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When a group of physicians starting emergency medicine residencies in California were surveyed, researchers found that malpractice fear markedly decreased the interns' enjoyment of medicine.
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Imagine a black box. Into the box you could put all hospital ED related peer-review data, quality assurance materials, incident or occurrence reports, and medical error reviews.
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You might assume that when ED nurses and physicians care for VIPs -- whether this means a family friend, another physician, the hospital CEO, or a sports celebrity -- that care would be stellar.
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As former chief of emergency medicine for the largest hospital and medical treatment facility operated by the U.S. military South Korea, Sean O'Mara, MD, JD, treated many senior level government officials and dignitaries.
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Some emergency physicians argue that the most urgent needs of psychiatric patients are often pushed aside in the ED until a wide range of testing is completed for medical clearance.
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Symptoms of shunt malfunction often can be misconstrued as representing less dangerous medical conditions.
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The diminishing availability of on-call specialists willing to provide emergency services has been well documented.
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Imagine yourself at 2 a.m. trying to determine if a patient clutching his chest is having a myocardial infarction, but this patient doesn't speak a word of English.
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This is the first in a 2-part series on liability risks of psychiatric patients in the ED. Next month, we'll report on risks related to medical clearance of psychiatric patients.
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Both nurses and physicians are at high risk for communication lapses during change of shift, says Francis L. Counselman, MD, chairman and program director for the department of emergency medicine at Eastern Virginia Medical School.
