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Whether urban, suburban, or rural in location, every emergency department manages the victims of gunshot wounds, some more frequently than others. It is essential to follow the principles of the management of penetrating trauma and not get distracted by impressive wounds.
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The final statement,"Doctor X is leaving with the patient," dictated by Corey M. Slovis, MD, professor and chairman of the Department of Emergency Medicine at Vanderbilt University Medical Center in Nashville, was regarding a critically ill patient who was being accompanied by the hospital's chief of trauma to the operating room. This was later incorrectly transcribed as "Doctor X is sleeping with the patient."
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Although the EP is responsible for medical care delivered in the ED setting, every adult of sound mind has the right to refuse medical care, says Catherine A. Marco, MD, FACEP, a professor in the Department of Emergency Medicine at The University of Toledo (OH).
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If time wasn't a factor and if charting were an enjoyable activity, emergency physicians (EPs) would presumably always produce thorough, accurate documentation a key factor in minimizing legal risks.
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Emergency physicians' (EPs) decisions to admit or discharge patients are motivated, in part, by liability concerns, according to recent research.
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What an emergency physician (EP) documents can unquestionably influence the outcome of a lawsuit, but is the same true for an ED's charting method?
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With some electronic medical record (EMR) documentation systems, plaintiff's attorneys may have a difficult time determining what actually happened during the ED visit.
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Suppose a patient is being seen in your ED for an extremity injury resulting from a motorcycle accident, and chooses to leave right after his arm is put in a splint, although the emergency physician (EP) hasn't yet done a full examination.
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Busy EDs are increasingly relying on temporary staff to cope with nursing shortages, unanticipated spikes in volume, and other personnel challenges, but the practice is coming at a steep price, according to research from Johns Hopkins University (JHU) School of Medicine in Baltimore, MD.
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Some electronic medical record (EMR) systems make it difficult for emergency physicians (EPs) to view the nursing notes, says Jonathan D. Lawrence, MD, JD, FACEP, an ED physician at St. Mary Medical Center in Long Beach, CA, and assistant professor of medicine at Harbor/University of California Los Angeles Medical Center, which increases the chance of conflicting information getting into the patient's chart.
