The analysis highlights that technical performance issues—specifically the improper use of surgical equipment and the retention of foreign bodies—represent significant liability markers. Beyond surgical technique, the data points to a critical failure in post-operative care: missed follow-up appointments. These lapses often result in delayed detection of surgical-site infections following arthroplasty, a common trigger for negligence allegations.

Julie Ritzman, senior vice president of patient safety and risk management at The Doctors Company, noted that malpractice claims serve as a diagnostic tool for clinical practice. By identifying patterns that elude day-to-day observation, the firm aims to help clinicians refine decision-making and communication protocols. The full review, available to healthcare providers, seeks to shift the focus from reactive litigation defense to proactive risk mitigation and improved care processes.