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To provide you with critical information on the updated regulations from the Centers for Medicare and Medicaid Services, Thomson American Health Consultants offers "New EMTALA Regulations: Are They Too Good to be True?" an audio conference on Tuesday, Oct. 21, 2:30-3:30 p.m. ET.
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Emergency practitioners must be well versed in the management of diabetic emergencies. New-onset diabetes discovered on presentation to the emergency department (ED) is not an infrequent occurrence.
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Trepidation about litigation among emergency practitioners is a significant concern. Every patient encounter presents the chance for an adverse outcome. The standard of care is defined by experts as a well-established, set path with only one logical approach and outcome; in reality, the standard of care may be a tortuous path with many choices that may lead to dissimilar conclusions. This issue of ED Legal Letter outlines the problems with determining the standard of care and how courts will interpret the standard of care.
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This article completes a four-part series on abdominal pain that began with the January issue of ED Legal Letter. The first two parts outlined risk management strategies for dealing with adult abdominal pain. The third part detailed obstetric emergencies and the difficulty in caring for both mother and unborn child. This concluding segment will review the evaluation and management of pediatric abdominal pain.
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Medication errors have been publicized as among the most dangerous risks to emergency department and hospitalized patients. Newspaper and magazine articles have leaped on the issue. While physicians and hospitals would like to believe this is just news propaganda to increase sales, they are wrong. Studies have shown that patients are dying from preventable adverse drug events (ADEs). Although hospitals, physicians, nurses, risk managers, and pharmacists have made attempts to reduce risks and prevent ADEs, there is much more that must be done. This months ED Legal Letter describes different types of ADEs and develops risk management strategies to reduce the chance of medication error. Adopting the guidelines provided in this issue will create a safer environment for our patients.
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The skyrocketing cost of medical malpractice insurance has affected physicians throughout the nation. Many emergency physicians (EPs) have seen the costs of insurance nearly double in the past three years. Some insurers have deemed EPs with three claims against them in a five-year period as uninsurable. This months ED Legal Letter will provide insight into the malpractice crisis by looking at the cause, effect, and potential solutions to the problem. Furthermore, it will review why past legislative attempts to remedy previous malpractice crises have failed.
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Risk management is the process of identifying factors that may be a source of exposure to lawsuits and adverse outcomes.
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Did a "boarded" ED patient have a bad outcome that can be in any way associated with a delay in diagnosis or treatment, or a failure to properly observe?
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If a bad outcome occurs with a boarded patient, what standard of care will the ED be held to?
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If highly religious nurses or physicians feel that it is appropriate to pray with patients and to share their faith, some patients will appreciate this while others may not. However, it's unlikely this practice will lead to a lawsuit.
