{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T23:23:24Z","timestamp":1781220204135,"version":"3.54.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Medical malpractice is costly and disruptive, and it is important to prevent. We\n                    conducted a study with the objective to look at medical malpractice in robotic\n                    surgery overall, to evaluate reasons for litigation, and to comment on possible\n                    strategies to avoid litigation with transoral robotic surgery. We used the\n                    Westlaw computerized database to identify all state and federal verdict\n                    summaries in medical malpractice cases. We found 17 cases alleging malpractice\n                    that involved the use of robotic surgery. In all, the plaintiffs in 6 cases\n                    (35%) contended that an open rather than a robotic approach should have been\n                    used, 5 (29%) alleged negligent credentialing, 4 (24%) alleged training\n                    deficiencies, 2 (12%) alleged manufacturing problems, and 1 (6%) charged that\n                    robotic surgery should have been performed instead of open surgery (1 case\n                    involved two of these allegations). In 11 cases (65%), plaintiffs charged that\n                    robotic surgery contributed to an undesirable outcome, and in 6 cases (35%) they\n                    raised concerns about informed consent. In all, only 5 of the 17 lawsuits (29%)\n                    resulted in plaintiff verdicts or settlements; damages ranged from\n                    $95,000 to $7.5 million. We believe the courts should not play a\n                    major role in establishing safety guidelines for the introduction of new\n                    technology such as robotic surgery. Instead, training and credentialing\n                    guidelines should be established by appropriate national associations and\n                    societies to assist hospitals in doing so.<\/jats:p>","DOI":"10.1177\/014556131709601210","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T23:40:57Z","timestamp":1543966857000},"page":"477-480","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Medical Malpractice and Transoral Robotic Surgery: Evaluation and                    Some Preemptive Thoughts"],"prefix":"10.1177","volume":"96","author":[{"given":"Daniel D.","family":"Lydiatt","sequence":"first","affiliation":[{"name":"Head and NeckSurgical Oncology Clinic, Methodist\r                Estabrook Cancer Center, Omaha, Neb."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Sewell","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Department of\r                Otolaryngology-Head and NeckSurgery, University of Nebraska Medical Center,\r                Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200203000-00007"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10254"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00009"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.10.018"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.w425"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.09.007"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0807"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1319-8"},{"key":"e_1_3_1_10_2","unstructured":"No authors listed. Physician study: Quantifying the cost of defensive medicine. Jackson Healthcare website. https:\/\/www.jacksonhealthcare.com\/media-room\/surveys\/defensive-medicine-study-2010.aspx. Accessed Sept 30 2017."},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.21.2609"},{"issue":"2","key":"e_1_3_1_12_2","first-page":"69","article-title":"Incidence and costs of defensive medicine among orthopedic\n                        surgeons in the United States: A national survey study","volume":"41","author":"Sethi MK","year":"2012","unstructured":"SethiMK, ObremskeyWT, NatividadH, Incidence and costs of defensive medicine among orthopedic surgeons in the United States: A national survey study. Am J Orthop (Belle Mead NJ) 2012;41(2): 69\u201373.","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.841"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1086\/520416"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.SLA.0000072267.19263.26"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199107253250405"},{"issue":"1","key":"e_1_3_1_17_2","first-page":"40","article-title":"A systems approach to improving error reporting","volume":"16","author":"Joshi MS","year":"2002","unstructured":"JoshiMS, AndersonJF, MarwahaS. A systems approach to improving error reporting. J Health Inf Manag 2002;16(1): 40\u20135.","journal-title":"J Health Inf Manag"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.15.1585"},{"issue":"1","key":"e_1_3_1_19_2","first-page":"44","article-title":"No authors listed. Medical\n                        malpractice litigation raises healthcare cost, reduces access, and lowers\n                        quality of care","volume":"20","year":"2004","unstructured":"No authors listed. Medical malpractice litigation raises healthcare cost, reduces access, and lowers quality of care. J Med Pract Manage 2004;20(1): 44\u201351.","journal-title":"J Med Pract Manage"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1006602"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.042"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.04.002"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-40089"},{"issue":"9","key":"e_1_3_1_24_2","first-page":"32","article-title":"Negligent\n                        credentialing: Is the danger growing?","volume":"84","author":"Guglielmo WJ","year":"2007","unstructured":"GuglielmoWJ. 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