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Guidelines for the management of febrile children dating back to 1993 have complicated liability risks for EDs since they were published, and continue to play a role in ED medical malpractice litigation, says Jim Wilde, MD, director of pediatric emergency medicine at the Medical College of Georgia, who also is fellowship-trained in pediatric infectious diseases.
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The introduction of vaccines that prevent bacteremia has significantly reduced the risk of serious bacterial infections associated with Haemophilus influenzae and Streptococcus pneumoniae. How does this impact liability risks when caring for febrile children?
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Do you believe that once your patient is evaluated by an on-call consultant in your ED, you are abdicated from any future liability? "ED physicians frequently believe this, but this is absolutely not true," says James Hubler, MD, JD, assistant clinical professor of emergency medicine at the University of Illinois College of Medicine at Peoria.
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There are, of course, a number of chart documentation methods and the goals of the various methods are all the same: 1) to memorialize the patient encounter for future reference by other caregivers; 2) to provide information for billing purposes; and 3) to create a legal document that allows quality review whether in the medical setting or in the courtroom.
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There are deficits in delivery of indicated care to children that are similar in magnitude to those that have been reported for adults, according to new research conducted by RAND, the University of Washington, Seattle Children's Hospital and Regional Medical Center, and the University of California at Los Angeles.
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Harvard University researchers say Medicaid managed care enrollees receive lower quality care than that received by commercial managed care enrollees. But a spokesman for Medicaid managed care plans questions the study results, saying it's not fair to compare Medicaid and commercial populations.
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States have increased funding for tobacco prevention and cessation programs by 20% to $717.2 million for fiscal year 2008, but that's still less than half of the expenditure recommended by the Centers for Disease Control and Prevention (CDC).
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Pay-for-performance (P4P) programs are undergoing a striking transformation, moving from a focus on processes of care to one emphasizing patient outcomes, cost efficiency, and use of information technology, researchers are finding.
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The first week in March, patient education managers have an opportunity to promote patient safety by observing National Patient Safety Awareness Week.
