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Miscommunication among the clinical team and substandard clinical judgment are among the most common causes of patient injury leading to obstetrics (OB) claims, according to "2010: Annual Benchmarking Report, Malpractice Risks in Obstetrics" released recently by Crico Strategies, the medical malpractice company owned by and serving the Harvard medical community in Cambridge, MA.
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The nation's largest Catholic and nonprofit healthcare system is launching a demonstration project to determine best methods to reduce or eliminate birth complications and at the same seeking to avoid obstetrics claims through a renewed emphasis on transparency and full disclosure.
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The medical liability response model being implemented in the OB units of five Ascension Health hospitals model emphasizes the need for clinicians to report all events that could result in a lawsuit.
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Ascension Health, the nonprofit health system based in St. Louis, MO, already had made progress in reducing injuries to newborns and the associated management of risk exposures before launching the Excellence in Obstetrics program, says Christine K. McKoy, JD, the system's vice president of risk management.
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With all the push for full disclosure of adverse events in the past few years, a new problem has arisen for risk managers who support telling patients and family members the whole truth.
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This is an example of how Fay Rozovsky, JD, MPH, president of the Rozovsky Group, a risk management firm in Bloomfield, CT, suggests a disclosure conversation should be documented
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Gainsharing agreements are becoming increasingly popular as hospitals and other health care organizations look for ways to cut costs and improve profitability.
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In the midst of a contested divorce proceeding, the plaintiff-husband's medical records were released by a treating physician who employed the defendant-wife.
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The following is a sample section of a policy and procedure for disclosure documentation offered by Fay Rozovsky, JD, MPH, president of the Rozovsky Group, a risk management firm in Bloomfield, CT.
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Many risk managers who think they are conducting a root-cause analysis (RCA) really aren't, says Robert Latino, vice president of The Reliability Center, a risk management consulting firm in Hopewell, VA.