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When a medical malpractice lawsuit is filed, the emergency physician (EP) and the hospital are often represented by the same defense counsel, but there are times when this is not in the EP's best interest, according to Robert B. Takla, MD, MBA, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI.
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Overcrowding and emergency department (ED) boarding are the two top liability risks that Douglas Brunette, MD, assistant chief of emergency medicine for clinical affairs at Hennepin County Medical Center in Minnesota, sees for EDs currently.
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When Robert B. Takla, MD, MBA, FACEP, chief of the Emergency Center at St. John Hospital and Medical Center in Detroit, MI, was named in a lawsuit early in his career, he was certain he hadn't breached the standard of care, though the same may not have been true regarding one of his emergency physician (EP) colleagues.
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[Editor's note: In this issue of Same-Day Surgery, we put a special focus on compliance with regulated drugs. We've talked with some of the top pharmacy consultants in the country to find out foolproof systems for avoiding diversion and theft. These stories will help you decide where to focus your time and energy, while avoiding liability.]
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More often, outpatient surgery staff members find themselves in the unenviable position of telling patients about out-of-pocket responsibilities running into the thousands of dollars.
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About one-quarter of healthcare respondents reported that their organization has experienced a security breach in the past year, according to survey results from the Healthcare Information Management and Systems Society (HIMSS) in Chicago.
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Controlled substance diversion is one of those things that every administrator thinks "could never happen to me. I don't have any thieves or drug abusers working here." In my 20 years of being a pharmacist consultant for surgery centers, I've heard that more times than I can count.
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One of the accreditation standards causing the most headaches for ambulatory organizations is the one on credentialing. In fact, statistics gathered by The Joint Commission indicated that for the first half of 2011, 48% of ambulatory organizations and 56% of office-based facilities were noncompliant with standard HR 02.01.03: The organization grants initial, renewed, or revised clinical privileges to individuals who are permitted by law and the organization to practice independently.
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Electronic health records, or EHRs, can be valuable tools for managers as they strive to comply with The Joint Commission's National Patient Safety Goals. That's a clear message communicated in a recent commentary in The Journal of the American Medical Association; however, the authors take care to not only outline some best practices for EHR use, but to also review some of the challenges presented.
