Skip Navigation LinksHome > May 2009 - Volume 47 - Issue 5 > The Use of Patient Satisfaction Surveys and Alternative Codi...
Medical Care:
doi: 10.1097/MLR.0b013e3181923fd7
Original Article

The Use of Patient Satisfaction Surveys and Alternative Coding Procedures to Predict Malpractice Risk

Fullam, Francis MA*; Garman, Andrew N. PsyD*; Johnson, Tricia J. PhD*; Hedberg, Eric C. MA†

Collapse Box

Abstract

Purpose: Because costs associated with malpractice litigation draw substantial resources away from patient care, many health care organizations are seeking efficient methods to manage these risks. The purpose of this study was to identify methods by which commonly available patient satisfaction indicators could be used to identify potential malpractice litigation risks.

Subject and Methods: Using data from the risk management department of a large academic medical center, we combined yearly administrative records from 1998 to 2006 of malpractice-related litigation activity, with patient satisfaction scores related to attending physicians. We then applied 3 approaches to code patient satisfaction for each year: (1) calculating the overall mean, (2) assigning tertiles, and (3) identifying the minimum satisfaction response to any question. We then estimated 3 versions of random-effect logit models to examine which estimators predicted whether an attending physician was named in a lawsuit in a given year.

Results: Minimum satisfaction score was significantly associated with malpractice activity; the other analytic approaches did not yield significant associations. Although patient satisfaction explained little variation in an individual physician's contribution to malpractice risk, accounting for the minimum score explained more than a quarter of a department's contribution.

Conclusions: Findings suggest that minimum satisfaction score may provide a useful metric for identifying and prioritizing malpractice risks.

© 2009 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.