Technical Papers
Jun 25, 2020

Individual Liability and the Development of Defensive Engineering in Professional Practice

Publication: Journal of Civil Engineering Education
Volume 146, Issue 4

Abstract

Recent years have witnessed increased individual sanctions for engineers in the event of a major failure such as the Deepwater Horizon blowout. The medical profession experienced a similar trend, which has been well-documented. Fears of litigation have resulted in defensive medicine, practices aimed at reducing doctors’ risk of legal liability, sometimes to the detriment of patient care. To date, the emergence of defensive engineering has received only minimal attention. An exploratory survey was conducted with Australian engineers (n=275) about their responses to personal liability concerns, guided by observable trends among medical doctors. The analysis compared reported engineering practices with those adopted in the medical profession. The prevalence of consideration of liability and adoption of defensive practices is such that defensive engineering can be considered to be established behavior. Engineers are responding particularly by using extra or augmented resources and increased reliance on routine. Some defensive practices are more insidious in medicine than in engineering, giving insight into the potential path these concerns could take if left unchecked, including the impact on current trends in civil engineering education.

Get full access to this article

View all available purchase options and get full access to this article.

Data Availability Statement

Some or all data, models, or code generated or used during the study are proprietary or confidential in nature and may only be provided with restrictions (e.g., anonymized data). Data are summarized in the text and Tables 3 and 4. Raw survey data are proprietary and therefore are not available.

Acknowledgments

This work was funded in part by the Energy Pipelines Cooperative Research Centre, supported through the Australian Government’s Cooperative Research Centres Program. The cash and in-kind support from the Australian Pipelines and Gas Association Research and Standards Committee is gratefully acknowledged. We acknowledge the support of Engineers Australia Queensland Division in distributing the survey. We also acknowledge the survey participants who contributed to this study. Many of the respondents expressed a desire to contribute to the future of their profession and they saw our survey as a vehicle to do so. They deserve our sincere thanks.

References

ACSE. 2016. “Policy statement 418—The role of the civil engineer in sustainable development.” Accessed May 1, 2020. https://www.asce.org/issues-and-advocacy/public-policy/policy-statement-418---the-role-of-the-civil-engineer-in-sustainable-development/.
AlDakhil, L. 2016. “Obstetric and gynecologic malpractice claims in Saudi Arabia: Incidence and cause.” J. Forensic Legal Med. 40 (May): 8–11. https://doi.org/10.1016/j.jflm.2016.02.001.
Ali, A., M. Hummeida, Y. Elhassan, W. Nabag, M. A. Ahmed, and G. Adam. 2016. “Concept of defensive medicine and litigation among Sudanese doctors working in obstetrics and gynecology.” BMC Med. Ethics 17 (1): 12. https://doi.org/10.1186/s12910-016-0095-3.
Allert, B., D. Atkinson, E. Groll, and E. D. Hirleman. 2007. “Making the case for global engineering: Building foreign language collaborations for designing, implementing, and assessing programs.” Online J. Global Eng. Educ. 2 (2): 1–14.
Annandale, E. 1989. “The malpractice crisis and the doctor-patient relationship.” Sociol. Health Illness 11 (1): 1–23. https://doi.org/10.1111/1467-9566.ep10843996.
Ashford, N., and R. Stone. 1994. “Liability, innovation, and safety in the chemical industry.” In The liability maze: The impact of liability law on safety and innovation, edited by P. W. Huber and R. E. Litan, 367–427. Washington, DC: Brookings Institution.
Austad, B., I. Hetlevik, B. P. Mjølstad, and A.-S. Helvik. 2016. “Applying clinical guidelines in general practice: A qualitative study of potential complications.” BMC Family Pract 17 (1): 92. https://doi.org/10.1186/s12875-016-0490-3.
Baicker, K., B. Wright, and N. Olson. 2015. “Reevaluating reports of defensive medicine.” J. Health Politics Policy Law 40 (6): 1157–1177. https://doi.org/10.1215/03616878-3424462.
Bielefeldt, A. R., M. Polmear, D. Knight, N. Canney, and C. Swan. 2019. “Disciplinary variations in ethics and societal impact topics taught in courses for engineering students.” J. Civ. Eng. Educ. 145 (4): 04019007 https://doi.org/10.1061/(ASCE)EI.1943-5541.0000415.
Bishop, T., A. Federman, and S. Keyhani. 2010. “Physicians’ views on defensive medicine: A national survey.” Arch. Internal Med. 170 (12): 1081–1083. https://doi.org/10.1001/archinternmed.2010.155.
Bosela, P., N. Delatte, and K. Parfitt. 2012. Failure case studies in civil engineering. Reston, VA: ASCE.
Bourrier, M., and C. Bieder. 2013. “Trapping safety into rules: An introduction.” In Trapping safety into rules: How desirable or avoidable is proceduralization? edited by C. Bieder and M. Bourrier, 1–9. Burlington, VT: Ashgate.
Bretton, R., J. Gottsmann, W. Aspinall, and R. Christie. 2015. “Implications of legal scrutiny processes (including the L’Aquila trial and other recent court cases) for future volcanic risk governance.” J. Appl. Volcanol. 4 (1): 18. https://doi.org/10.1186/s13617-015-0034-x.
Brock, D., and K. Hydle. 2018. “Transnationality: Sharpening the Integration-Responsiveness vision in global professional firms.” Eur. Manage. J. 36 (1): 117–124. https://doi.org/10.1016/j.emj.2017.01.003.
Caine, C., and H. R. Thomas. 2013. “Negligent tort liability of the design professional.” J. Leg. Aff. Dispute Resolut. Eng. Constr. 5 (1): 45–52. https://doi.org/10.1061/(ASCE)LA.1943-4170.0000098.
Catino, M. 2009. “Blame culture and defensive medicine.” Cognition Technol. Work 11 (4): 245. https://doi.org/10.1007/s10111-009-0130-y.
Chan, A., D. Scott, and A. Chan. 2004. “Factors affecting the success of a construction project.” J. Constr. Eng. Manage. 130 (1): 153–155. https://doi.org/10.1061/(ASCE)0733-9364(2004)130:1(153).
Clevenger, C. M., M. Abdallah, W. Wu, and M. Barrows. 2019. “Assessing an online tool to promote sustainability competencies in construction engineering education.” J. Civ. Eng. Educ. 145 (1): 04018014 https://doi.org/10.1061/(ASCE)EI.1943-5541.0000397.
Coffee, J. 1981. “No soul to damn: No body to kick: An unscandalized inquiry into the problem of corporate punishment.” Michigan Law Rev. 79 (3): 386–459. https://doi.org/10.2307/1288201.
Cunningham, W., and H. Wilson. 2011. “Republished original viewpoint: Complaints, shame and defensive medicine.” Postgraduate Medical J. 87 (1034): 837–840. https://doi.org/10.1136/pgmj.2011.051722rep.
Day, R. 1994. “Engineering jargon and civil liability.” J. Civ. Eng. Educ. 120 (4): 413–418. https://doi.org/10.1061/(ASCE)1052-3928(1994)120:4(413).
Downey, G., et al. 2006. “The globally competent engineer: Working effectively with people who define problems differently.” J. Eng. Educ. 95 (2): 107–122. https://doi.org/10.1002/j.2168-9830.2006.tb00883.x.
Duderstadt, J. 2010. “Engineering for a changing world.” In Holistic engineering education, edited by D. Grasso and M. Burkins, 17–35. New York: Springer.
Earley, A. 1977. “Liability of architects and engineers to third parties: A new approach.” Notre Dame Law Rev. 53 (2): 306–319.
Esparragoza, I., A. Konak, S. Kulturel-Konak, G. Kremer, and K. Lee. 2019. “Assessing engineering students’ ethics learning: Model of domain learning framework.” J. Civ. Eng. Educ. 145 (1): 04018015 https://doi.org/10.1061/(ASCE)EI.1943-5541.0000396.
Ezzy, D. 2013. Qualitative analysis. London: Routledge.
Filkins, J. 2001. “With no evil intent: The criminal prosecution of physicians for medical negligence.” J. Leg. Med. 22 (4): 467–499. https://doi.org/10.1080/01947640152750937.
Fucks, I., and Y. Dien. 2013. “‘No rule, no use’? The effects of over-proceduralization.” In Trapping safety into rules: How desirable or avoidable is proceduralization? edited by C. Bieder, and M. Bourrier, 27–42. Farnham, UK: Ashgate.
Galloway, P. 2008. “Engineer’s liability considerations in specifying corrugated high density polyethylene pipe.” J. Civ. Eng. Educ. 134 (1): 87–94. https://doi.org/10.1061/(ASCE)1052-3928(2008)134:1(87).
García-Segura, T., L. Montalbán-Domingo, M. A. Sanz, and A. Lozano-Torró. 2020. “Sustainable decision-making module: Application to public procurement.” J. Civ. Eng. Edu. 146 (3): 04020004 https://doi.org/10.1061/(ASCE)EI.2643-9115.0000014.
Hale, A., and D. Borys. 2013. “Working to rule or working safely? Part 2: The management of safety rules and procedures.” Saf. Sci. 55 (Jun): 222–231. https://doi.org/10.1016/j.ssci.2012.05.013.
Hatem, D. 1989. “Impact of professional practice standards on liability of engineers.” J. Manage. Eng. 5 (3): 249–256. https://doi.org/10.1061/(ASCE)9742-597X(1989)5:3(249).
Hiyama, T., M. Yoshihara, S. Tanaka, Y. Urabe, Y. Ikegami, T. Fukuhara, and K. Chayama. 2006. “Defensive medicine practices among gastroenterologists in Japan.” World J. Gastroenterol. 12 (47): 7671–7675. https://doi.org/10.3748/wjg.v12.i47.7671.
Holland, J. 1985. “Professional liability of the architect and engineer.” J. Prof. Issues Eng. 111 (2): 57–65. https://doi.org/10.1061/(ASCE)1052-3928(1985)111:2(57).
Ittmann, J., C. Friedland, and A. Okeil. 2013. “Enforceability of limitation of liability clauses in engineering contracts.” J. Leg. Aff. Dispute Resolut. Eng. Constr. 5 (3): 128–135. https://doi.org/10.1061/(ASCE)LA.1943-4170.0000125.
Johnstone, R., and M. Tooma. 2012. Work health & safety regulation in Australia: The model act. Sydney: Federation.
Kagan, H. A., and J. van de Water. 1986. “Design in jeopardy: The expanding legal responsibilities of engineers.” J. Prof. Issues Eng. 112 (1): 58–67. https://doi.org/10.1061/(ASCE)1052-3928(1986)112:1(58).
Kessler, D., and M. McClellan. 1996. “Do doctors practice defense medicine?” Q. J. Econ. 111 (2): 353–390. https://doi.org/10.2307/2946682.
Kessler, D., N. Summerton, and J. Graham. 2006. “Effects of the medical liability system in Australia, the UK, and the USA.” Lancet 368 (9531): 240–246. https://doi.org/10.1016/S0140-6736(06)69045-4.
Khanna, V. 1996. “Corporate criminal liability: What purpose does it serve?” Harvard Law Rev. 109 (7): 1477–1534. https://doi.org/10.2307/1342023.
Lam, P., Y. Chiang, and S. Chan. 2011. “Critical success factors for bond financing of construction projects in Asia.” J. Manage. Eng. 27 (4): 190–199. https://doi.org/10.1061/(ASCE)ME.1943-5479.0000063.
Lunch, M. 1987. “Liability crisis: Where do we go from here?” J. Perform. Constr. Facil. 1 (1): 30–34. https://doi.org/10.1061/(ASCE)0887-3828(1987)1:1(30).
Luo, L., Q. He, J. Xie, D. Yang, and G. Wu. 2017. “Investigating the relationship between project complexity and success in complex construction projects.” J. Manage. Eng. 33 (2): 04016036 https://doi.org/10.1061/(ASCE)ME.1943-5479.0000471.
Marshall, R., E. Pfrang, E. Leyendecker, K. Woodward, R. Reed, M. Kasen, and T. Shives. 1982. “Investigation of the Kansas City Hyatt regency walkways collapse.” In Building science series. Gaithersburg, MD: National Bureau of Standards.
Maslen, S. 2016. “Sensory work of diagnosis: A crisis of legitimacy.” Senses Soc. 11 (2): 158–176. https://doi.org/10.1080/17458927.2016.1190065.
Maslen, S., and J. Hayes. 2014. “Experts under the microscope: The Wivenhoe Dam case.” Environ. Syst. Decis. 34 (2): 183–193. https://doi.org/10.1007/s10669-014-9492-7.
Mello, M., A. Chandra, A. Gawande, and D. Studdert. 2010. “National costs of the medical liability system.” Health Aff. 29 (9): 1569–1577. https://doi.org/10.1377/hlthaff.2009.0807.
Middlehurst, R., and T. Kennie. 1997. “Leading professionals: Towards new concepts of professionalism.” In The end of the professions? The restructuring of professional work, edited by J. Broadbent, M. Dietrich, and J. Roberts, 49–66. London: Routledge.
Miller, D. 1987. “Loss prevention: Safeguards against liability.” J. Manage. Eng. 3 (2): 95–115. https://doi.org/10.1061/(ASCE)9742-597X(1987)3:2(95).
Miller, R., N. Sampson, and J. Flynn. 2012. “The prevalence of defensive orthopaedic imaging: A prospective practice audit in Pennsylvania.” JBJS 94 (3): e18. https://doi.org/10.2106/JBJS.K.00646.
Nakamura, N., and Y. Yamashita. 2015. “Malpractice lawsuits and change in work in Japanese surgeons.” J. Surg. Res. 193 (1): 210–216. https://doi.org/10.1016/j.jss.2014.08.029.
Nash, L. M., M. M. Walton, M. G. Daly, P. J. Kelly, G. Walter, E. H. van Ekert, S. M. Willcock, and C. C. Tennant. 2010. “Perceived practice change in Australian doctors as a result of medicolegal concerns.” Med. J. Australia 193 (10): 579–583. https://doi.org/10.5694/j.1326-5377.2010.tb04066.x.
Ortashi, O., J. Virdee, R. Hassan, T. Mutrynowski, and F. Abu-Zidan. 2013. “The practice of defensive medicine among hospital doctors in the United Kingdom.” BMC Med. Ethics 14 (1): 42. https://doi.org/10.1186/1472-6939-14-42.
Osti, M., and J. Steyrer. 2015. “A national survey of defensive medicine among orthopaedic surgeons, trauma surgeons and radiologists in Austria: Evaluation of prevalence and context.” J. Eval. Clin. Pract. 21 (2): 278–284. https://doi.org/10.1111/jep.12305.
Ozorhon, B., and E. Cinar. 2015. “Critical success factors of enterprise resource planning implementation in construction: Case of Turkey.” J. Manage. Eng. 31 (6): 04015014 https://doi.org/10.1061/(ASCE)ME.1943-5479.0000370.
Panella, M., C. Rinaldi, F. Leigheb, C. Donnarumma, S. Kul, K. Vanhaecht, and F. Di Stanislao. 2016. “The determinants of defensive medicine in Italian hospitals: The impact of being a second victim.” Rev. de Calidad Asistencial 31 (Jul): 20–25. https://doi.org/10.1016/j.cali.2016.04.010.
Passmore, K., and W. Leung. 2002. “Defensive practice among psychiatrists: A questionnaire survey.” Postgraduate Med. J. 78 (925): 671–673. https://doi.org/10.1136/pmj.78.925.671.
Quick, O. 2006. “Prosecuting ‘gross’ medical negligence: Manslaughter, discretion, and the crown prosecution service.” J. Law Soc. 33 (3): 421–450. https://doi.org/10.1111/j.1467-6478.2006.00365.x.
Rasmussen, J. 1982. “Human errors: A taxonomy for describing human malfunction in industrial installations.” J. Occup. Accid. 4 (2): 311–333. https://doi.org/10.1016/0376-6349(82)90041-4.
Reader, J. 2006. “Globalization, engineering, and creativity.” Synth. Lect. Eng. Technol. Soc. 1 (1): 1–64. https://doi.org/10.2200/S00064ED1V01Y200610ETS003.
Reason, J. 1990. Human error. Cambridge, UK: Cambridge University Press.
Reason, J. 1997. Managing the risks of organizational accidents. Aldershot, UK: Ashgate.
Reschovsky, J., and C. Saiontz-Martinez. 2018. “Malpractice claim fears and the costs of treating Medicare patients: A new approach to estimating the costs of defensive medicine.” Health Serv. Res. 53 (3): 1498–1516. https://doi.org/10.1111/1475-6773.12660.
Robinson, G. 1986. “The medical malpractice crisis of the 1970’s: A retrospective.” Law Contemp. Prob. 49 (2): 5–35. https://doi.org/10.2307/1191413.
Royal Commission on the Ocean Ranger Marine Disaster. 1984. Report one: The loss of the semisubmersible drill rig ocean ranger and its crew. Ottawa, ON: Canadian Government Publishing Centre.
Safatly, L., M. Itani, I. Srour, and A. El-Hajj. 2020. “A comprehensive overview of approaches to teaching ethics in a university setting.” J. Civ. Eng. Edu. 146 (2): 04020001. https://doi.org/10.1061/(ASCE)EI.2643-9115.0000009.
Schecter, A., and T. Tiernan. 1985. “Occupational exposure to polychlorinated dioxins, polychlorinated furans, polychlorinated biphenyls, and biphenylenes after an electrical panel and transformer accident in an office building in Binghamton, NY.” Environ. Health Perspect. 60 (May): 305–313. https://doi.org/10.1289/ehp.8560305.
Sheppard, S., A. Colby, K. Macatanga, and W. Sullivan. 2006. “What is engineering practice?” Int. J. Eng. Educ. 22 (3): 429–438.
Silberstein, E., O. Shir-Az, H. Reuveni, Y. Krieger, Y. Shoham, T. Silberstein, and A. Bogdanov-Berezovsky. 2016. “Defensive medicine among plastic and aesthetic surgeons in Israel.” Aesthetic Surgery J. 36 (10): 299–304. https://doi.org/10.1093/asj/sjw094.
Studdert, D., M. Mello, W. Sage, C. DesRoches, J. Peugh, K. Zapert, and T. Brennan. 2005. “Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.” JAMA 293 (21): 2609–2617. https://doi.org/10.1001/jama.293.21.2609.
Summerton, N. 1995. “Positive and negative factors in defensive medicine: A questionnaire study of general practitioners.” BMJ 310 (6971): 27–29. https://doi.org/10.1136/bmj.310.6971.27.
Trevelyan, J. 2014. The making of an expert engineer. London: CRC Press.
Uhlmann, D. 2016. “The pendulum swings: Reconsidering corporate criminal prosecution.” SSRN Electron. J. 49 (4): 1235–1283.
Ullström, S., M. Andreen Sachs, J. Hansson, J. Øvretveit, and M. Brommels. 2014. “Suffering in silence: A qualitative study of second victims of adverse events.” BMJ Qual. Saf. 23 (4): 325–331. https://doi.org/10.1136/bmjqs-2013-002035.
Vansant, R. 1985. “Liability: Attitudes and procedures.” J. Manage. Eng. 1 (4): 227–232. https://doi.org/10.1061/(ASCE)9742-597X(1985)1:4(227).
Weick, K., and K. Sutcliffe. 2001. Managing the unexpected: Assuring high performance in an age of complexity. San Francisco: Jossey-Bass.
Wildman, W., and T. Castelli. 2004. “Minimizing liability for construction accidents through good contracting.” J. Civ. Eng. Educ. 130 (4): 306–310. https://doi.org/10.1061/(ASCE)1052-3928(2004)130:4(306).
Wise, C. 2010. “Engineers of tomorrow: Holistic-thinking system engineers.” In Holistic engineering education, edited by D. Grasso and M. Burkins, 227–241. New York: Springer.
Yan, S., M. M. Hulou, D. Cote, D. Roytowski, J. Rutka, W. Gormley, and T. Smith. 2016. “International defensive medicine in neurosurgery: Comparison of Canada, South Africa, and the United States.” World Neurosurg. 95 (Nov): 53–61. https://doi.org/10.1016/j.wneu.2016.07.069.
Yang, Y. T., M. Mello, S. Subramanian, and D. Studdert. 2009. “Relationship between malpractice litigation pressure and rates of cesarean section and vaginal birth after cesarean section.” Med. Care 47 (2): 234–242. https://doi.org/10.1097/MLR.0b013e31818475de.
Yates, S. Q. 2015. “Memorandum from Sally Q. Yates, Deputy Attorney General, US Department of Justice, Individual Accountability for Corporate Wrongdoing (Sept. 9, 2015).” Accessed June 16, 2020. https://www.justice.gov/archives/dag/file/769036/download.

Information & Authors

Information

Published In

Go to Journal of Civil Engineering Education
Journal of Civil Engineering Education
Volume 146Issue 4October 2020

History

Received: Jan 6, 2019
Accepted: May 21, 2020
Published online: Jun 25, 2020
Published in print: Oct 1, 2020
Discussion open until: Nov 25, 2020

Permissions

Request permissions for this article.

Authors

Affiliations

Associate Professor, Faculty of Business, Government and Law, Univ. of Canberra, Canberra, ACT 2617, Australia (corresponding author). ORCID: https://orcid.org/0000-0002-9215-6103. Email: [email protected]
Jan Hayes, Ph.D.
Associate Professor, School of Property, Construction and Project Management, RMIT Univ., Melbourne, VIC 3000, Australia.
Janice Wong
Research Coordinator, School of Property, Construction and Project Management, RMIT Univ., Melbourne, VIC 3000, Australia.
Christina Scott-Young, Ph.D.
Ph.D. Senior Lecturer, School of Property, Construction and Project Management, RMIT Univ., Melbourne, VIC 3000, Australia.

Metrics & Citations

Metrics

Citations

Download citation

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

Cited by

View Options

Get Access

Access content

Please select your options to get access

Log in/Register Log in via your institution (Shibboleth)
ASCE Members: Please log in to see member pricing

Purchase

Save for later Information on ASCE Library Cards
ASCE Library Cards let you download journal articles, proceedings papers, and available book chapters across the entire ASCE Library platform. ASCE Library Cards remain active for 24 months or until all downloads are used. Note: This content will be debited as one download at time of checkout.

Terms of Use: ASCE Library Cards are for individual, personal use only. Reselling, republishing, or forwarding the materials to libraries or reading rooms is prohibited.
ASCE Library Card (5 downloads)
$105.00
Add to cart
ASCE Library Card (20 downloads)
$280.00
Add to cart
Buy Single Article
$35.00
Add to cart

Get Access

Access content

Please select your options to get access

Log in/Register Log in via your institution (Shibboleth)
ASCE Members: Please log in to see member pricing

Purchase

Save for later Information on ASCE Library Cards
ASCE Library Cards let you download journal articles, proceedings papers, and available book chapters across the entire ASCE Library platform. ASCE Library Cards remain active for 24 months or until all downloads are used. Note: This content will be debited as one download at time of checkout.

Terms of Use: ASCE Library Cards are for individual, personal use only. Reselling, republishing, or forwarding the materials to libraries or reading rooms is prohibited.
ASCE Library Card (5 downloads)
$105.00
Add to cart
ASCE Library Card (20 downloads)
$280.00
Add to cart
Buy Single Article
$35.00
Add to cart

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share with email

Email a colleague

Share