{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T20:05:00Z","timestamp":1792526700876,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T00:00:00Z","timestamp":1408924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to investigate the consistency of experts' evaluation of different types of obstetric claims for compensation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Inter\u2010rater reliability study of obstetric claims for compensation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Medical experts' evaluation in The Norwegian System of Compensation to Patients, a no\u2010blame system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>The 15 most frequently used medical experts were asked to evaluate 12 obstetric claims applied for compensation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Inter\u2010rater agreement was assessed by absolute agreement, Fleiss' kappa statistic and Gwet's <jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Consistency in the evaluation of negligence (carelessness without intention to harm) and causality (relation between care and injury) between negligence and patient injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The experts demonstrated moderate consistency in their evaluation of negligence (Fleiss' kappa\u00a0=\u00a00.53\/<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>1\u00a0=\u00a00.54) and causality (Fleiss' kappa\u00a0=\u00a00.41\/<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>1\u00a0=\u00a00.54). There was a higher level of agreement in clinical scenarios with well\u2010documented diagnostic criteria and guidelines, including shoulder dystocia and asphyxia with low Apgar score and metabolic acidosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found a moderate level of agreement in experts' evaluation of negligence and causality between the injury and provided health care, the two most important questions to be answered in obstetric claims for compensation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12979","type":"journal-article","created":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T05:46:36Z","timestamp":1408945596000},"page":"948-953","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The consistency of experts' evaluation of obstetric claims for compensation"],"prefix":"10.1111","volume":"122","author":[{"given":"S","family":"Andreasen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Nordlandssykehuset Bod\u00f8 Norway"},{"name":"Women's Health and Perinatology Research Group Department of Clinical Medicine Faculty of Health Sciences University of Troms\u00f8 Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Backe","sequence":"additional","affiliation":[{"name":"Institute for Laboratory Medicine Women's and Children's Health Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Lydersen","sequence":"additional","affiliation":[{"name":"Regional Centre for Child and Youth Mental Health and Child Welfare \u2013 Central Norway Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"\u00d8vreb\u00f8","sequence":"additional","affiliation":[{"name":"Department of Surgery Haukeland University Hospital Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"\u00d8ian","sequence":"additional","affiliation":[{"name":"Women's Health and Perinatology Research Group Department of Clinical Medicine Faculty of Health Sciences University of Troms\u00f8 Troms\u00f8 Norway"},{"name":"Department of Obstetrics and Gynaecology University Hospital of North Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01409.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701797567"},{"key":"e_1_2_6_4_1","first-page":"259","article-title":"Analysis of 23\u00a0364 patient\u2010generated, physician\u2010reviewed malpractice claims from a non\u2010tort, blame\u2010free, national patient insurance system: lessons learned from Sweden","volume":"17","author":"Pukk\u2010Harenstam K","year":"2008","journal-title":"Qual Saf Health Care"},{"key":"e_1_2_6_5_1","unstructured":"Information about NPE.2013[http:\/\/npe.no]. 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