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  • Providers’ Misconceptions About ‘Duty to Warn’

    If a patient expresses intent to harm an individual or a group while in visiting an emergency provider, that provider should try to warn the individual or group of possible harm and also contact law enforcement.

  • Finger-Pointing in Nurse Charting Is Opportunity for Plaintiff

    Emergency nurses and physicians may not understand the liability implications of using charts to air grievances. A unified defense is recognized as the best approach for all defendants in ED malpractice claims, but finger-pointing notes make it difficult. Physicians and nurses should meet briefly before each shift to discuss the importance of teamwork, not only regarding patient care but also documentation.

  • New Guidelines Reinforce Need for Change in Cervical Cancer Screening Practice

    Screening standards for cervical cancer have changed over the past two decades, including several updates since the first consensus guidelines, published in 2001 by the American Society of Colposcopy and Cervical Pathology. The 2020 revision is based on data showing that patients’ risk of developing cervical precancer or cancer can be estimated using screening test results, biopsy results, and consideration of personal patient factors.

  • Misdiagnosis Top Allegation in Aortic Dissection Malpractice Claims

    Failure to timely diagnose, failure to order diagnostic tests, and failure to interpret diagnostic tests were the most frequent allegations in malpractice claims involving aortic dissection, according to an analysis of claims filed between 1994 and 2019.

  • Educational Sessions for Women with Opioid Use Disorder Improve Engagement

    A Maine family planning clinic launched a program to reach women who experience barriers to reproductive healthcare, counseling, and testing for sexually transmitted infections. The program focused on outreach, sending an educator to various locations and providing an educational session for women who are especially vulnerable, including those who use opioids.

  • Overusing CT Scans: Evidence of Decision-Making Helps Defense

    Make it clear to patients, families, and anyone who reviews the chart later why a CT was not ordered during the initial visit. If the provider takes the time to explain this, the family is less likely to be angry if there is a delayed diagnosis. Without a discussion at the first visit, the family may believe a CT scan was not ordered because the physician did not take the complaint seriously.

  • Study: Risk Assessment for Contraceptives Is Influenced by Cultural Biases

    Cultural assumptions create unbalanced risk assessment when the medical community weighs the risks and benefits of common contraceptive methods, the authors of a recent study concluded. Researchers studied contraception risks and assessed how these risks were prioritized in reproductive health providers’ understanding of contraceptives and their potential side effects.

  • Study: Contraception Program for Incarcerated Women Can Prevent Pregnancies

    An estimated 5% of women in jails are pregnant, and human rights groups and researchers have collected evidence that these women often receive poor care and are neglected. One solution is to provide contraceptive care to incarcerated women who would like to avoid pregnancy.

  • Knowing More About Super-Users Prevents Unnecessary ED Visits

    Frequent ED visitors account for 10% to 26% of all ED visits, and are responsible for a growing proportion of healthcare expenditures. The risk of ED super-use is more likely for older patients and those in poorer health. The most common diagnoses were low back pain, nausea and vomiting, chest pain, headache and migraine, urinary tract infection, and abdominal pain.

  • Contraceptive Use Is Less Consistent for Young Women Experiencing Hardships

    Researchers studied more than 1,000 women, ages 18 and 19 years, over several years, asking them weekly questions about their contraceptive use, sex, and pregnancy. They found that women who experience material hardship use contraceptives less consistently.