Hospital Management
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Top Factors to Consider in Choosing Outside Counsel
Risk managers may be involved in helping choose outside counsel for the hospital or health system. There are many factors to consider before making the right choice.
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Choose Outside Counsel Carefully; Avoid Common Mistakes
When risk managers are involved in selecting outside counsel for the hospital or health system, the task can seem daunting. Choosing the right counsel involves considering a multitude of factors, including fees, availability, experience, size of the firm, and even whether it seems like a good fit culturally.
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Include Communications in Adverse Event Plans
When planning to respond effectively to adverse events, it is important to include a crisis communication plan. A key part of the plan is a designated crisis team including members for each defined functional area of the organization.
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Checklist for Responding to Adverse Events
Risk managers should create a checklist for responding to adverse events to ensure the most effective response in a potentially stressful and hectic environment, experts say. Risk management should visit the scene of the incident — the floor, the procedure room, ICU, radiology department — prepared to conduct what amounts to a triage of the incident.
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Develop Plan for Responding to Adverse Events
Adverse events happen without warning, yet they require a carefully planned response to minimize damage and facilitate the most effective follow-up investigation. Facilities should plan now for how to respond to an unexpected death, a serious accident, or potential malpractice. It is critical to prepare an adverse event plan so that the response is not cobbled together in the heat of the moment, when emotions are running high.
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Boards of Directors on Notice With Recent Caremark Decisions
Two recent court rulings indicate courts may extend a corporate board’s duty to monitor further than the previous norm. Healthcare corporate directors could be at an increased risk of shareholder lawsuits and personal liability.
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Residents’ Compassionate Behaviors Vary During Informed Consent
The authors of a recent study examined how compassionate 65 anesthesia residents were during a simulated preoperative evaluation of a patient in acute pain scheduled for urgent surgery. They found substantial variability in the compassionate care behaviors of anesthesiology residents during the informed consent procedure.
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Data Reveal Knowledge Gaps on Physician-Assisted Suicide
There are physicians who support the legalization of physician-assisted suicide (also known as physician-assisted death or aid-in-dying), but they may have different feelings about actually practicing it themselves. Sixty percent of U.S. physicians believe physician-assisted suicide should be legal, according to the results of a recent study. Yet of that group, only 13% indicated they would be willing to perform the practice if it were legal.
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Tips for Device Reps and Clinicians Searching for Ethics Advice
Collaborative relationships help develop new medical technologies, and ensure they are used safely and effectively. A recently updated ethics code clarifies socially responsible conduct related to these interactions.
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Ethics Recommendations Span Years for Some Patients
When someone requests an ethics consult, the patient’s social and clinical history is important to know. So is the history of ethicists’ involvement. It is not uncommon for a consult service to be called multiple times over several to assist with a care question that resurfaces.