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Defensive medicine among obstetricians and gynaecologists in Turkey.
Authors: Küçük M Abstract In recent years, there has been a remarkable increase in medical malpractice litigations against OB/GYNs in Turkey and globally. This high litigation atmosphere may have changed attitudes, behaviour and practice of OB/GYNs. In the current study, opinions and attitudes of OB/GYNs regarding defensive medicine and to what extent they practice it were investigated. One hundred and eight OB/GYNs participated in the study. All participants found obstetrics and gynaecology riskier when compared with other medical branches and reported that they were increasingly practising defens...
Source: Journal of Obstetrics and Gynaecology - September 13, 2017 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Refractive Surgery: Malpractice Litigation Outcomes
Conclusions: Malpractice litigation in refractive surgery tends to favor the defendant. However, large awards and settlements were given in cases that were favorable to the plaintiff. The need for future surgery and surgery leading to keratoconus increased the chance of an unfavorable outcome. (Source: Cornea)
Source: Cornea - September 12, 2017 Category: Opthalmology Tags: Basic Investigation Source Type: research

The complexity of empathy during medical school training: evidence for positive changes
ConclusionsChanges in empathy during medical school cannot be simply characterised as representing an overall decline. Indeed, aspects of empathy thought to be valuable in positive physician–patient interactions improve during training. Overall, this study points to the importance of assessing the distinct components of empathy using multiple forms of measurement in order to better understand the mechanisms involved in empathy changes in medical practice. (Source: Medical Education)
Source: Medical Education - September 7, 2017 Category: Universities & Medical Training Authors: Karen E Smith, Greg J Norman, Jean Decety Tags: Research Paper Source Type: research

Evaluative reports on medical malpractice policies in obstetrics: a rapid scoping review
ConclusionsOnly a few litigation policies in obstetrics were evaluated or compared. Included documents showed that initiatives to reduce medical malpractice litigation could be associated with a decrease in adverse and malpractice events. However, due to heterogeneous settings (e.g., economic structure, healthcare system) and variation in the outcomes reported, the advantages and disadvantages of initiatives may vary. (Source: Systematic Reviews)
Source: Systematic Reviews - September 6, 2017 Category: International Medicine & Public Health Source Type: research

Thinking About Being Your Own Boss?
I get calls and e-mails from nurse practitioners who are thinking about going out on their own and starting a practice. They ask about the need for malpractice insurance, how to address requirements regarding the Health Insurance Portability and Accountability Act (HIPAA), how to become a Medicare provider or get payments for their work switched to the new practice, how to lock in a collaborator in states that require physician collaboration, and which business form to adopt. Some of those who call end up starting businesses and some do not. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 30, 2017 Category: Nursing Authors: Carolyn Buppert Tags: Legal Limits 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 - August 30, 2017 Category: Sports Medicine Source Type: research

When doctors deny drugs: Sexism and contraception access in the medical field
Abstract Politicians, employers, courts, and health insurance companies are often discussed as problematically preventing access to birth control. However, doctors have more direct control over women's health and quietly have been much more effective at preventing patients' access to contraception. Obstetrician/Gynecologists routinely deny their patients access to contraception ostensibly in the name of health by withholding birth control until patients undergo yearly pap smears. I argue that those in the medical field are motivated by similarly sexist concerns as those in other major institutions in the United States, but...
Source: Bioethics - August 29, 2017 Category: Medical Ethics Authors: J. B. Delston Tags: ORIGINAL ARTICLE Source Type: research

The Relationships Among Perceived Patients' Safety Culture, Intention to Report Errors, and Leader Coaching Behavior of Nurses in Korea: A Pilot Study
Conclusions: There is a need in health care settings for coaching by nurse managers to provide quality nursing care and thus improve patient safety. Programs that are systematically developed and implemented to enhance the coaching behaviors of nurse managers are crucial to the improvement of patient safety and nursing care. Moreover, a systematic analysis of the causes of malpractice, as opposed to a focus on the punitive consequences of errors, could increase error reporting and therefore promote a culture in which a higher level of patient safety can thrive. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 22, 2017 Category: Health Management Tags: Original Articles Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 209, Issue 3, Page W194-W194, September 2017. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - August 22, 2017 Category: Radiology Authors: Leonard Berlin Source Type: research

Trials and Tribulations
Reviewing malpractice cases as a medical expert was an unexpected consequence of testifying as a defendant. I and other physicians in our group practice had been named in a medical malpractice lawsuit. My testimony was required when the case went to trial. After the legal issues were resolved, our attorney suggested that my credentials and demeanor would make me a credible expert witness. Despite having initial reservations, I accepted her offer to review cases because participating in the process seemed preferable to passively accepting any future legal intrusions. (Source: JAMA)
Source: JAMA - August 15, 2017 Category: General Medicine Source Type: research

Taking the Initiative: Risk-Reduction Strategies and Decreased Malpractice Costs
To heighten awareness of attending and resident surgeons regarding strategies for defense against malpractice claims, a series of Risk Reduction Initiatives (Initiatives) have been carried out in our Department of Surgery (Surgery). We hypothesized that emphasis on certain aspects of risk might be associated with decreased malpractice costs. The relative impact of Surgery Initiatives was assessed when compared to malpractice experience for the rest of the Clinical Practices of the University of Pennsylvania (CPUP). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - August 11, 2017 Category: Surgery Authors: Steven E. Raper, Deborah Rose, Mary Ellen Nepps, Jeffrey A. Drebin Tags: Original Scientific Article Source Type: research

OMIC risk management workshop: consent, documentation and reporting
Medical practitioners can avoid medical malpractice lawsuits but keeping current on laws regarding surgical informed consent, proper medical record documentation and knowledge of regulatory medical reporting requirements. (Source: Journal of AAPOS)
Source: Journal of AAPOS - August 1, 2017 Category: Opthalmology Authors: Denise R. Chamblee, John T. Reese, Michelle A. Pineda Tags: Workshop Source Type: research

Provider and Practice Factors Associated With Emergency Physicians ’ Being Named in a Malpractice Claim
Conclusion In this sample of emergency physicians, 1 in 11 were named in a malpractice claim during 4.5 years. Total number of years in practice and visit volume were the only identified factors associated with being named, suggesting that exposure to higher patient volumes and longer practice experience are the primary contributors to malpractice risk. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - July 26, 2017 Category: Emergency Medicine Source Type: research

Redefining the Practice of Peer Review Through Intelligent Automation Part 1: Creation of a Standardized Methodology and Referenceable Database
AbstractConventional peer review practice is compromised by a number of well-documented biases, which in turn limit standard of care analysis, which is fundamental to determination of medical malpractice. In addition to these intrinsic biases, other existing deficiencies exist in current peer review including the lack of standardization, objectivity, retrospective practice, and automation. An alternative model to address these deficiencies would be one which is completely blinded to the peer reviewer, requires independent reporting from both parties, utilizes automated data mining techniques for neutral and objective repor...
Source: Journal of Digital Imaging - July 25, 2017 Category: Radiology Source Type: research

Malpractice litigation following spine surgery.
CONCLUSIONS Delays in the diagnosis and the treatment of a surgical complication predict legal case outcomes favoring the plaintiff. Catastrophic complications are linked to large sums awarded to the plaintiff and are predictive of rulings against the physician. For physician defendants, the costs of settlements are significantly less than those of losing in court. Although this study provides potentially valuable data from a large series of postoperative litigation cases, it may not provide a true representation of all jurisdictions, each of which has variable malpractice laws and medicolegal environments. PMID: 2873...
Source: Journal of Neurosurgery.Spine - July 21, 2017 Category: Neurosurgery Authors: Daniels AH, Ruttiman R, Eltorai AEM, DePasse JM, Brea BA, Palumbo MA Tags: J Neurosurg Spine Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 209, Issue 2, Page W109-W109, August 2017. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - July 21, 2017 Category: Radiology Authors: Leonard Berlin Source Type: research

Disparity in Medicaid Physician Payments for Vascular Surgery
Medicare reimbursements are standardized nationwide on the basis of resource-dependent inputs of physician time, intensity, and practice and malpractice costs, whereas Medicaid payments are determined by individual states. Our objectives were to determine Medicaid reimbursement to physicians for common vascular procedures and to compare Medicaid payments with Medicare. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - July 20, 2017 Category: Surgery Authors: Jennifer L. Perri, Robert M. Zwolak, Richard J. Powell, Charles D. Mabry, Lori A. Gurien, Samuel D. Smith, Steven C. Mehl Tags: Abstract from the 2017 New England Society for Vascular Surgery Annual Meeting Source Type: research

Malpractice reduction and standardisation of care: two sides of the same coin
(Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - July 20, 2017 Category: OBGYN Authors: SL Clark Tags: Mini Commentary Source Type: research

Provider Health and Wellness
Publication date: Available online 19 July 2017 Source:The Journal of Allergy and Clinical Immunology: In Practice Author(s): Anil Nanda, Anita Wasan, James Sussman Provider health and wellness is a significant issue and can impact patient care, including patient satisfaction, quality of care, medical errors, malpractice risk, as well as provider and office staff turnover and early retirement. Health and wellness encompasses various areas including burnout, depression, divorce, and suicide and affects providers of all specialties and at all levels of training. Providers deal with many everyday stresses, including electron...
Source: The Journal of Allergy and Clinical Immunology: In Practice - July 19, 2017 Category: Allergy & Immunology Source Type: research

Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage A Closed Claims Analysis
Background Situational awareness errors may play an important role in the genesis of patient harm. The authors examined closed anesthesia malpractice claims for death or brain damage to determine the frequency and type of situational awareness errors.Methods Surgical and procedural anesthesia death and brain damage claims in the Anesthesia Closed Claims Project database were analyzed. Situational awareness error was defined as failure toperceive relevant clinical information, failure tocomprehend the meaning of available information, or failure toproject, anticipate, or plan. Patient and case characteristics, primary damag...
Source: Anesthesiology - July 18, 2017 Category: Anesthesiology Source Type: research

Development and implementation of an emergency department telephone follow ‐up system
This study's objective was to describe the development and implementation of a comprehensive ED telephone follow‐up system over a 9‐year period. Discharged patients who received a follow‐up telephone call within 48 hours of their ED visit included all pediatric patients, those who left without being seen by a provider, and any adult patient with a “high‐risk chief complaint,” which was defined as a headache, visual problem, chest pain, dyspnea, abdominal pain, syncope, trauma, and neurological‐related problems. There were 127 524 cases that met criteria to receive a follow‐up call, with 138&t...
Source: Journal of Healthcare Risk Management - July 18, 2017 Category: Hospital Management Authors: O. John Ma, Mary Tanski, Beech Burns, Elizabeth F. Spizman, James A. Heilman Tags: Clinical Risk Management Source Type: research

Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project
Objective: Evaluate application of quality improvement approaches to key ambulatory malpractice risk and safety areas. Study Setting: In total, 25 small-to-medium-sized primary care practices (16 intervention; 9 control) in Massachusetts. Study Design: Controlled trial of a 15-month intervention including exposure to a learning network, webinars, face-to-face meetings, and coaching by improvement advisors targeting “3+1” high-risk domains: test result, referral, and medication management plus culture/communication issues evaluated by survey and chart review tools. Data Collection Methods: Chart reviews condu...
Source: Medical Care - July 14, 2017 Category: Health Management Tags: Original Articles 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 - July 14, 2017 Category: Radiology Authors: Leonard Berlin Source Type: research

Current approaches to retroperitoneal hemorrhage: Too little, too late
Key Points Retroperitoneal hemorrhage (RPH) arises in
Source: Catheterization and Cardiovascular Interventions - July 13, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Robert D. Safian Tags: Coronary Artery Disease Source Type: research

Sudden perinatal death due to rupture of congenital cardiac diverticulum. pathological findings and medico-legal investigations in malpractice charge
Congenital diverticoli of the left ventricle, defined as protrusions of the free wall [1], are cardiac abnormalities with a fibrous or muscular [2] structure, very rare [3 –9], often undetected during instrumental investigations and therefore lately identified [3]. Their sudden rupture is associated to high rates of morbidity and mortality [10], leading affected patients to unexpected death [5,10]. Most of the times these malformations are located to the left ventri cle [11], even though they can be found in every cardiac district (diverticulosis) [12]. (Source: Legal Medicine)
Source: Legal Medicine - July 11, 2017 Category: Forensic Medicine Authors: Matteo Marchesi, Michele Boracchi, Guendalina Gentile, Francesca Maghin, Riccardo Zoja Tags: Case Report Source Type: research

Reported Litigation Associated with Primary Hip and Knee Arthroplasty
Greater than 75% of arthroplasty surgeons report having been the subject of a malpractice lawsuit. Despite this, few studies have analyzed the causes of litigation following total joint arthroplasty in the United States. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 11, 2017 Category: Orthopaedics Authors: Steven L. Bokshan, Roy Ruttiman, J. Mason DePasse, Lee E. Rubin, Mark A. Palumbo, Alan H. Daniels Tags: Original Article Source Type: research

Using a pregnancy decision support program for women choosing birth after a previous caesarean in Japan: A mixed methods study
A trend towards higher Cesarean Section (CS) rates has been seen in developed and developing countries since the 1970s.1,2  A similar trend has been observed in Japan since the 1980s, where the CS rate has increased nearly threefold in the past 30 years, rising from 7.3% in 1984 to 19.7% in 2014.3 Factors potentially influencing this trend include an increased number of primary CS associated with a rising childrearing age, routine use of CS for breech presentation, an increased number of emergency CS associated with diagnosis of fetal distress detected by continuous electronic monitoring, an increasing number of mul...
Source: Women and Birth - July 10, 2017 Category: Midwifery Authors: Ikuyo Torigoe, Allison Shorten Source Type: research

When Guild Interests and Professional Obligations Collide.
Abstract Physicians who work in medical organizations are called on to fulfill two roles: guild members who work to advance physician interests (eg, lobbying for tort reform) and professional society members who work to advance patient interests (eg, developing clinical guidelines). Most often, physicians' self-interest and their interest in patient well-being align. When they do not, members of a guild or profession may justify the prioritization of self-interest with a form of motivated reasoning (a process wherein physicians weigh data differently depending on whether it supports their a priori beliefs). This a...
Source: Obstetrics and Gynecology - July 7, 2017 Category: OBGYN Authors: Minkoff H, Ecker J Tags: Obstet Gynecol Source Type: research

Patients ’ Rights, Medical Error and Harmonisation of Compensation Mechanisms in Europe (Advance Article)
Source:Page Count 23In 1999 the Institute of Medicine reported that most medical injuries relate to unavoidable human error in a context of system failure. Patient safety improves when healthcare providers facilitate blame-free reporting and organisational learning. This is at odds with fault-based civil liability law, which discourages a more open (doctor-patient) communication on medical injuries. The absence of a clear-cut definition of ‘medical error’ complicates litigation and hence swift, appropriate patient compensation. No-fault systems perform better in this respect. A dual track liability system for m...
Source: European Journal of Health Law - July 6, 2017 Category: Medical Law Authors: Kenneth Watson and Rob Kottenhagen Source Type: research

Trend of Malpractice Litigation against Neurosurgeons in Japan: An Analysis of Disclosed Database by Courts in Japan from 2001 through 2015.
Authors: Nagashima H, Wada Y, Hongo K Abstract Following the modern raising of public awareness, the numbers of malpractice litigation are increasing in the health care delivery system in Japan despite the extensive efforts of physicians. Authors reviewed the issues of litigation and the reasons for court decision from the healthcare-related negligence lawsuits in the past 15 years in Japan and investigated the cautionary points for reducing potential litigation. Healthcare-related negligence lawsuits between January 2001 and December 2015 were retrieved and sorted in each clinical field from the database in Courts...
Source: Neurologia Medico-Chirurgica - July 5, 2017 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research

Possible gasoline-induced chronic liver injury due to occupational malpractice in a motor mechanic: a case report
ConclusionsHydrocarbon-induced occupational liver injury should be considered as a cause when evaluating a patient with liver injury with possible exposure in relevant occupations. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - July 3, 2017 Category: General Medicine Source Type: research

Nurse practitioner malpractice data: Informing nursing education.
CONCLUSION: Moving forward, nurse practitioner malpractice data should be continuously analyzed and used to inform the development of nurse practitioner education standards and graduate program curriculum to address areas of clinical weakness and improve quality of care and patient safety. PMID: 28734486 [PubMed - in process] (Source: Journal of Professional Nursing)
Source: Journal of Professional Nursing - July 1, 2017 Category: Nursing Authors: Sweeney CF, LeMahieu A, Fryer GE Tags: J Prof Nurs Source Type: research

Use of trauma scoring systems to determine the physician's responsibility in cases of traumatic death with medical malpractice claim.
CONCLUSION: In a medical malpractice case, calculating injury severity scores may assist an expert witness or judge to detect any unseen injuries and to determine the likely survival potential of the patient, but these values do not provide enough information to evaluate all of the evidence or draw conclusions about the entire case. All contributing factors to trauma severity should be considered along with the trauma score and other case factors. PMID: 28762454 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - July 1, 2017 Category: Emergency Medicine Authors: Arslan MN, Kertmen Ç, Melez DO, Evcüman D, Büyük Y Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - June 29, 2017 Category: Universities & Medical Training Tags: From the Editor Source Type: research

Avoiding legal risks in critical care nursing
This article provides nurses with information on how to avoid legal risks in critical care. (Source: Nursing Critical Care)
Source: Nursing Critical Care - June 28, 2017 Category: Nursing Tags: Feature Source Type: research

Cardiac Testing After Emergency Department Evaluation for Chest Pain
Cardiovascular disease is the leading worldwide cause of mortality and morbidity. The evaluation of chest pain for suspected acute coronary syndrome (ACS) typically occurs in an emergency department (ED). Chest pain is the second most common reason for an ED visit and accounts for 7 million annual encounters in the United States. Identifying the minority of patients who have ACS is challenging with high stakes, as timely treatment can prevent future cardiac events. Missed ACS is also the top reason for malpractice claims against emergency physicians. Consequently, most emergency physicians are unwilling to accept an ACS &l...
Source: JAMA Internal Medicine - June 26, 2017 Category: Internal Medicine Source Type: research

Catch them young: grooming a new generation of physicians in India
ConclusionIndia demands a new generation of young aspirants who can be guided by teachers who can teach the art and philosophy of medicine, where earning limitless money is not the sole purpose of medical education. (Source: Journal of Public Health)
Source: Journal of Public Health - June 23, 2017 Category: Health Management Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 209, Issue 1, Page W43-W43, July 2017. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - June 22, 2017 Category: Radiology Source Type: research

Legal and Ethical Challenges, Part 1
This article presents and discusses these challenges, including the physician-patient relationship, malpractice, confidentiality and privilege, duty to report, decision-making capacity and vicarious decision-making, the Emergency Medical Treatment and Labor Act, right to treatment, hospital admissions, involuntary commitment, forced medication administration, and child and elder abuse. (Source: Psychiatric Clinics of North America)
Source: Psychiatric Clinics of North America - June 16, 2017 Category: Psychiatry Source Type: research

Patient Recall of the Information on an Informed Consent Video
Experience has shown that in malpractice cases patients often claim certain information was not provided in the informed consent process. The purposes of this study were to determine how much of an informed consent video patients initially remember and how much is recalled when there is a hiatus between viewing the video and the surgery. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - June 14, 2017 Category: ENT & OMF Authors: Brennen T. Olsen, Connor J. Sherwood, Caroline K. Carrico, James H. Priest, Daniel M. Laskin Source Type: research

Invasive Prenatal Diagnostic Testing Recommendations are Influenced by Maternal Age, Statistical Misconception and Perceived Liability
This study evaluates the influence of maternal age and government funding on obstetrician/gynecologist recommendation for invasive prenatal testing (i.e. amniocentesis) for Down syndrome (DS), and its association with the physician’s assessment of the risk of liability for medical malpractice unless they recommend amniocentesis. Israeli physicians (N = 171) completed a questionnaire and provided amniocentesis recommendations for women at 18 weeks gestation with normal preliminary screening results, identical except aged 28 and 37. Amniocentesis recommendations were reversed for the younger (‘yes&...
Source: Journal of Genetic Counseling - June 14, 2017 Category: Genetics & Stem Cells Source Type: research

Legal and Ethical Challenges, Part 1
This article presents and discusses these challenges, including the physician-patient rela tionship, malpractice, confidentiality and privilege, duty to report, decision-making capacity and vicarious decision-making, the Emergency Medical Treatment and Labor Act, right to treatment, hospital admissions, involuntary commitment, forced medication administration, and child and elder abuse. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - June 14, 2017 Category: Psychiatry Authors: Britta Ostermeyer, Anim N. Shoaib, Swapna Deshpande Source Type: research

Patient Recall of Information on a Third Molar Informed Consent Video
Experience has shown that in malpractice cases patients often claim certain information was not provided during the informed consent process. The purposes of this study were to determine how much of an informed consent video patients initially remember and how much is recalled when there is a hiatus from viewing the video to the surgery. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - June 14, 2017 Category: ENT & OMF Authors: Brennen T. Olsen, Connor J. Sherwood, Caroline K. Carrico, James H. Priest, Daniel M. Laskin Tags: Dentoalveolar surgery Source Type: research

Surgeon-Patient Communication: Disclosing Unanticipated Medical Outcomes and Errors.
Authors: Marks MR Abstract The disclosure of unanticipated medical outcomes and errors is essential as physicians strive to create a safer, higher quality healthcare delivery system. Physicians and other healthcare providers should use an organized approach to guide the disclosure of unanticipated medical outcomes and errors. An expression of sympathy or an apology on behalf of a physician depends on whether the medical outcome or error occurred after appropriate care (maloccurrence) or there was a deviation from the standard of care (malpractice). PMID: 28594537 [PubMed - in process] (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - June 9, 2017 Category: Orthopaedics Tags: Instr Course Lect Source Type: research

Surgeon-Patient Communication: The Key to Patient Satisfaction, Patient-Centered Care, and Shared Decision Making.
Authors: Burney Iii DW Abstract The surgeon-patient relationship is rapidly evolving from surgeon-centric to patient-centric. External forces, such as the Affordable Care Act and the unsustainable growth of healthcare costs in the United States, have disrupted the old model of medical care. Effective communication between surgeons and patients as well as patient satisfaction, treatment adherence, and shared decision making are essential components of the patient-centered care paradigm. Effective communication carries high stakes for surgeons, including increased surgeon satisfaction and a reduced risk of surgeon bu...
Source: Instructional Course Lectures - June 9, 2017 Category: Orthopaedics Tags: Instr Course Lect Source Type: research

Defensive medicine: No wonder policymakers are confused.
This article examines a sample of recent literature focusing on defensive medicine and finds that the messages conveyed vary widely, helping to explain the confusion experienced by many policymakers trying to improve the quality and affordability of health care. PMID: 28582875 [PubMed - in process] (Source: International Journal of Risk and Safety in Medicine)
Source: International Journal of Risk and Safety in Medicine - June 9, 2017 Category: Drugs & Pharmacology Tags: Int J Risk Saf Med Source Type: research

Aspects of Malpractice in Prosthodontics
Abstract Crowns, fixed partial dentures, and removable dentures are the popular prosthetic dental restorations in current dental practice. Prosthodontic rehabilitation of the mouth, particularly in advanced and complex cases, requires careful planning, adequate clinical skills, and exacting technical standards. While a successful outcome is the ultimate goal for any prosthodontic treatment, complications, injuries, dissatisfaction, and/or failure may occur. When such events develop as a result of negligence or violation of standards of care, they are considered under the term of malpractice and may incur ethical and medico...
Source: Journal of Prosthodontics - June 9, 2017 Category: Dentistry Authors: Mohammad Zakaria Nassani Tags: Review Source Type: research

Falls From the O.R. or Procedure Table.
Abstract Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is when patients fall off an operating room or procedure table during anesthesia care. Because such events are (fortunately) uncommon, and because very little information is published in our literature, we queried 2 independent closed claims databases (the American Society of Anesthesiologists Closed Claims Project and the secure records of a private, anest...
Source: Anesthesia and Analgesia - June 8, 2017 Category: Anesthesiology Authors: Prielipp RC, Weinkauf JL, Esser TM, Thomas BJ, Warner MA Tags: Anesth Analg Source Type: research

Analysis of Closed Claims in the Clinical Management of Rheumatoid Arthritis in Japan.
Abstract BACKGROUND: Despite an increasing awareness of the risk of medical errors, few data sources are available to highlight the characteristics and patterns of medical errors in the clinical management of rheumatoid arthritis (RA). The present study aimed to evaluate medical malpractice claims associated with the management of RA and other autoimmune connective tissue diseases (ACTDs). METHODS: We analyzed 38 ACTD-associated closed claims extracted from a total of 8530 claims processed between July 2004 and June 2014 by the Tokyo headquarters office of Sompo Japan Nipponkoa Incorporated, a leading malprac...
Source: Chinese Medical Journal - June 7, 2017 Category: General Medicine Authors: Otaki Y, Ishida MD, Saito Y, Oyama Y, Oiso G, Moriyama M Tags: Chin Med J (Engl) Source Type: research