Surgical Fires and Operative Burns: Lessons Learned From a 33-Year Review of Medical Litigation.

Objective: We aimed to understand the setting and litigation outcomes of surgical fires and operative burns.
Methods: Westlaw, an online legal research data-set, was utilized. Data were collected on patient, procedure, and case characteristics.
Results: One hundred thirty-nine cases were identified; 114 (82%) operative burns and 25 (18%) surgical fires. Median plaintiff (patient) age was 46 (IQR:28-59). Most common site of operative burn was the face (26% [n = 36]). Most common source of injury was a high energy device (43% [n = 52]). Death was reported in 2 (1.4%) cases. Plaintiff age <18 vs age 18-50 and mention of a non-surgical physician as a defendant both were shown to be independently associated with an award payout (OR = 4.90 [95% CI, 1.23-25.45]; p = .02) and (OR = 4.50 [95% CI, 1.63-13.63]; p = .003) respectively. Plaintiff award payment (settlement or plaintiff verdict) was reported in 83 (60%) cases; median award payout was $215,000 (IQR: $82,000-$518,000).
Conclusion: High energy devices remain as the most common cause of injury. Understanding and addressing pitfalls in operative care may mitigate errors and potentially lessen future liability.
Level of Evidence: III.
(Copyright © 2016 Elsevier Inc. All rights reserved.)