Wrist malpractice claims in Northern Norway 2005–2014. Lessons to be learned

• Published in: International Journal of Circumpolar Health
• Main Authors: Jan Norum, Lise Balteskard, Mette Willumstad Thomsen, Hebe Desiree Kvernmo
• Format: Article in Journal/Newspaper
• Language: English
• Published: Taylor & Francis Group 2018
• Subjects: Wrist surgery; complains; compensation; Northern Norway; Arctic medicine. Tropical medicine; RC955-962; Arctic; Norway; Circumpolar Health; International Journal of Circumpolar Health; Subarctic
• Online Access: https://doi.org/10.1080/22423982.2018.1483690; https://doaj.org/article/d1cf7d00e2014330af62ec7e87249e89

Rough weather conditions in the subarctic areas of Norway may influence on the risk of wrist fracture. We implemented data from the Norwegian System of Patient Injury Compensation (NPE). All claims due to wrist surgery, performed at the public hospitals in Northern Norway, during 2005-2014 were analyzed. We employed the ICD-10 classification codes S52.5 (fracture of distal end of radius) and S52.6 (fracture of distal end of radius and ulna). Treatment was defined by NCSP codes. 84 patients (0.3%) complained. Females complained four times more often than males did (P = 0.005) and received five times more frequently a compensation (P < 0.001). NPE accepted 34 claims (40%) for injury compensation (0.1% of patients). The percentage of claims accepted for compensation decreased from 48% to 30% during study period, probably due to delay in filling claims. The main causes of complains were pain, reduced range of motion, malfunction and weakness (35/84). The main causes of compensation were “operative treatment should have been performed” (14/34) and “wrong operative method applied” (13/34). The mean amount per compensation was €14,927 (€0–€52,995). Stonger focus on quality of care, updated guidelines and shared decission-making may reduce the number og complains and compensations.