Log in to search using one of your social media accounts:

 

Medical Malpractice in Neurosurgery: A Comprehensive Analysis
Neurosurgeons face the highest probability of facing a medical malpractice claim of any specialist. Here, we perform the first specialty-wide review of malpractice claims in neurosurgery using a well-established, national, online legal database. (Source: World Neurosurgery)
Source: World Neurosurgery - November 20, 2017 Category: Neurosurgery Authors: Ranjit Thomas, Raghav Gupta, Christoph J. Griessenauer, Justin M. Moore, Nimer Adeeb, Rouzbeh Motiei-Langroudi, Bryan Guidal, Nitin Agarwal, Ron L. Alterman, Robert M. Friedlander, Christopher S. Ogilvy, Ajith J. Thomas Tags: Original article Source Type: research

Complications and patient-injury after ankle fracture surgery. −A closed claim analysis with data from the Patient Compensation Association in Denmark
In this study, we have analysed closed claims in which patients suffered injuries due to the surgical treatment of their ankle fracture. We identified causalities contributing to these injuries and malpractices, as well as the economic consequences of these damages. (Source: Injury)
Source: Injury - November 20, 2017 Category: Orthopaedics Authors: Naja Bj ørslev, Lars Bo Ebskov, Camilla Mersø, Christian Wong Source Type: research

Breast radiology malpractice suits: Characteristics of frequency and outcomes ‐ national and statewide distinctions
Abstract The purpose of this study was to determine the frequency and outcomes of breast malpractice suits among all enrollees in One Call Medical Inc.'s panel of interpreting radiologists nationally and to evaluate state‐by‐state variations. The 8401 radiologists enrolled had 4764 suits, of which 826 were related to breast disease. In New York and New Jersey, the ratio of breast suits to One Call Radiologists was 0.28 and 0.27, twice as much as in any other state. Breast suits in radiology have a wide variation in frequency across the country with New York and New Jersey far exceeding all others in relative frequency ...
Source: The Breast Journal - November 15, 2017 Category: Cancer & Oncology Authors: Stephen R. Baker, Sri Ram Pentakota, Basil Hubbi Tags: SHORT COMMUNICATION Source Type: research

The Attitudes of Emergency Department Nurses towards Patient Safety
Health care is a priority for all countries, and medication errors have a negative impact on healthcare workers and patients (WHO, 2007). According to one of the principles of basic human rights and ethical principles – ‘first, do no harm’ – patient and caregiver safety is the primary focus when providing health care. It is the main priority for the health system to ensure patient safety and prevent malpractice while providing quality health care (Alcan et al., 2012). At a conference supported by the Euro pean Commission, the World Health Organization (WHO) stated that approximately 10 million peopl...
Source: International Emergency Nursing - November 14, 2017 Category: Nursing Authors: Hanife Durgun, H ülya KAYA Source Type: research

The Impact of State Medical Malpractice Reform on Individual ‐Level Health Care Expenditures
This study aims to fill the gap. It extends the literature by examining the general population, not a subgroup or a specific health condition, and controlling for individual‐level sociodemographic and health status. MethodsWe merged the Database of State Tort Law Reforms with the Medical Expenditure Panel Survey between 1996 and 2012. We took a difference‐in‐differences approach to specify a two‐part model for analyzing individual‐level health spending. We applied the recycled prediction method and the bootstrapping technique to examining the difference in health spending growth between states with and witho...
Source: Health Services Research - November 12, 2017 Category: Health Management Authors: Hao Yu, Michael Greenberg, Amelia Haviland Tags: Best of the 2017 AcademyHealth Annual Research Meeting Source Type: research

13. Check list in intraoperative neurophysiologic monitoring
The evidence that the failures in communication, such as omission of information, wrong interpretations, conflicts in the team members, are frequent cause of medical malpractice and adverse events, is stronger. It constitutes a relevant obstacle to the safety and quality of the health care.The creation of 5 checklist model, according to the type of monitoring (supratentorial, subtentorial, cervico-dorsal, lombosacral cauda and peripherical), brought us to implement the communication among the surgery room ’s team, as instrumentalist, surgery nurse, anesthetist, neurosurgeon and to reduce the risk of malpractice. (Sou...
Source: Clinical Neurophysiology - November 11, 2017 Category: Neuroscience Authors: L. Motti, G. Torre, C. Basile, M. Barsotti, F. Ferrari Source Type: research

Predicting the Future: A Case Study in Prognostication
Conclusions This case illustrated the possibility of deriving a long-term prognosis using a systematic examination of the existing outcomes literature. Such an approach is consistent with our mandate to engage in evidence-based practice. (Source: American Journal of Speech-Language Pathology)
Source: American Journal of Speech-Language Pathology - November 8, 2017 Category: Speech-Language Pathology Source Type: research

Malpractice Claims: It ’s a Crapshoot—Time to Stop the Self-Blame and Ask Different Questions
Publication date: Available online 6 November 2017 Source:Annals of Emergency Medicine Author(s): Carolyn J. Sachs (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - November 6, 2017 Category: Emergency Medicine Source Type: research

The Clinical and Medicolegal Implications of Radiology Results Communication
Multiple guidelines and legal precedents have established the radiologist ’s duty to inform clinicians directly of critical findings, or findings that will greatly impact patient health in a timely manner [1]. While the number one cause for radiology malpractice cases is misdiagnosis, the literature shows a growing portion of lawsuits surrounding breakdowns in communica tion between radiologists and ordering providers [2,3]. As such, a review of guidelines related to the communication of imaging results is warranted. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - November 6, 2017 Category: Radiology Authors: Barun Aryal, Derek A. Khorsand, Theodore J. Dubinsky Source Type: research

Safety of Non –Operating Room Anesthesia
Publication date: December 2017 Source:Anesthesiology Clinics, Volume 35, Issue 4 Author(s): Zachary G. Woodward, Richard D. Urman, Karen B. DominoTeaser Malpractice claims for non–operating room anesthesia care (NORA) had a higher proportion of claims for death than claims in operating rooms (ORs). NORA claims most frequently involved monitored anesthesia care. Inadequate oxygenation/ventilation was responsible for one-third of NORA claims, often judged probably preventable by better monitoring. Fewer malpractice claims for NORA occurred than for OR anesthesia as assessed by the relative numbers of in NORA versus O...
Source: Anesthesiology Clinics - November 2, 2017 Category: Anesthesiology Source Type: research

The Evolution of the Laborist
This article outlines the different models of laborist care, reviews the evidence for its potential impact on labor outcomes, and discusses the economic impact the employment of laborists can have. (Source: Obstetrics and Gynecology Clinics of North America)
Source: Obstetrics and Gynecology Clinics of North America - October 26, 2017 Category: OBGYN Source Type: research

Vaginal Birth After Cesarean Trends
This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations. (Source: Obstetrics and Gynecology Clinics of North America)
Source: Obstetrics and Gynecology Clinics of North America - October 26, 2017 Category: OBGYN Source Type: research

Medicolegal —Malpractice and Ethical Issues in Radiology
American Journal of Roentgenology,Volume 209, Issue 5, Page W333-W334, November 2017. (Source: American Journal of Roentgenology)
Source: American Journal of Roentgenology - October 26, 2017 Category: Radiology Authors: Leonard Berlin Source Type: research

Malpractice Litigation in Ocular Oncology
Conclusions: Ocular oncology malpractice litigation was relatively rare and outcomes generally favored defendants; however, unlike other subspecialties in ophthalmology, blindness or premature death were common to all cases, highlighting both the importance of prompt diagnosis and treatment and the difficulty inherent in diagnosing ocular malignancies.Ocul Oncol Pathol 2018;4:135-140 (Source: Ocular Oncology and Pathology)
Source: Ocular Oncology and Pathology - October 25, 2017 Category: Opthalmology Source Type: research

Vaginal Birth After Cesarean Trends
This article outlines the factors influencing recent vaginal birth after cesarean trends in addition to reviewing the maternal and neonatal outcomes associated with TOLAC, specifically in high-risk populations. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 25, 2017 Category: OBGYN Authors: James Sargent, Aaron B. Caughey Source Type: research

The Evolution of the Laborist
This article outlines the different models of laborist care, reviews the evidence for its potential impact on labor outcomes, and discusses the economic impact the employment of laborists can have. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 25, 2017 Category: OBGYN Authors: Allison J. Allen, Aaron B. Caughey Source Type: research

Is It Time to Reexamine Reexamination?
Becoming board certified is, for most, the hallmark that a clinician has demonstrated to peers in their discipline that they possess the knowledge, ethics, and judgment deemed necessary to deliver excellent patient care. Board certification is widely used to determine whether a clinician can receive hospital privileges, malpractice insurance, a position on a healthcare insurance panel, and fellowship status in professional associations. Being board certified also brings a large degree of prestige among one's clinical colleagues and can be used by patients to help select their doctor. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 25, 2017 Category: ENT & OMF Authors: James R. Hupp Tags: Editorial Source Type: research

Surgeons ’ views on preoperative medical evaluation: a qualitative study
ConclusionsViews of surgeons should be considered in future research on and reforms to the PME process. (Source: Perioperative Medicine)
Source: Perioperative Medicine - October 24, 2017 Category: Surgery Source Type: research

Academic Urological Surgeons have Greater Exposure to Risk Management Activity than Community Urological Surgeons: An Empirical Analysis of Patient Complaint Data
Conclusions Academic urologists are associated with more patient complaints than community urologists, suggesting greater exposure to medical malpractice claims. Concerns regarding access, communication and the care that patients received appear to drive this discrepancy. Personal practice and clinical management solutions designed to improve these elements of patient experiences, especially access, may help reduce medical malpractice claims related activity. (Source: Urology Practice)
Source: Urology Practice - October 24, 2017 Category: Urology & Nephrology Source Type: research

Choosing Wisely Campaign: Valuable For Providers Who Knew About It, But Awareness Remained Constant, 2014-17 [Web First]
Together with physician specialty societies, the Choosing Wisely® campaign has codified recommendations of which health care services’ use should be questioned and discussed with patients. The ABIM Foundation administered surveys in 2014 and 2017 to examine physicians’ attitudes toward and awareness of the use of low-value care. The surveys included questions on the factors driving that use, physicians’ comfort in having conversations with patients about that use, and physicians’ exposure to the Choosing Wisely campaign. Despite continued publicity and physician outreach efforts, there were no s...
Source: Health Affairs - October 24, 2017 Category: International Medicine & Public Health Authors: Colla, C. H., Mainor, A. J. Tags: Web First Source Type: research

Health Information Technology Involved in Malpractice Cases: Trends Review and Opportunities for Safety Improvement.
Authors: Topaz M, Schaffer A, Acker W, Lai K, Korah Zfania T, Einbinder J, Zhou L PMID: 29039390 [PubMed - in process] (Source: Studies in Health Technology and Informatics)
Source: Studies in Health Technology and Informatics - October 20, 2017 Category: Information Technology Tags: Stud Health Technol Inform Source Type: research

A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain.
CONCLUSIONS: Claims related to outpatient medication management in pain medicine are multifactorial, stemming from deficits in clinical judgment by physicians, noncooperation in care by patients, and poor clinical documentation. Minimization of both legal risk and patient harm can be achieved by carefully selecting patients for chronic opioid therapy and documenting compliance and improvement with the treatment plan. Medical comorbidities such as obstructive sleep apnea and the use of long-acting opioids may be particularly dangerous. Continuing physician education on the safest and most effective approaches to manage thes...
Source: Anesthesia and Analgesia - October 20, 2017 Category: Anesthesiology Authors: Abrecht CR, Brovman EY, Greenberg P, Song E, Rathmell JP, Urman RD Tags: Anesth Analg Source Type: research

Medical malpractice: An introduction for the dental practitioner
Blau, Inbal / Levin, LiranPage 835 - 840With the plethora of medical malpractice claims, health care providers are forced to deal not only with medical matters but also with legal issues. Thus, unfortunately, every time health care providers give a medical treatment, they should be aware of the legal implications of their act. Most medical malpractice cases will be resolved in civil law and will have financial implications, but in extreme cases (such as causing death by negligence) criminal procedure may also be conducted, meaning criminal sanctions (imprisonment or fine). This paper is intended to provide dental practitio...
Source: Quintessence International - October 13, 2017 Category: Dentistry Source Type: research

A case of fatal perimyocarditis due to a rare disease
We report the case of a 51-year-old man who died several months after being diagnosed with asthma by his general practitioner. This diagnosis had been confirmed by a pulmonologist approximately 6  weeks before the man’s death. To rule out the possibility of medical malpractice the prosecuting authority ordered a forensic autopsy. At autopsy macroscopic indicators for perimyocarditis and pneumonia were found. Microbiological and histological examination of tissue samples confirmed a diagno sis of Churg-Strauss syndrome, also known as Eosinophilic Granulomatosis with Polyangiitis (EGPA). The cause of death was det...
Source: Forensic Science, Medicine, and Pathology - October 11, 2017 Category: Forensic Medicine Source Type: research

What do we know about ALARA? Is our knowledge sufficient about radiation safety?
CONCLUSIONS: In our country, doctors working in emergency services request brain CT needlessly because of taking into account the patient's wish and fear of malpractice. The knowledge of the neurosurgeons and emergency service doctors about ALARA is insufficient. It is necessary to educate our physicians about ALARA protocol, for taking these criteria into their consideration when requesting CT examination. For protecting the patients from the effects of ionizing radiation and reducing the economic loss of hospitals, it is necessary to increase awareness of the ALARA protocol and to increase the number of hospitals which p...
Source: Journal of Neurosurgical Sciences - October 7, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Author's reply re re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and 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 - October 3, 2017 Category: OBGYN Authors: SL Clark Tags: BJOG Exchange Source Type: research

Author's reply re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and 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 - October 3, 2017 Category: OBGYN Authors: Philip J Steer Tags: BJOG Exchange Source Type: research

Re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and 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 - October 3, 2017 Category: OBGYN Authors: Omar Malik Tags: BJOG Exchange Source Type: research

Author's reply re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and Malpractice reduction and standardisation of care: two sides of the same coin.
PMID: 28972285 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 3, 2017 Category: OBGYN Authors: Steer PJ Tags: BJOG Source Type: research

Re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and Malpractice reduction and standardisation of care: two sides of the same coin: Safety systems would reduce adverse medical outcomes.
PMID: 28972283 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 3, 2017 Category: OBGYN Authors: Malik O Tags: BJOG Source Type: research

Author's reply re re: UK Secretary of State for Health proposes a new model for compensating the victims of adverse outcomes due to medical/midwifery errors during childbirth and Malpractice reduction and standardisation of care; two sides of the same coin.
PMID: 28972282 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 3, 2017 Category: OBGYN Authors: Clark SL Tags: BJOG Source Type: research

Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs [Original Article]
Through communication-and-resolution programs, hospitals and liability insurers communicate with patients when adverse events occur; investigate and explain what happened; and, where appropriate, apologize and proactively offer compensation. Using data recorded by program staff members and from surveys of involved clinicians, we examined case outcomes of a program used by two academic medical centers and two of their community hospitals in Massachusetts in the period 2013–15. The hospitals demonstrated good adherence to the program protocol. Ninety-one percent of the program events did not meet compensation eligibili...
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Mello, M. M., Kachalia, A., Roche, S., Niel, M. V., Buchsbaum, L., Dodson, S., Folcarelli, P., Benjamin, E. M., Sands, K. E. Tags: Original Article Source Type: research

Medical Malpractice following Spinal Epidural Abscess: A 30-Year, Multi-Database Investigation
This study examines the cases of SEA associated with malpractice litigation and the reasons for judgments for or against physicians. (Source: The Spine Journal)
Source: The Spine Journal - October 1, 2017 Category: Orthopaedics Authors: Govind Shantharam, John M. DePasse, Eren Kuris, Daniel Reid, Wesley Durand, Adam Eltorai, Mark A. Palumbo, Alan H. Daniels Source Type: research

Does the Lack of Informed Consent Result in Increased Spinal Surgery Malpractice Litigation?
BACKGROUND CONTEXT: Medical practice litigation is an important issue in contemporary health care delivery. Predictive factors that have been identified to be associated with increased risk of litigation include severity of injury, gender of the physician and error in diagnosis. However, there is a paucity of literature investigating lack of informed consent in the spinal surgery malpractice environment. (Source: The Spine Journal)
Source: The Spine Journal - October 1, 2017 Category: Orthopaedics Authors: Panagiotis Kerezoudis, Mohammed Ali Alvi, Sandy Goncalves, Bradford L. Currier, Mohamad Bydon Source Type: research

Medical Malpractice in Lower Gastrointestinal Endoscopy: A Review of Case Law
Lower gastrointestinal endoscopy (LGE) is a key diagnostic and therapeutic modality for wide range of colorectal diseases. LGE procedures are a target of medical malpractice litigation. The study aimed to determine which LGE complications comprise the majority of allegations in malpractice lawsuits targeting LGE procedures. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Mohamed D. Ray-Zack, Asad J. Choudhry, Moustafa Younis, George B. Saffouri, Nadeem N. Haddad, Matthew Hernandez, Louis M. Wong Kee Song, Martin D. Zielinski Tags: Scientific poster presentation Source Type: research

Understanding the Legal Essentials of a Bowel Injury Lawsuit in Minimally Invasive Gynecological Surgery
Publication date: Available online 29 September 2017 Source:Journal of Minimally Invasive Gynecology Author(s): Paul A. Walden, Burak Zeybek, John Y. Phelps Bowel injury is a known inherent complication of minimally invasive gynecological surgery. However, it does not automatically signify medical malpractice. Plaintiff attorneys representing patients seeking legal recourse from their bowel injury typically allege claims of intraoperative negligence, delay in diagnosis, and lack of informed consent in an effort to circumvent the assertion that it is a known inherent complication. Additionally, damage awards in bowel injur...
Source: Journal of Minimally Invasive Gynecology - September 30, 2017 Category: OBGYN Source Type: research

[Comment on the Article: Arbitration processes after mammary augmentation plasties - analysis of procedures with medical malpractice and litigation at the North German Arbitration Board].
Authors: Horch RE PMID: 28958119 [PubMed - in process] (Source: Handchirurgie Mikrochirurgie Plastische Chirurgie)
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - September 29, 2017 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

[Does the hand solely belong in the hands of a qualified hand surgeon?]
Conclusions It was shown that physicians with an additional qualification in hand surgery had signifcantly fewer proven medical malpratice cases than physicians without this qualification. The following trends were observed in the cases of the physicians without the additional qualification in hand surgery: underestimation of the severity of trauma to soft tissues and infections of the hand, errors in the surgical examination of the hand, including functional tests of tendons and nerves, as well as in diagnostic findings after X-ray studies of the hand. PMID: 28958117 [PubMed - in process] (Source: Handchirurgie Mikroc...
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - September 29, 2017 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

[Conciliatory proceedings of a German mediation center after breast augmentations].
Discussion The greater frequency of a causal relationship between the damage caused to patient health and malpractice - in comparison to the general statistics - may be due to the greater complexity of breast augmentation than generally expected. Not only the surgery itself, but - to an even greater extent - adequate planning and aftercare are of predominant importance in satisfying the patient. All these factors and the high expectations of the patients lead to a higher request rate. PMID: 28958116 [PubMed - in process] (Source: Handchirurgie Mikrochirurgie Plastische Chirurgie)
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - September 29, 2017 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

[Legal quality criteria of expert opinions in liability for medical malpractice].
Authors: Neu J Abstract In litigation regarding to liability for medical malpractice the court itself for lack of medical expert knowledge cannot judge a claimed error in treatment. That applies too for the question if there is causation between the error in treatment and claimed damage to patient's health. In this respect, the court is dependent on a medical expert and is bound to his assessment, unless there is no quality deficit in respect of medical and/or legal criteria. The more the medical expert knows the legal background of physician's liability for medical malpractice, the less is the risk of legal qualit...
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - September 29, 2017 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

Malpractice Litigation in Ocular Oncology
Conclusions: Ocular oncology malpractice litigation was relatively rare and outcomes generally favored defendants; however, unlike other subspecialties in ophthalmology, blindness or premature death were common to all cases, highlighting both the importance of prompt diagnosis and treatment and the difficulty inherent in diagnosing ocular malignancies.Ocul Oncol Pathol 2018;4:135-140 (Source: Ocular Oncology and Pathology)
Source: Ocular Oncology and Pathology - September 29, 2017 Category: Opthalmology Source Type: research

Understanding the Legal Essentials of a Bowel Injury Lawsuit in Minimally Invasive Gynecological Surgery
Bowel injury is a known inherent complication of minimally invasive gynecological surgery. However, it does not automatically signify medical malpractice. Plaintiff attorneys representing patients seeking legal recourse from their bowel injury typically allege claims of intraoperative negligence, delay in diagnosis, and lack of informed consent in an effort to circumvent the assertion that it is a known inherent complication. Additionally, damage awards in bowel injury lawsuits can easily exceed the amount covered by the policy limits of a medical malpractice insurance plan, leaving the gynecologist financially responsible...
Source: The Journal of Minimally Invasive Gynecology - September 29, 2017 Category: OBGYN Authors: Paul A. Walden, Burak Zeybek, John Y. Phelps Tags: Review Article Source Type: research

Understanding the Legal Essentials of a Bowel Injury Lawsuit in Minimally Invasive Gynecologic Surgery
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 can easily exceed the amount covered by the policy limits of a medical malpractice insurance plan, leaving the gynecologist financially responsible for the...
Source: The Journal of Minimally Invasive Gynecology - September 29, 2017 Category: OBGYN Authors: Paul A. Walden, Burak Zeybek, John Y. Phelps Tags: Review Article Source Type: research

Lawsuits After Primary and Revision Total Knee Arthroplasty: A Malpractice Claims Analysis.
CONCLUSIONS: Orthopaedic surgeons should continue to focus attention on prevention of complications and on preoperative patient education. Preoperative counseling regarding the risks of incomplete pain relief could reduce substantially the number of suits relating to primary TKAs. PMID: 28953089 [PubMed - in process] (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - September 28, 2017 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Predicting the Future: A Case Study in Prognostication.
Conclusions: This case illustrated the possibility of deriving a long-term prognosis using a systematic examination of the existing outcomes literature. Such an approach is consistent with our mandate to engage in evidence-based practice. PMID: 28973121 [PubMed - as supplied by publisher] (Source: American Journal of Speech-Language Pathology)
Source: American Journal of Speech-Language Pathology - September 19, 2017 Category: Speech-Language Pathology Authors: Flipsen P Tags: Am J Speech Lang Pathol Source Type: research

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