greenberg MD, Ridgely MS. Change Medical Liability Laws to Reduce the Frequency and Severity of Claims. Santa Monica, CA: RAND Corp; 2009, http://www.rand.org/pubs/technical-reports/TR562z17/analysis-of-medical-malpractice.html. Accessed July 16, 2014.
38. Mello MM. Understanding Medical Malpractice Insurance: A Primer. Princeton, NJ: Robert Wood Johnson Foundation; 2006, http://www.rwjf.org/content/dam/farm/reports/reports/2006/rwjf17974. Accessed July 16, 2014.
39. Mello MM, Brennan TA. Deterrence of medical errors: theory and evidence for malpractice reform. Tex Law Rev. 2002;80(7):1595-1637.
40. Mello MM, Gallagher TH. Malpractice reform-opportunities for leadership by health care institutions and liability insurers. N Engl J Med. 2010;362(15):1353-1356.
41. Medical liability reform and patient safety: demonstration grants. Agency for Healthcare Research and Quality website. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/liability/demogrants .html. Updated June 2010. Accessed July 16, 2014.
42. Medical liability reform and patient safety: planning grants. Agency for Healthcare Research and Quality website. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/liability/planninggrants.html. Updated June 2010. Accessed July 16, 2014.
43. Boothman RC, Blackwell AC, Campbell DA Jr, Commiskey E, Anderson S. A better approach to medical malpractice claims? the University of Michigan experience. J Health Life Sci Law. 2009;2 (2):125-159.
44. Boothman RC, Imhoff SJ, Campbell DA Jr. Nurturing a culture of patient safety and achieving lower malpractice risk through disclosure: lessons learned and future directions. Front Health Serv Manage. 2012;28(3):13-28.
45. Hickson GB, Clayton EW, Entman SS, et al. Obstetricians prior malpractice experience and patients satisfaction with care. JAMA. 1994;272 (20):1583-1587.
46. Hickson GB, Clayton EW, Githens PB, Sloan FA. Factors that prompted families to file medical malpractice claims following perinatal injuries. JAMA. 1992;267(10):1359-1363.
47. Kraman SS, Hamm G. Risk management: extreme honestymay be the best policy. Ann Intern Med. 1999;131(12):963-967.
48. Conway J, Federico F, Stewart K, CampbellMJ. Respectful Management of Serious Clinical Adverse Events. 2nd ed. Cambridge, MA: Institute for Healthcare Improvement; 2011. http://www .ihi.org/resources/Pages/IHIWhitePapers/RespectfulManagementSeriousClinicalAEsWhitePaper .aspx. Accessed July 16, 2014.
49. Mello MM, Boothman RC, McDonald T, et al. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Health Aff (Millwood). 2014;33(1):20-29.
50. Kachalia A, Kaufman SR, Boothman R, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med. 2010;153(4):213-221.
51. Mello MM, Senecal SK, Kuznetsov Y, Cohn JS. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood). 2014;33(1):30-38.
52. Hendrich A,McCoy CK, Gale J, Sparkman L, Santos P. Ascension healths demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (Millwood). 2014;33(1):39-45.
53. Etchegaray JM, Ottosen MJ, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52.
54. Teninbaum GH. How medical apology programs harm patients. Chapman Law Rev. 2011;15 (2):307-342.
55. Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and-resolution programs. Health Aff (Millwood). 2014;33(1):11-19.
56. DeVito S; Illinois State Medical Society. Health courts and other alternative medical liability solutions. Dis Mon. 2011;57(6):291-312.
57. Mass Gen Laws ch. 231, 60L.
58. Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006; 354(19):2024-2033.
59. Waters TM, Budetti PP, Claxton G, Lundy JP. Impact of state tort reforms on physician malpractice payments. Health Aff (Millwood). 2007; 26(2):500-509.
60. McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say Imsorry? Ann Intern Med. 2008;149(11):811-816.
61. American Medical Association Advocacy Resource Center. Apology inadmissibility laws: summary of state legislation. http://www.ama-assn .org/resources/doc/arc/apology-inadmissibility-state-laws-charts.pdf Published 2012. Accessed April 1, 2014.
62. Mastroianni AC, Mello MM, Sommer S, Hardy M, Gallagher TH. The flaws in state apology and disclosure laws dilute their intended impact on malpractice suits. Health Aff (Millwood). 2010;29 (9):1611-1619.
63. Studdert DM, RichardsonMW. Legal aspects of open disclosure: a review of Australian law. Med J Aust. 2010;193(5):273-276.
64. Mass Gen Laws ch. 233, 79L.
65. S 483, 77th Leg, Reg Sess (Ore 2013).
66. Early discussion and resolution. Oregon Patient Safety Commission website. http://oregonpatientsafety.org/discussion-resolution/. Accessed April 8, 2014.
67. Requiring reports on medical malpractice payments. 42 USC 11131 (2011).
68. Waters TM, Studdert DM, Brennan TA, et al. Impact of the National Practitioner Data Bank on resolution of malpractice claims. Inquiry. 2003;40 (3):283-294.
69. Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-1679.
70. Sebelius K. Memorandum decision. May 22, 2014. http://www.citizen.org/documents/2211 %20Enclosure.pdf Accessed October 14, 2014.
71. Lizza R. The Obama memos: the verdict on malpractice. New Yorker. 2012;(January):27. http://www.newyorker.com/news/news-desk/the-obama-memos-the-verdict-on-malpractice. Accessed July 19, 2014.
72. Bovbjerg RR, Berenson RA. The Value of Clinical Practice Guidelines as Malpractice Safe Harbors. Princeton, NJ: RobertWood Johnson Foundation; 2012. http://www.rwjf.org/en/research-publications/find-rwjf-research/2012/04/the-value-of-clinical-practice-guidelines-as-malpractice-safe-h.html. Accessed July 16, 2014.
73. Kachalia A, Little A, Isavoran M, Crider L-M, Smith J. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Health Aff (Millwood). 2014;33 (1):59-66.
74. Emanuel E, Tanden N, Altman S, et al. A systemic approach to containing health care spending. N Engl J Med. 2012;367(10):949-954.
75. Saving Lives, Saving Costs Act, HR 4106, 113th Cong, 2nd Sess (2014).
76. Mello MM. Of swords and shields: the role of clinical practice guidelines in medical malpractice litigation. Univ Pa Law Rev. 2001;149(3):645-710.
77. GlabersonW. To curb malpractice costs, judges jump in early. New York Times. June 12, 2011. http://www.nytimes.com/2011/06/13/nyregion/to-curb-malpractice-costs-judges-jump-in-early.html ?pagewanted=all&-r=0. Accessed July 16, 2014.
78. Espersson C. The Swedish Patient Insurance-A Pragmatic Solution. Stockholm, Sweden: Swedish Patient Insurance Assoc; 2000.
79. Manning JM. Treatment injury and medical misadventure. In: Skegg PDG, Paterson R, eds. Medical Law in New Zealand.Wellington, NZ: Thomson Brookers; 2006.
80. Mello MM, Studdert DM, Kachalia AB, Brennan TA. Health courts and accountability for patient safety. Milbank Q. 2006;84(3):459-492.
81. Mello MM, Kachalia A, Studdert DM. The Commonwealth Fund. Administrative compensation for medical injuries: lessons from three foreign systems. http://www .commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jul/1517-Mello-admin-compensation-med-injuries.pdf Published July 2011. Accessed July 16, 2014.
82. Kachalia AB, Mello MM, Brennan TA, Studdert DM. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
83. Barringer PJ, Studdert DM, Kachalia AB, Mello MM. Administrative compensation of medical injuries: a hardy perennial blooms again. J Health Polit Policy Law. 2008;33(4):725-760.
84. Mello MM, Studdert DM, Moran P, Dauer EA. Policy experimentation with administrative compensation for medical injury: issues under state constitutional law. Harvard J Legis. 2008;45(1):59-106.
85. S 141, 152nd Leg, Reg Sess (Ga 2013).
86. Siegal G, Mello MM, Studdert DM. Adjudicating severe birth injury claims in Florida and Virginia: the experience of a landmark experiment in personal injury compensation. Am J Law Med. 2008;34(4): 493-537.
87. Kirchhoff SM. Physician Practices: Background, Organization, and Market Consolidation.Washington, DC: Congressional Research Service; 2013. http://digitalcommons.ilr.cornell.edu/cgi/viewcontent .cgi?article=2007&context=key-workplace. Accessed July 16, 2014.
88. Harvey HB, Cohen IG. The looming threat of liability for accountable care organizations and what to do about it. JAMA. 2013;310(2):141-142.
89. Mello MM, Studdert DM. Deconstructing negligence: the role of individual and system factors in causing medical injury. Georgetown Law J. 2008; 96(2):599-623.