An analysis of closed clinical claims managed by the Clinical Indemnity Scheme

Hdl Handle:
http://hdl.handle.net/10147/82294
Title:
An analysis of closed clinical claims managed by the Clinical Indemnity Scheme
Other Titles:
A dissertation submitted as partial fulfilment of the Degree of Master of Science Health Care Risk Management
Authors:
Dunne, Debbie
Affiliation:
State Claims Agency, Clinical Indemnity Scheme
Publisher:
Dublin Institute of Technology (DIT)
Issue Date:
19-Sep-2007
URI:
http://hdl.handle.net/10147/82294
Item Type:
Thesis
Language:
en
Description:
The Clinical Indemnity Scheme (CIS) is the State-funded scheme within Ireland that provides indemnity to health agencies funded in whole, or in part, by the Exchequer against the cost of claims brought against them for personal injury arising from clinical negligence. The research objective was, to establish if lessons could be learned from analysis of closed clinical claims. This potential source of patient safety information could then be shared with all enterprises indemnified by the CIS. Specific study objectives were: • To review existing international studies of closed claims analysis. • To develop a template to facilitate ongoing routine analysis of all closed clinical claims managed by the CIS. • To establish base line information against which new risk management strategies can be monitored and evaluated. • To identify any factors within the claims that may have contributed to the occurrence of the adverse events. • To identify and recommend an efficient and effective method of disseminating nationally lessons learnt from claims managed by the CIS. A qualitative analysis of the closed clinical claims managed by CIS was carried out. The analysis presented in this study provides an overview of closed claims from the Public Healthcare sector in Ireland, managed by the CIS during a period of 42 months. (1/7/2002 to 31/12/2005). This is the first such study of CIS data. This study has succeeded in providing baseline data on the occurrence of adverse events that subsequently lead to clinical negligence claims and identified contributory factors related to the adverse events. Closed claims analysis has been used in the past to review risk patterns and to heighten awareness of certain risks. It is a methodology that can suggest corrective or preventive action for future practice and thereby minimize the risk of future errors (Angelini et al, 2005). As the CIS manages all claims of clinical negligence for all of the public sector healthcare enterprises in Ireland, it is ideally situated to share this learning nationally in the form of safety alerts, best practice guidelines and make recommendations to the Health Service relating to adverse event types that require specific attention.
Keywords:
CLINICAL NEGLIGENCE; ADVERSE EVENTS; PATIENT SAFETY; CLAIMS ANALYSIS

Full metadata record

DC FieldValue Language
dc.contributor.authorDunne, Debbie-
dc.date.accessioned2009-09-23T11:17:50Z-
dc.date.available2009-09-23T11:17:50Z-
dc.date.issued2007-09-19-
dc.identifier.urihttp://hdl.handle.net/10147/82294-
dc.descriptionThe Clinical Indemnity Scheme (CIS) is the State-funded scheme within Ireland that provides indemnity to health agencies funded in whole, or in part, by the Exchequer against the cost of claims brought against them for personal injury arising from clinical negligence. The research objective was, to establish if lessons could be learned from analysis of closed clinical claims. This potential source of patient safety information could then be shared with all enterprises indemnified by the CIS. Specific study objectives were: • To review existing international studies of closed claims analysis. • To develop a template to facilitate ongoing routine analysis of all closed clinical claims managed by the CIS. • To establish base line information against which new risk management strategies can be monitored and evaluated. • To identify any factors within the claims that may have contributed to the occurrence of the adverse events. • To identify and recommend an efficient and effective method of disseminating nationally lessons learnt from claims managed by the CIS. A qualitative analysis of the closed clinical claims managed by CIS was carried out. The analysis presented in this study provides an overview of closed claims from the Public Healthcare sector in Ireland, managed by the CIS during a period of 42 months. (1/7/2002 to 31/12/2005). This is the first such study of CIS data. This study has succeeded in providing baseline data on the occurrence of adverse events that subsequently lead to clinical negligence claims and identified contributory factors related to the adverse events. Closed claims analysis has been used in the past to review risk patterns and to heighten awareness of certain risks. It is a methodology that can suggest corrective or preventive action for future practice and thereby minimize the risk of future errors (Angelini et al, 2005). As the CIS manages all claims of clinical negligence for all of the public sector healthcare enterprises in Ireland, it is ideally situated to share this learning nationally in the form of safety alerts, best practice guidelines and make recommendations to the Health Service relating to adverse event types that require specific attention.en
dc.language.isoenen
dc.publisherDublin Institute of Technology (DIT)en
dc.subjectCLINICAL NEGLIGENCEen
dc.subjectADVERSE EVENTSen
dc.subjectPATIENT SAFETYen
dc.subjectCLAIMS ANALYSISen
dc.titleAn analysis of closed clinical claims managed by the Clinical Indemnity Schemeen
dc.title.alternativeA dissertation submitted as partial fulfilment of the Degree of Master of Science Health Care Risk Managementen
dc.typeThesisen
dc.contributor.departmentState Claims Agency, Clinical Indemnity Schemeen
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