Emergency Medicine - Adult and Pediatric
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Problematic Hospital Policies Can Be Used Against ED Defendants
Policies should be viewed as general guidelines, always leaving ample room for individual physician discretion. There cannot be a one-size-fits-all approach, even for patients with the same diagnosis.
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Timing of Pulmonary Embolism Crucial Factor in ED Malpractice Claims
After recently reviewing a missed pulmonary embolism malpractice case against an emergency physician, an expert found some disturbing implications.
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ED a High-Risk Setting for Physician Trainees
When physician trainees (residents or fellows) were involved in harm events, the ED was a higher-risk setting than inpatient or outpatient areas, according to the authors of a recent analysis. However, that does not necessarily mean the trainee was from emergency medicine.
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Analysis: Myocardial Infarction Most Commonly Missed Diagnosis
Researchers recommended additional training in reading ECGs and recognizing atypical presentations of myocardial infarction to reduce missed diagnoses.
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EHR Can Make ED Documentation Appear Suspicious
While electronic health records offer many benefits to ED providers, they also carry some inherent risks. Learn more about specific examples of issues that can result in malpractice litigation.
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EHR Issues Arising in ED Malpractice Lawsuits: Info Is Outdated, Incorrect, or Missing
Electronic health record (EHR) issues are coming up in malpractice lawsuits against ED providers. Seven such cases were included in a recent analysis of 216 closed claims occurring from 2010 to 2018 in which EHRs contributed to injury.
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Falls in the Elderly
Falls in patients older than 65 years of age are an increasingly common presentation in U.S. emergency departments, and intricate knowledge and confidence in the evaluation and management of these patients is vital.
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Pitfalls in Treating Hand Emergencies
Traumatic and nontraumatic conditions involving the hand are among the more common clinical events seen in emergency departments. This article reviews the pitfalls that clinicians who encounter acute hand conditions must navigate successfully.
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Deadly Pediatric Rashes
Rash is a common complaint in the emergency department (ED). Often, the pediatric rash is a benign, self-limiting condition that requires no intervention; however, there are occasions when rashes are true emergencies. Identifying these rare occasions is critical for the pediatric patient. This issue reviews and discusses some of the most common pediatric dermatologic emergencies and the ED approach to identification, diagnosis, and immediate evidence-based management of these conditions. -
Any Discrepancy in ED Chart Hurts All Med/Mal Defendants
With multiple providers documenting in the ED medical record, there are bound to be some discrepancies from time to time. However, the chart must reflect that discrepancies were recognized and considered by the ED provider.