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A risk-factor analysis of medical litigation judgments related to fall injuries in Korea

Authors
Kim, I; Won, S; Lee, M; Lee, W
Citation
Medicine, science, and the law, 58(1):16-24, 2018
Journal Title
Medicine, science, and the law
ISSN
0025-80242042-1818
Abstract
The aim of this study was to find out the risk factors through analysis of seven medical malpractice judgments related to fall injuries. The risk factors were analysed by using the framework that approaches falls from a systems perspective and comprised people, organisational or environmental factors, with each factor being comprised of subfactors. The risk factors found in each of the seven judgments were aggregated into one framework. The risk factors related to patients (i.e. the people factor) were age, pain, related disease, activities and functional status, urination state, cognitive function impairment, past history of fall, blood transfusion, sleep endoscopy state and uncooperative attitude. The risk factors related to the medical staff and caregivers (i.e. people factor) were observation negligence, no fall prevention activities and negligence in managing high-risk group for fall. Organisational risk factors were a lack of workforce, a lack of training, neglecting the management of the high-risk group, neglecting the management of caregivers and the absence of a fall prevention procedure. Regarding the environment, the risk factors were found to be the emergency room, chairs without a backrest and the examination table. Identifying risk factors is essential for preventing fall accidents, since falls are preventable patient-safety incidents. Falls do not happen as a result of a single risk factor. Therefore, a systems approach is effective to identify risk factors, especially organisational and environmental factors.
Keywords
Fallsmalpracticepatient safety
MeSH terms
Accidental Falls*/prevention & controlAdultAgedAged, 80 and overHealth FacilitiesHumansMalpractice/legislation & jurisprudence*Middle AgedPatient Safety/legislation & jurisprudence*Republic of KoreaRisk Factors
DOI
10.1177/0025802417735265
PMID
29065775
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Humanities & Social Medicine
AJOU Authors
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