How gaps in policy implementation cause public health malpractice
Publication date: 16–22 June 2018 Source:The Lancet, Volume 391, Issue 10138 Author(s): Joyce R Javier, Heather L Brumberg, Lee Sanders, Tamara S Hannon, Shetal Shah (Source: The Lancet)
Source: The Lancet - June 15, 2018 Category: General Medicine Source Type: research

Bullying and an unfavourable working environment
International Journal of Workplace Health Management, Ahead of Print. Purpose The purpose of this paper is twofold: first, to reveal the relationship between perceived bullying and the features of a favourable working environment; and second, to indicate bullying factors that especially worsen the working environment and working environment factors that contribute to the bullying experiences. Design/methodology/approach In Spring 2014, 864 staff members —including teachers, researchers, administrators, project workers and service staff—from nine Estonian universities answered an e-mail questionnaire. Findings I...
Source: International Journal of Workplace Health Management - June 15, 2018 Category: Occupational Health Source Type: research

Outcomes and associated factors in malpractice litigation involving inferior vena cava filters
Conclusions Analysis of malpractice cases involving IVC filters revealed key factors associated with litigation. Overall, verdicts favored defendants. Private practitioners were most commonly sued, and the most common reasons for bringing suit were failure to insert filter, intraprocedural complications, and failure to remove filter. Deeper awareness of issues related to malpractice litigation can inform clinical practice and improve patient care and safety. (Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders)
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - June 14, 2018 Category: Surgery Source Type: research

[Malpractice in Urology: lessons of clinical and legal safety.]
DISCUSSION: Urology has a medium risk of claims, with a moderate rate of medical professional liability and amount of compensation. There are specific actions that would lead to clinical safety improvements, particularly in testicular pathologies, vasectomy and lithiasis. Finally, more attention should be paid to proper patient information. PMID: 29889035 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - June 13, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Medical Malpractice Claims Following Incidental Durotomy Due to Spinal Surgery
Conclusion. This analysis of durotomy-associated closed malpractice claims after spine surgery is the largest yet conducted. Durotomy cannot always be considered an entirely benign event, and these findings have several direct implications for clinicians: late-presenting or dehiscent durotomy may be associated with adverse outcomes and subsequent risk of litigation, timely reoperation in the event of durotomy-related complications may not increase surgeon liability, and spine surgeons should be prepared to defend their choice of durotomy repair technique, should dehiscence occur. Level of Evidence: 3 (Source: Spine)
Source: Spine - June 13, 2018 Category: Orthopaedics Tags: Health Services Research Source Type: research

A Look Through Time: Historical Analysis of Obstetrics and Gynecology Texts Highlights Changes in Medicine.
CONCLUSIONS: The increase in female pronoun usage reflects the expanding role of women in medicine. Another trend noted relates to increasing external influence on and regulation of our profession. Previously less important concerns such as documentation burden have emerged in the last 2 decades. PMID: 29863216 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - June 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Communication errors in radiology – Pitfalls and how to avoid them
Communication failures are a common cause of patient harm and malpractice claims against radiologists. In addition to overt communication breakdowns among providers, it is also important to address the quality of communication to optimize patient outcomes. In this review, we describe common communication failures and potential solutions providing a framework for radiologists to improve health care delivery. (Source: Clinical Imaging)
Source: Clinical Imaging - June 6, 2018 Category: Radiology Authors: Stephen Waite, Jinel Moore Scott, Ian Drexler, Jennifer Martino, Alan Legasto, Brian Gale, Srinivas Kolla Source Type: research

Profile of litigation for orthopaedic trauma
The number of medical litigation cases is on continuous rise causing enormous costs for the public health services. Noteworthy, there is a substantial variation in the likelihood of malpractice suits across specialties. In Germany, orthopaedic trauma surgeons are by far the most affected group with approximately 30% of all claims and in the USA they rank among the top 4 medical specialties with an increased risk of facing a lawsuit [1]. The mean indemnity payment in the US was estimated to be $274.887 per case, whereas a total of more than US$321,695,072 was paid in adult orthopaedic surgery-related settlements in the Unit...
Source: Injury - June 1, 2018 Category: Orthopaedics Authors: M. Gathen, K.G. Makridis, P.V. Giannoudis Tags: Editorial Source Type: research

Medical Malpractice Following Carpal Tunnel Surgery.
Abstract There is a paucity of literature examining the reasons for litigation following carpal tunnel surgery in the United States. The purpose of this retrospective study was to examine a nationwide legal database to describe the most frequent reasons for malpractice litigation following carpal tunnel surgery. All malpractice claims that occurred following carpal tunnel surgery were included. In total, 46 cases met inclusion criteria, representing 15 male and 31 female patients with an average age of 46.4 years (±14.7 years). Four cases (8.7%) resulted in settlement. Of the 42 cases that went to trial, 33...
Source: Orthopedics - May 29, 2018 Category: Orthopaedics Authors: Gil JA, Bokshan S, Genovese T, Got C, Daniels AH Tags: Orthopedics Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 210, Issue 6, Page W265-W266, June 2018. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - May 22, 2018 Category: Radiology Authors: Leonard Berlin Source Type: research

Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experience
Conclusions and Relevance Implementation of a mandated serious event disclosure law in Pennsylvania was not associated with an overall increase in malpractice claims filed. Among events of similar degree of harm, disclosed events had higher compensation paid compared with those that had not been disclosed. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 18, 2018 Category: Health Management Tags: Original Articles Source Type: research

Commentary on “Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims?: One Healthcare System's Experience” by Painter LM, Kidwell KM, Kidwell RP, et al
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 18, 2018 Category: Health Management Tags: Invited Commentary Source Type: research

And Now, Please Sign on the Dotted Line: Teaching Residents About Professional Life After Residency.
Authors: Salib S, Valencia V, Moreno A Abstract OBJECTIVES: Despite possible long-term repercussions, few training programs teach their residents about the business of medicine. In particular, certain contractual issues can adversely affect a young physician's career mobility. METHODS: We designed a business-of-medicine curriculum and used a survey to determine whether the curriculum satisfied attendees' perceived knowledge gaps about the topics covered in the course, which included four key contractual matters: physician employment contracts (including restrictive covenants), malpractice insurance, job search,...
Source: Southern Medical Journal - May 17, 2018 Category: General Medicine Tags: South Med J Source Type: research

Malpractice Verdicts and Changing Birthing Practices
Journal of Midwifery&Women's Health, EarlyView. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - May 15, 2018 Category: Midwifery Authors: Janet M.BronsteinPhD , Leonard J.NelsonJD, LLM Source Type: research

Understanding diagnostic safety in emergency medicine: A case ‐by‐case review of closed ED malpractice claims
Journal of Healthcare Risk Management, EarlyView. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - May 12, 2018 Category: Hospital Management Authors: NancyLemoineJD, BSN, RN, CPHRM , AntonioDajerMD , JosephKonwinskiMD , DianneCavanaughMS, RN, CPHRM, CPHQ, CPPS , CatherineBesthoffDrPh, RN, CPHQ , HardeepSinghMD, MPH Source Type: research

Invited Commentary
I read with interest the preceding article in this issue of Annals of Vascular Surgery by Phair et al regarding medical malpractice and vascular surgeons. The authors make an excellent attempt at giving us a better understanding of the factors that lead to the filing of a medical malpractice claims against members of our specialty by reviewing cases from a national databank. However, as noted in their manuscript, the Westlaw database is extremely limited, and contains only a small fraction of the cases that are filed each year. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 11, 2018 Category: Surgery Authors: O. William Brown Source Type: research

Why do Vascular Surgeons Get Sued? Analysis of Claims and Outcomes in Malpractice Litigation
To analyze causes and outcomes of malpractice claims against vascular surgeons in the United States. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 11, 2018 Category: Surgery Authors: John Phair, Eric B. Trestman, Eddie Skripochnik, Evan C. Lipsitz, Issam Koleilat, Larry A. Scher Source Type: research

Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging
Publication date: Available online 9 May 2018 Source:Canadian Journal of Cardiology Author(s): Samia Massalha, Owen Clarkin, Rebecca Thornhill, Glenn Wells, Benjamin J.W. Chow Noninvasive cardiac imaging is widely used for the diagnosis and management of cardiac patients. The increasing demand for cardiac imaging begins to exceed the number of available interpreting physicians, leaving less time to interpret studies. In addition, the busy clinician is facing the increasingly daunting task of keeping abreast of current medical advancements and the ongoing changes in disease diagnosis and therapy. Committing to memory and r...
Source: Canadian Journal of Cardiology - May 10, 2018 Category: Cardiology Source Type: research

A Contemporary Analysis of Medicolegal Issues in Obstetric Anesthesia Between 2005 and 2015.
Abstract BACKGROUND: Detailed reviews of closed malpractice claims have provided insights into the most common events resulting in litigation and helped improve anesthesia care. In the past 10 years, there have been multiple safety advancements in the practice of obstetric anesthesia. We investigated the relationship among contributing factors, patient injuries, and legal outcome by analyzing a contemporary cohort of closed malpractice claims where obstetric anesthesiology was the principal defendant. METHODS: The Controlled Risk Insurance Company (CRICO) is the captive medical liability insurer of the Harvar...
Source: Anesthesia and Analgesia - May 10, 2018 Category: Anesthesiology Authors: Kovacheva VP, Brovman EY, Greenberg P, Song E, Palanisamy A, Urman RD Tags: Anesth Analg Source Type: research

A 15 years survey for dental malpractice claims in Rome, Italy
Conclusions Contrary to what we expected, dental malpractice claims in court have decreased in recent years. The limit liability of dental professional insurances is high compared to the average compensation granted and the insurance doesn't always cover all the expenses for the presence of peculiar clauses in the contract. (Source: Journal of Forensic and Legal Medicine)
Source: Journal of Forensic and Legal Medicine - May 8, 2018 Category: Forensic Medicine Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology, Ahead of Print. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - May 7, 2018 Category: Radiology Authors: Leonard Berlin Source Type: research

Iatrogenic traumatic optic neuropathy: report of an injury occurring during a choanal atresia correction surgery treatment.
We report the case of a 36-year-old adult male patient who came to our attention for the evaluation of a possible iatrogenic injury suffered during the surgical correction of congenital choanal atresia. This case report retraces the patient's medical history and the events lapsed in the peri-operative time analyzing if any malpractice has occurred in causing the amaurosis. PMID: 29720335 [PubMed - in process] (Source: Journal of Biological Regulators and Homeostatic Agents)
Source: Journal of Biological Regulators and Homeostatic Agents - May 5, 2018 Category: Biomedical Science Tags: J Biol Regul Homeost Agents Source Type: research

Supporting the patient through supporting the surgeon involved in an adverse event and/or a medical litigation
An adverse surgical event is described as a nonintentional harm to the patient during a surgical procedure caused by either a medical error or an unexpected complication often at no apparent fault of the surgeon.1 These adverse events can often lead to malpractice lawsuits; more than 99% of physicians in the greater risk surgical professions (neurosurgery, thoracic-cardiovascular, general surgery, orthopedic, and plastic surgery) will have faced a malpractice claim by the age of 65.2 Although such an incident may not always lead to a lawsuit, the psychologic effects on the surgeon involved in either a malpractice suit or a...
Source: Surgery - May 5, 2018 Category: Surgery Authors: David Xiang, Dimitrios Linos Tags: Editorial Source Type: research

Clinical judicial syndrome: The impact of judicial proceedings on doctors.
We present a systematic review of the scientific literature by searching the MEDLINE database, without no time limit, of manuscripts on doctors' reaction to a malpractice claim, carried out in Spanish, English and French. Their methodological quality was evaluated, and the results were analysed. The search identified a total of 18 articles, mostly without empirical sample analysis, which described the clinical judicial syndrome construct, its symptomatology, prevalence, etiopathogenesis and issues of prevention and approach. The literature on this subject is very scarce and has poor empirical foundation. However, the avail...
Source: Medicina Clinica - May 4, 2018 Category: General Medicine Tags: Med Clin (Barc) Source Type: research

Single-State Tort Reform Analysis: Perspectives From the Volunteer State (Tennessee)
Malpractice legislation is of particular concern to radiologists [1,2] who are involved in a majority of patient encounters in the inpatient and outpatient setting. Accordingly, they are frequently involved in litigation. In fact, radiologists are consistently within the top 10 medical specialties named in malpractice suits and also  for payment of malpractice claims [3]. Most radiologists agree that tort reform would be beneficial in reducing the number of frivolous claims and costs of defensive medicine. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - May 3, 2018 Category: Radiology Authors: Wes Angel, Margaret Ann Mays, Houston Graves, Ina Radtke Tags: Opinion Source Type: research

Ablative Lasers: 24 Years of Medical Malpractice Cases in the United States
No abstract available (Source: Dermatologic Surgery)
Source: Dermatologic Surgery - April 27, 2018 Category: Dermatology Tags: Letters and Communications Source Type: research

Using Relational Reasoning Strategies to Help Improve Clinical Reasoning Practice
Clinical reasoning—the steps up to and including establishing a diagnosis and/or therapy—is a fundamentally important mental process for physicians. Unfortunately, mounting evidence suggests that errors in clinical reasoning lead to substantial problems for medical professionals and patients alike, including suboptimal care, malpractice claims, and rising health care costs. For this reason, cognitive strategies by which clinical reasoning may be improved—and that many expert clinicians are already using—are highly relevant for all medical professionals, educators, and learners. In this Perspective,...
Source: Academic Medicine - April 26, 2018 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Can a Nurse Practitioner Go to Jail for Malpractice or Other Things Done in Clinical Practice?
A nurse practitioner (NP) asked whether a clinician can go to jail for wrongful death if there is a serious misdiagnosis. I have collected cases against NPs —meaning I search for them and keep files of them—for 20 years, and only once have I heard of an NP being criminally prosecuted for medical malpractice. That was an incident in 1996 where a NP miscalculated and erroneously ordered a dose for an infant, a registered nurse gave the wrong dose, and the infant died. A lawsuit was filed against both nurses for malpractice. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 26, 2018 Category: Nursing Authors: Carolyn Buppert Tags: Legal Limits Source Type: research

A medicolegal analysis of malpractice claims involving anesthesiologists in the gastrointestinal endoscopy suite (2007 –2016)
Gastrointestinal endoscopy cases make up the largest portion of out of operating room malpractice claims involving anesthesiologists. To date, there has been no closed claims analysis specifically focusing on the claims from the endoscopy suite. We aim to identify associated case characteristics and contributing factors. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 24, 2018 Category: Anesthesiology Authors: Alexander B. Stone, Ethan Y. Brovman, Penny Greenberg, Richard D. Urman Tags: Original contribution Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 210, Issue 5, Page W242-W242, May 2018. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - April 23, 2018 Category: Radiology Authors: Leonard Berlin Source Type: research

Emergency Physician Risk Estimates and Admission Decisions for Chest Pain: A Web-Based Scenario Study
Conclusion The majority of respondents considered any probability greater than 1% for acute coronary syndrome or serious outcome to be at least moderate risk and warranting admission. Physicians used qualitative terms in ways fundamentally different from how they are used in ordinary conversation, which may lead to miscommunication during shared decisionmaking processes. These data suggest that probability or utility models are inadequate to describe physician decisionmaking for patients with chest pain. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - April 22, 2018 Category: Emergency Medicine Source Type: research

Medical Malpractice Litigation Associated with Anesthesia in Oral and Maxillofacial Surgery
The operator-anesthetist model used by oral and maxillofacial surgeons (OMSs) in the office-based outpatient setting is challenged as “unsafe.”1 The American Association of Oral and Maxillofacial Surgeons (AAOMS) is undertaking efforts to demonstrate safety of the operator-anesthetist team model and enhance the quality, safety, and training of anesthesia management within the specialty. There is little literature published on oral and maxillofacial surgery-related anesthesia malpractice. The studies that do exist are not comprehensive and rely on media reports. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - April 18, 2018 Category: ENT & OMF Authors: Yisi D. Ji, Thomas B. Dodson, R. Bruce Donoff, Puhan He Source Type: research

Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases.
We reported the case statistics, allegation categories, severity scores, procedural data, final diagnoses and contributing factors. Fisher's exact test or t-test was used for comparisons (alpha set at 0.05). RESULTS: Eight hundred and forty-five EM cases were identified of which 732 (87%) did not name a resident (non-resident cases), while 113 (13%) included a resident (resident cases) (Figure 1). There were higher total incurred losses for non-resident cases (Table 1). The most frequent allegation categories in both cohorts were "Failure or Delay in Diagnosis/Misdiagnosis" and "Medical Treatment" ...
Source: Accident and Emergency Nursing - April 17, 2018 Category: Emergency Medicine Authors: Gurley KL, Grossman SA, Janes M, Yu-Moe CW, Song E, Tibbles CD, Shapiro NI, Rosen CL Tags: Acad Emerg Med Source Type: research

Cerebral Aneurysms in Judicial Precedents.
Conclusion: Judicial precedents on the cerebral aneurysm included not only malpractice suits, but also causation analysis or insurance payment. Attention to these subjects is needed. We also need education of the independent medical examination. To avoid medical disputes, shared decision making seems to be useful, especially in cases of high risk condition or procedures. PMID: 29631385 [PubMed - as supplied by publisher] (Source: Journal of Korean Neurosurgical Society)
Source: Journal of Korean Neurosurgical Society - April 12, 2018 Category: Neurosurgery Tags: J Korean Neurosurg Soc 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 - April 11, 2018 Category: Surgery Tags: Ann Ital Chir Source Type: research

[Adverse Effects of Psychotherapy in Depressed Patients - First Application of the Positive and Negative Effects of Psychotherapy Scale (PANEPS)].
CONCLUSION: Side effects of psychotherapy are common in patients with depression and should be measured regularly. PMID: 29631298 [PubMed - as supplied by publisher] (Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie)
Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie - April 10, 2018 Category: Psychiatry & Psychology Tags: Psychother Psychosom Med Psychol Source Type: research

Medical Malpractice Litigation Following Arthroscopic Surgery
Our study aims to analyze a variety of factors involving malpractice lawsuits following arthroscopy, focusing on reasons for lawsuit and establishing predictors for the outcome of the lawsuit. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - April 10, 2018 Category: Surgery Authors: Kalpit N. Shah, Adam E.M. Eltorai, Sudheesha Perera, Wesley M. Durand, Govind Shantharam, Brett D. Owens, Alan H. Daniels Source Type: research

Impacted third molar transplantation on the malpracticed extraction socket.
Authors: Kim SM, Amponsah EK Abstract Autotransplantation with or without endodontic therapy is regarded as an alternative treatment option for the replacement of missing teeth. A primary responsibility of a maxillofacial surgeon is to reverse any malpractice to promote successful outcomes and improve the patient's quality of life. This paper presents a malpractice case of incorrect extraction of the lower second molar instead of the impacted third molar. A simple technique of transplanting the impacted third molar to the site of the extracted second molar is introduced by a maxillofacial specialist in Ghana. By ma...
Source: Ghana Medical Journal - April 7, 2018 Category: African Health Tags: Ghana Med J Source Type: research

Necrotizing fasciitis: case series and review of the literature on clinical and medico-legal diagnostic challenges
AbstractNecrotizing fasciitis (NF) is a life-threatening infection of soft tissues spreading along the fasciae to the surrounding musculature, subcutaneous fat and overlying skin areas that can rapidly lead to septic shock and death. Due to the pandemic increase of medical malpractice lawsuits, above all in Western countries, the forensic pathologist is frequently asked to investigate post-mortem cases of NF in order to determine the cause of death and to identify any related negligence and/or medical error. Herein, we review the medical literature dealing with cases of NF in a post-mortem setting, present a case series of...
Source: International Journal of Legal Medicine - April 7, 2018 Category: Medical Law Source Type: research

“It can be challenging, it can be scary, it can be gratifying”: Obstetricians’ narratives of negotiating patient choice, clinical experience, and standards of care in decision-making
Publication date: Available online 5 April 2018 Source:Social Science & Medicine Author(s): Lauren Diamond-Brown This paper examines obstetricians' perceptions of standards of care and patient-centered care in clinical decision-making in childbirth. Patient-centered care and standardization of medicine are two social movements that seek to change how physicians make clinical decisions. Sociologists question if these limit physician discretion and weaken their social power; the degree to which this occurs in everyday practice is up for debate. Of additional concern is how physicians deal with observed tensions betw...
Source: Social Science and Medicine - April 6, 2018 Category: Psychiatry & Psychology Source Type: research

Multidetector CT of expected findings and complications after hysterectomy
AbstractIndicated to manage a variety of disorders affecting the female genital tract, hysterectomy represents the second most common gynaecological operation after caesarean section. Performed via an open, laparoscopic or vaginal approach, hysterectomy is associated with non-negligible morbidity and occasional mortality. Iatrogenic complications represent a growing concern for gynaecologists and may result in prolonged hospitalisation, need for interventional procedures or repeated surgery, renal impairment and malpractice claims. As a result, radiologists are increasingly requested to investigate patients with suspected ...
Source: Insights into Imaging - April 6, 2018 Category: Radiology Source Type: research

Top five legal pitfalls in retinopathy of prematurity
Purpose of review This review highlights the common areas of medicolegal risk during retinopathy of prematurity (ROP) screening. Recent findings Most malpractice risk in ROP comes from systemic errors that ultimately result in failure to screen the patient in a timely fashion, resulting in failures to intervene and/or refer in a timely fashion. Currently, the emphasis is engaging the family members, the hospital staff, and clinic staff to pro-actively manage ROP patients and ensure that they are screened in a timely fashion. Coordinating care between multiple caregivers can minimize risk. Risk increases when practitio...
Source: Current Opinion in Ophthalmology - April 5, 2018 Category: Opthalmology Tags: RETINAL, VITREOUS AND MACULAR DISORDERS: Edited by Brandon G. Busbee and John W. Kitchens Source Type: research

What are the scientific challenges in moving from targeted to non-targeted methods for food fraud testing and how can they be addressed? – Spectroscopy case study
Publication date: Available online 4 April 2018 Source:Trends in Food Science & Technology Author(s): Terry F. McGrath, Simon A. Haughey, Jenny Patterson, Carsten Fauhl-Hassek, James Donarski, Martin Alewijn, Saskia van Ruth, Christopher T. Elliott Background The authenticity of foodstuffs and associated fraud has become an important area. It is estimated that global food fraud costs approximately $US49b annually. In relation to testing for this malpractice, analytical technologies exist to detect fraud but are usually expensive and lab based. However, recently there has been a move towards non-targeted methods as...
Source: Trends in Food Science and Technology - April 5, 2018 Category: Food Science Source Type: research

Defensive medicine among antibiotic stewards: the international ESCMID AntibioLegalMap survey
ConclusionsA significant proportion of specialists in ID and CM reported some form of defensive behaviour in prescribing or advising to prescribe antibiotics. Defensive medicine should be considered when implementing antibiotic stewardship programmes. (Source: Journal of Antimicrobial Chemotherapy)
Source: Journal of Antimicrobial Chemotherapy - April 4, 2018 Category: Microbiology Source Type: research

Judicial Precedent-Based Clinical Practice Guidelines of Propofol in Sedative Esthetic Surgery
ConclusionThe number of claims owing to propofol sedation after esthetic surgery is increasing. Close monitoring during the operation, immediate reaction to an event and thorough medical records were main key factors that influenced the judgement. Preoperative explanation about the possibility of complications was important. The findings will help surgeons achieve high patient satisfaction and reduce liability concerns.Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the...
Source: Aesthetic Plastic Surgery - April 2, 2018 Category: Cosmetic Surgery Source Type: research

Risk Management: Prescribing Controlled Substances: Managing the Risks
Conclusion Using the three Cs of risk management strategies—collecting information, communicating, and carefully documenting—when prescribing controlled substances supports quality patient care and can decrease the risk of improper prescribing allegations. Appendix 1. Prescribing Controlled Substances: Informed Consent Some, but not all states have promulgated various requirements and recommendations for components of an informed consent discussion when prescribing controlled substances.  The following is a compilation of current individual state requirements and recommendations for informed consent. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Risk Management Source Type: research

Evaluation of Surgical Instruments With Radiofrequency Identification Tags in the Operating Room.
CONCLUSIONS: Surgical instruments can be tracked during surgery, and this tracking can clarify the usage rate of each instrument and serve as a backup method of instrument counting. However, this study was conducted on a small scale, and RFID tags cannot be attached to small surgical instruments used in complex operations such as neurosurgery. Further efforts to develop a tracking system for these instruments are warranted. PMID: 29716450 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - April 1, 2018 Category: Surgery Authors: Yamashita K, Kusuda K, Ito Y, Komino M, Tanaka K, Kurokawa S, Ameya M, Eba D, Masamune K, Muragaki Y, Ohta Y, Rinoie C, Yamada K, Sawa Y Tags: Surg Innov Source Type: research