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ED nurses shouldn't wait to be the subject of an investigation to become familiar with the hospital's risk management department, says Karen Jarboe, RN, CEN, CCRN, a legal nurse consultant specializing in emergency medicine and a senior clinical nurse with the adult ED at University of Maryland Medical Center in Baltimore.
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The view that every emergency physician (EP) is going to get sued sooner or later is "a bit of an oversimplification," according to Stephen A. Frew, JD, vice president of risk consulting at Johnson Insurance Services and a Rockford, IL-based attorney.
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If an ED nurse is contacted by the state board of nursing about a medication error that harmed a patient, his or her first instinct might be to state, "I told them this would happen because we didn't have enough staff!"
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Emergency physicians (EPs) named in lawsuits likely won't be eager to answer detailed questions about their legal problems years down the road, but there are situations in which they'll need to do so.
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Did an emergency physician write an order for a magnetic resonance imaging (MRI) scan, but one cannot be obtained because the machine is being serviced? If so, the chart should reflect that the ordering physician was advised of the delay.
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When the Patient Protection and Affordable Care Act (PPACA) is implemented in 2014, "not only is our patient volume going to expand, but our role in patient access is also going to expand," predicts Michael F. Sciarabba, MPH, CHAM, director of patient access services at Advocate Illinois Masonic Medical Center in Chicago.
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A hospital privacy and security compliance officer knows exactly what policies and programs within the organization are designed to protect patient information (PHI), but what should be expected of a business associate (BA)?
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Obtaining an authorization for a patient's series of chemotherapy visits is no longer enough, says Mollie Drake, corporate director of access at Scripps Health in San Diego.