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Closing the loop with an enhanced referral management system
AbstractObjectiveTo evaluate the impact of a referral manager tool on primary care practices.Materials and MethodsWe evaluated a referral manager module in a locally developed electronic health record (EHR) that was enhanced to improve the referral management process in primary care practices. Baseline (n = 61) and follow-up (n = 35) provider and staff surveys focused on the ease of performing various steps in the referral process, confidence in completing those steps, and user satisfaction. Additional metrics were calculated that focused on completed specialist visits, acknowledged notes, and p...
Source: Journal of the American Medical Informatics Association - February 17, 2018 Category: Information Technology Source Type: research

Root Canal Irrigants and Medicaments in Endodontic Malpractice Cases: A Nationwide Longitudinal Observation
The aim of this study was to assess the role of root canal irrigants and medicaments in endodontic injuries verified in Finland and to estimate the rate of such events over time. (Source: Journal of Endodontics)
Source: Journal of Endodontics - February 16, 2018 Category: Dentistry Authors: Outi Swanljung, Miira M. Vehkalahti Tags: Clinical Research Source Type: research

The Legal Doctrine on the Liability of Physicians in Medical Malpractice Lawsuits Involving Complex Regional Pain Syndrome.
CONCLUSION: Nerve injury was the most frequent reason for taking responsibility in compensating damage in malpractice cases involving CRPS. Physicians should consider various possibilities of such complications in medical practices. It is important to identify and improve areas which need to be improved for patient safety through analyzing the lawsuit judgment cases. PMID: 29441736 [PubMed - in process] (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - February 15, 2018 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

Less is more: A minimalist approach to endoscopy
A substantial literature documents inappropriate usage of gastrointestinal endoscopy in a variety of clinical settings. Overusage of endoscopy appears to be common, and 30% or more of procedures performed in some clinical settings have questionable indications. The potential reasons for overuse of endoscopy are multiple, and include cancer phobia, fear of medical malpractice litigation, profit motive, the investigation of “incidentalomas” found on other imaging, and under-appreciation of the delayed harms of endoscopy, among other reasons. (Source: Gastroenterology)
Source: Gastroenterology - February 15, 2018 Category: Gastroenterology Authors: Nicholas J. Shaheen, M. Brian Fennerty, Jacques J. Bergman Source Type: research

Gendered Expectations: Do They Contribute to High Burnout Among Female Physicians?
AbstractPatients have differing expectations of female versus male physicians. Female patients tend to seek more empathic listening and longer visits, especially with female physicians; however, female doctors are not provided more time for this. Female doctors have more female patients than male doctors, and more patients with psychosocial complexity. We propose that gender differences in patient panels and gendered expectations of female physicians may contribute to the high rate of burnout among female clinicians, as well as to the many female physicians working part-time to reduce stress in their work lives. We propose...
Source: Journal of General Internal Medicine - February 12, 2018 Category: Internal Medicine Source Type: research

Professional Standards, Clinical Guidelines and Medical Liability: A Chance for Significant Improvement in Determining the Standard of Care? (Advance Article)
Source:Page Count 20Despite the proposals to jettison fault/negligence as the fundamental criterion of imputation of medical liability, it remains at the core of most legal systems. At European level, the rise of cross-border healthcare has brought the issue of redress for medical malpractice and the need to enhance quality of care through the adoption of quality and safety standards to the fore. Furthermore, the necessity of best available external evidence to inform approaches to individual patient care is gradually acknowledged. In addition, clinical guidelines become an increasingly familiar part of clinical practice. ...
Source: European Journal of Health Law - February 12, 2018 Category: Medical Law Authors: Athanasios Panagiotou Source Type: research

From Ruling Out to Ruling In: Putting POCUS in Focus
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - February 10, 2018 Category: Emergency Medicine Authors: Arjun K. Venkatesh, Charles D. Scales, Marta E. Heilbrun Tags: Commentary Source Type: research

From Ruling Out to Ruling In: Putting POCUS in Focus.
This article is protected by copyright. All rights reserved. PMID: 29427478 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - February 10, 2018 Category: Emergency Medicine Authors: Venkatesh AK, Scales CD, Heilbrun ME Tags: Acad Emerg Med Source Type: research

GPhC reassures pharmacy professionals as government orders review of medical malpractice
Review ordered after trainee paediatrician struck off following death of six-year-old boy from sepsis (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - February 7, 2018 Category: Drugs & Pharmacology Source Type: research

Difficult Relationships: Patients, Providers, and Systems
AbstractPurpose of ReviewPerspectives on difficult patients have evolved substantially over the years; this paper exams some of the recent developments and trends in literature on this topic.Recent FindingsConflict between providers and their patients was once seen as the fault of the patient; more recently, models have evolved to look at how provider behavior and attitudes as well as systems of care can play a significant role in creating —and, hopefully—defusing such conflict. Conflicts may be informal or escalate to formal complaints; monitoring and remediating both can play a significant role in mitigating ...
Source: Current Emergency and Hospital Medicine Reports - February 5, 2018 Category: Emergency Medicine Source Type: research

Malpractice litigation in the endovascular era
The standard of care in the treatment of vascular disease continues to evolve as endovascular therapies develop. Currently, it is unclear how medical malpractice litigation has adapted to the “endovascular era.” This retrospective case review is the most comprehensive analysis to date of malpractice actions involving endovascular procedures performed by vascular surgeons (VSs), interventional radiologists (IRs), interventional cardiologists (ICs), and cardiothoracic surgeons (CTSs). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 4, 2018 Category: Surgery Authors: Kenny Oh, Goda Savulionyte, Satish Muluk Tags: Clinical paper Source Type: research

Pathologists' Use of Second Opinions in Interpretation of Melanocytic Cutaneous Lesions: Policies, Practices, and Perceptions
CONCLUSION Use of second opinions in clinical practice is greater than that required by laboratory policies, especially for melanocytic tumors of uncertain malignant potential and atypical Spitzoid lesions. Quality of care in surgical interventions for atypical melanocytic proliferations critically depends on the accuracy of diagnosis in pathology reporting. Future research should examine the extent to which second opinions improve accuracy of melanocytic lesion diagnosis. (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - February 1, 2018 Category: Dermatology Tags: Original Article Source Type: research

Bolivia backtracks on malpractice law
Publication date: 20–26 January 2018 Source:The Lancet, Volume 391, Issue 10117 Author(s): Amy Booth (Source: The Lancet)
Source: The Lancet - January 31, 2018 Category: General Medicine Source Type: research

Damage capitation in the modern liability climate: a primer for neurosurgeons and systematic review of the literature.
CONCLUSIONS There is evidence in the literature showing that total and noneconomic damage capitation has the potential to improve the practice environment for neurosurgeons nationwide. Additionally, there are other factors that affect malpractice premium rates, such as the investment markets, which are not affected by these laws. All of these are important for spine surgeons to consider and be aware of in advocating for appropriate reform measures in their states. PMID: 29372862 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - January 26, 2018 Category: Neurosurgery Authors: Lepard JR, Walters BC, Rozzelle CJ Tags: J Neurosurg Spine Source Type: research

Editorial. Damage capitation as malpractice reform.
PMID: 29372856 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - January 26, 2018 Category: Neurosurgery Authors: DiGiorgio AM, Virk MS, Mummaneni PV Tags: J Neurosurg Spine Source Type: research

Evolving Medical-Legal Issues in Breast Imaging
This article addresses these issues and provides a contextual discussion so that physicians and facilities are educated in their selection of a wide variety of approaches that can be applied to clinical use. (Source: Current Radiology Reports)
Source: Current Radiology Reports - January 25, 2018 Category: Radiology Source Type: research

Surgical Residents and Medical Malpractice
To the Editor Thiels et al explore an interesting and important area of medical liability —resident physicians and malpractice. We would like to raise 2 issues related to this article, one concerning the analysis and one concerning the data source. (Source: JAMA Surgery)
Source: JAMA Surgery - January 24, 2018 Category: Sports Medicine Source Type: research

Surgical Residents and Medical Malpractice —Reply
In Reply We appreciate the comments and insight by Schaffer et al into the utility and limitations of the Westlaw database used in our article as well as their further explanation of the National Practitioner Data Bank data included in our Supplement. Regarding the limitations of our analysis, we acknowledged in the Limitations section that the level of detail varied given the intended use of the data and that it was being written not by medical professionals but by jury verdict reporters. In addition, as Schaffer et al noted and as reflected in our article, the cases in the database unfortunately represent a small and non...
Source: JAMA Surgery - January 24, 2018 Category: Sports Medicine Source Type: research

A Black Box or Pandora's Box? Inferior Vena Cava Filter Malpractice Litigation in Context
Placement of inferior vena cava (IVC) filters is a controversial focus of medical malpractice. Clinicians currently have little information to guide them regarding key issues and outcomes in litigation. In this retrospective legal case review, we analyzed the factors associated with malpractice actions involving IVC filters. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - January 22, 2018 Category: Surgery Authors: Kenny Oh, Anil Hingorani Tags: Abstract from the 2018 Society for Clinical Vascular Surgery Annual Symposium Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 210, Issue 2, Page W92-W93, February 2018. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - January 22, 2018 Category: Radiology Authors: Leonard Berlin Source Type: research

[World Report] Bolivia backtracks on malpractice law
In the midst of a health-care reform, a malpractice law put forward by the government has triggered strikes from the medical community. Amy Booth reports from Cochabamba. (Source: LANCET)
Source: LANCET - January 19, 2018 Category: General Medicine Authors: Amy Booth Tags: World Report Source Type: research

Anatomical variations of the thymus in relation to the left brachiocephalic vein, findings of necropsia
Two cases of anatomical variations of the thymus are presented with respect to the anatomical relations with the left brachiocephalic vein and found during the necropsy process. Less than 2 days after birth with Noonan Syndrome, when the left brachiocephalic vein was scanning behind the upper thymus horns, there were other adjacent lesions consisting of three supernumerary spleens and three hepatic veins. The second case was an 8-year-old infant with child malpractice who died from urinary sepsis due to obstructive uropathy, in which case the upper lobes of the thymus were fused and formed a ring through which the left bra...
Source: International Journal of Pediatric Otorhinolaryngology - January 19, 2018 Category: ENT & OMF Authors: Oscar Alonso Plaza, Freddy Moreno Tags: Case Report Source Type: research

Necrotizing fasciitis. Possible profiles of professional liability with reference to two cases.
Authors: Marella GL, De Dominicis E, Paliani GB, Santeusanio G, Marsella LT, Potenza S Abstract Necrotizing fasciitis is one of the most dangerous complication of an abscess and it is still a disease with a high mortality. In this work, we decided to consider two cases: the first one concerns a male subject, aged 66, deceased because of a fatal necrotizing fasciitis associated to a cervical descending mediastinitis, which evolved from a primary peritonsillar abscess; the second is about a 50-year-old woman with a perineal abscess, then evolved into necrotizing fasciitis associated to a fatal septis shock. After a s...
Source: Annali Italiani di Chirurgia - January 11, 2018 Category: Surgery Tags: Ann Ital Chir Source Type: research

Partnering With a Medical Malpractice Insurer to Improve Patient Safety and Decrease Risk
Implementing evolving science into clinical practice remains challenging. Assimilating new scientific evidence into clinical protocols and best practice recommendations, in a timely manner, can be difficult. In this article, we examine the value of partnering with a captive medical malpractice insurance company and its Patient Safety Organization to use data and convening opportunities to build upon the principles of implementation science and foster efficient and widespread adoption of the most current evidence-based interventions. Analyses of medical malpractice and root-cause analysis data set the context for this partn...
Source: The Journal of Perinatal and Neonatal Nursing - January 1, 2018 Category: Perinatology & Neonatology Tags: Feature Articles Source Type: research

Medical Interpreters in Outpatient Practice.
This article provides an overview of the federal requirements related to providing interpreter services for non-English-speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health programs or activities. Federal financial assistance includes grants, contracts, loans, tax credits and subsidies, as well as payments through Medicaid, the Children's Health Ins...
Source: Annals of Family Medicine - January 1, 2018 Category: Primary Care Authors: Jacobs B, Ryan AM, Henrichs KS, Weiss BD Tags: Ann Fam Med Source Type: research

Medical Malpractice Lawsuits Involving Surgical Residents
This study uses legal records accessed through Westlaw to examine lawsuits targeting surgical trainees. (Source: JAMA Surgery)
Source: JAMA Surgery - January 1, 2018 Category: Surgery Source Type: research

Characteristics of claims in the management of septic arthritis in Japan: Retrospective analyses of judicial precedents and closed claims
Conclusion It is important to pay particular attention to SA following sepsis in newborns and to monitor for any signs of SA after joint injection to ensure early diagnosis. Analysis of both malpractice claims and accident and incident reports is essential to ensure a full understanding of the situation in Japan. (Source: Journal of the Chinese Medical Association)
Source: Journal of the Chinese Medical Association - December 29, 2017 Category: General Medicine Source Type: research

Understanding the Legal Essentials of a Bowel Injury Lawsuit in Minimally Invasive Gynecologic Surgery
Publication date: January 2018 Source:Journal of Minimally Invasive Gynecology, Volume 25, Issue 1 Author(s): Paul A. Walden, Burak Zeybek, John Y. Phelps Bowel injury is a known inherent complication of minimally invasive gynecologic surgery; however, it does not automatically signify medical malpractice. Plaintiff attorneys representing patients seeking legal recourse from a bowel injury typically allege claims of intraoperative negligence, delay in diagnosis, or lack of informed consent in an effort to circumvent the assertion that it is a known inherent complication. In addition, damage awards in bowel injury lawsuits...
Source: Journal of Minimally Invasive Gynecology - December 27, 2017 Category: OBGYN Source Type: research

Legal grounds for 'extending the scope or type of procedure'.
Abstract INTRODUCTION: The development of patient rights and increasing number of lawsuits based on medical malpractice make medical doctors constantly improve knowledge regarding the acceptability of changing the scope of operation. This is particularly important when patients have expressed their refusal to changing the scope and type of procedure (ESTP) or no informed consent (IC) has been obtained from the patient prior to the procedure. MATERIAL AND METHODS: The method of study comprised content analysis of existing legislation. The current jurisprudence and doctrine were confronted with existing regulat...
Source: Annals of Agricultural and Environmental Medicine : AAEM - December 23, 2017 Category: Environmental Health Authors: Zajdel J, Dziki A, Krakowiak A, Zajdel R Tags: Ann Agric Environ Med Source Type: research

Litigation in orthopedic surgery: What can we do to prevent it? Systematic analysis of 126  legal actions involving four university hospitals in France
Conclusion The primary grounds for legal action are infection-related complications combined with a deterioration in the doctor–patient relationship. Disputes could be prevented by continuing efforts to combat hospital-acquired infections and providing better communications training. Level of proof IV (retrospective study). (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - December 22, 2017 Category: Orthopaedics Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 210, Issue 1, Page W39-W40, January 2018. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - December 21, 2017 Category: Radiology Authors: Leonard Berlin Source Type: research

Top 10 most used drugs in the Kingdom of Saudi Arabia 2010 –2015
Publication date: Available online 15 December 2017 Source:Saudi Pharmaceutical Journal Author(s): Osama A. AlKhamees, Khaled A. AlNemer, Mohammed W. Bin Maneea, Faisal A. AlSugair, Bassam H. AlEnizi, Adel A. Alharf Medications usage has become a significant part of contemporary life. Many studies indicate that there is an excessive use and a considerable waste of medicines. This descriptive study aims at identifying the most used medicines in Saudi Arabia from 2010 to 2015 according to the statistics of specialized companies in the field. Comparison of the most commonly used drugs with those in the United States aims at ...
Source: Saudi Pharmaceutical Journal - December 19, 2017 Category: Drugs & Pharmacology Source Type: research

The Impact of State Medical Malpractice Reform on Individual-Level Health Care Expenditures
Laws limiting malpractice payments may lower state health care expenditures by between 3-4%.. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 18, 2017 Category: Health Management Authors: Hao Yu; Michael D. Greenberg; Amelia Haviland Source Type: research

Laboratory Management Curriculum for Cytopathology Subspecialty Training
Publication date: Available online 15 December 2017 Source:Journal of the American Society of Cytopathology Author(s): R. Nayar, G.A. Barkan, C. Benedict, C. Booth, D.C. Chhieng, D. Mody, M.T. Siddiqui, Z.L. Tabatabai, R. Johnson Laboratory management should be an integral part of training in pathology residency and fellowships. Since 2014, the American Board of Pathology has participated in surveys of new in practice (<10 years) pathologists that asked about how residency and fellowship training correlates with the needs in practice. The feedback has consistently shown that laboratory management, billing and codin...
Source: Journal of the American Society of Cytopathology - December 16, 2017 Category: Cytology Source Type: research

Epidemiology of malpractice claims in the orthopedic and trauma surgery department of a French teaching hospital: A 10-year retrospective study
Conclusion Claims against orthopedic surgeons have been increasing significantly over the last 10 years. Although rare, they represent a significant cost to society. Hospital-acquired infections are the main reason for disputes in our specialization. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - December 16, 2017 Category: Orthopaedics Source Type: research

Litigation in orthopedic surgery: What can we do to prevent it? Systematic analysis of 126 legal actions involving four university hospitals in France
Conclusion The primary grounds for legal action are infection-related complications combined with a deterioration in the doctor–patient relationship. Disputes could be prevented by continuing efforts to combat hospital-acquired infections and providing better communications training. Level of proof IV (retrospective study) (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - December 16, 2017 Category: Orthopaedics Source Type: research

TOP 10 Most USED DRUGS IN THE KINGDOM OF SAUDI ARABIA 2010-2015
Publication date: Available online 15 December 2017 Source:Saudi Pharmaceutical Journal Author(s): Osama A AlKhamees, Khaled A AlNamer, Mohammed W. Bin Maneea, Faisal A. AlSugair, Bassam H. AlEnizi, Adel A Alharf Medications usage has become a significant part of contemporary life. Many studies indicate that there is an excessive use and a considerable waste of medicines. This descriptive study aims at identifying the most used medicines in Saudi Arabia from 2010-2015 according to the statistics of specialized companies in the field. Comparison of the most commonly used drugs with those in the United States aims at clarif...
Source: Saudi Pharmaceutical Journal - December 16, 2017 Category: Drugs & Pharmacology Source Type: research

How many parathyroid glands can be identified during thyroidectomy?
ConclusionEven an experienced surgeon is not always able to find all four PGs during thyroidectomy and occasionally identifies none. Rather than focusing on identifying a  minimum number of PGs, it is more important not to miss them in risky positions. A documented awareness of PGs, i. e., knowledge of variable parathyroid positions and their saving, is a prerequisite for surgical quality and to protect surgeons from claims. (Source: European Surgery)
Source: European Surgery - December 13, 2017 Category: Surgery Source Type: research

Tort reform, but what?
Authors: Annis ER, Nace BJ Abstract Nearly every healthcare reform plan introduced in Congress this year addresses medical malpractice. Although the tort reform goals in the plans may be similar, the methods of achieving them differ substantially. To highlight the areas that need to be resolved, we set up a dialogue between a physician and a plaintiff's attorney. The differing perspectives of Edward R. Annis, MD, former president of the American Medical Association, and Barry J. Nace, JD, past president of the Association of Trial Lawyers of America, exemplify the challenges legislators face. PMID: 29211580 [Pu...
Source: Postgraduate Medicine - December 9, 2017 Category: Internal Medicine Tags: Postgrad Med Source Type: research

Proposed changes in malpractice law.
Authors: Steinmetz DB, Steinmetz SP Abstract Most of the healthcare reform plans recently introduced in Congress propose changes in medical liability law. Will these changes suffice to stem the rising tide of malpractice suits? How will healthcare professionals be affected by the legislation? The authors, a physician and an attorney, address these and other questions as they analyze the malpractice provisions of five plans and offer their own recommendations for reform. PMID: 29206519 [PubMed] (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - December 7, 2017 Category: Internal Medicine Tags: Postgrad Med Source Type: research

A closed-claim analysis of complaints after paediatric antebrachial fractures.
CONCLUSIONS: Two thirds of all complaints were due to normal fracture sequelae; thus, patient anticipation should be accommodated by thorough patient information. Mid-diaphyseal fractures of the forearm are overrepresented among the acknowledged complaints. Casting seems to be preferred to splinting. However, more awareness of these fractures using routinely performed radiographs at the first visit to the emergency room and at follow-up could avoid complaints as well as doctor's delay. FUNDING: none. 
TRIAL REGISTRATION: not relevant. PMID: 29206097 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - December 6, 2017 Category: General Medicine Tags: Dan Med J Source Type: research

Practicing Safe Dermatology —Screening Out Liability
The article “Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015” by Kornmehl and colleagues is a welcome addition in our quest to understand how to reduce dermatology practice risk. The study confirms much of what we already knew or suspected but also provides some new interesting insights. It is reassuring to see that most malpractice cases against dermatologists are “abandoned, withdrawn or dismissed.” Similarly, it is comforting to know that there has been a net reduction of 29.2% in paid claims for dermatologists. Is this secondary to improved patient car e...
Source: JAMA Dermatology - December 6, 2017 Category: Dermatology Source Type: research

[Delegation of medical activities in acute pain therapy].
Abstract Acute pain management is an interprofessional and interdisciplinary task and requires a good and trustful cooperation between stakeholders. Despite provisions in Germany according to which medical treatment can only be rendered by a formally qualified physician ("Arztvorbehalt"), a physician does not have to carry out every medical activity in person. Under certain conditions, some medical activities can be delegated to medical auxiliary personnel but they need to be (1) instructed, (2) supervised and (3) checked by the physician himself; however, medical history, d...
Source: Der Anaesthesist - December 5, 2017 Category: Anesthesiology Authors: Erlenwein J, Moroder A, Biermann E, Petzke F, Ehlers APF, Bitter H, Pogatzki-Zahn E Tags: Anaesthesist Source Type: research

Medical Harm: Patient Perceptions and Follow-up Actions
Conclusions In this sample of self-reported patient harms, we found a perception of inadequate apology. Nearly half of patient harm events are reported to an oversight agency, and roughly one-fifth result in a malpractice claim. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 1, 2017 Category: Health Management Tags: Original Articles Source Type: research

Medical Malpractice Liability Exposure and OB/GYN Physician Delivery Decisions
ConclusionsGiven the increase in both primary and repeat Cesarean deliveries, our results suggest that physician malpractice liability exposure is responsible for a relatively small share of the VBAC decrease. (Source: Health Services Research)
Source: Health Services Research - December 1, 2017 Category: Health Management Authors: Christine Piette Durrance, Scott Hankins Tags: Research Article Source Type: research

Medical malpractice and transoral robotic surgery: Evaluation and some preemptive thoughts.
Abstract Medical malpractice is costly and disruptive, and it is important to prevent. We conducted a study with the objective to look at medical malpractice in robotic surgery overall, to evaluate reasons for litigation, and to comment on possible strategies to avoid litigation with transoral robotic surgery. We used the Westlaw computerized database to identify all state and federal verdict summaries in medical malpractice cases. We found 17 cases alleging malpractice that involved the use of robotic surgery. In all, the plaintiffs in 6 cases (35%) contended that an open rather than a robotic approach should hav...
Source: Ear, Nose and Throat Journal - December 1, 2017 Category: ENT & OMF Authors: Lydiatt DD, Sewell R Tags: Ear Nose Throat J Source Type: research

The net effects of medical malpractice tort reform on health insurance losses: the Texas experience
AbstractIn this paper, we examine the influence of medical malpractice tort reform on the level of private health insurance company losses incurred. We employ a natural experiment framework centered on a series of tort reform measures enacted in Texas in 2003 that drastically altered the medical malpractice environment in the state. The results of a difference-in-differences analysis using a variety of comparison states, as well as a difference-in-difference-in-differences analysis, indicate that ameliorating medical malpractice risk has little effect on health insurance losses incurred by private health insurers. (Source:...
Source: Health Economics Review - November 24, 2017 Category: International Medicine & Public Health Source Type: research

The net effects of medical malpractice tort reform on health insurance losses: the Texas experience
In this paper, we examine the influence of medical malpractice tort reform on the level of private health insurance company losses incurred. We employ a natural experiment framework centered on a series of tor... (Source: Health Economics Review)
Source: Health Economics Review - November 24, 2017 Category: Health Management Authors: Patricia H. Born, J. Bradley Karl and W. Kip Viscusi Tags: Research Source Type: research

Medical Harm: Patient Perceptions and Follow-up Actions
Conclusions: In this sample of self-reported patient harms, we found a perception of inadequate apology. Nearly half of patient harm events are reported to an oversight agency, and roughly one-fifth result in a malpractice claim. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2017 Category: Health Management Tags: Original Articles Source Type: research