By Anh Vu T. Nguyen
As scientific litigation keeps to extend, the simplest defence for medical professionals is to pay attention to, and keep away from, clinical error. This e-book specializes in the major felony matters together with scientific documentation, which decrease hazard and legal responsibility while dealt with adequately. It includes chapters on tricky sufferers and certain matters for emergency physicians. The case-based structure demonstrates scientific relevance and worthy examples are drawn from place of work, health facility and group settings. This ebook is the significant other quantity to studying from clinical blunders: scientific difficulties which makes a speciality of the commonest scientific events leading to malpractice litigation. studying from clinical error: felony matters is essential interpreting for all medical professionals, clinical teachers and academics and clinical attorneys.
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Extra info for Learning from Medical Errors: Legal Issues
American College of Emergency Physicians, Dallas, Texas, 10. Pennachio DL (2004) What makes plaintiff’s attorneys angry? Medical Economics. 81(5): 130. Edwards FJ (2002) The M & M Files: morbidity and mortality rounds in emergency medicine. , Philadelphia, Pennsylvania, 91–93. Edwards FJ (2002) The M & M Files: morbidity and mortality rounds in emergency medicine. , Philadelphia, Pennsylvania, 93. Chapter 2 Good progress note: putting it all together • Additional chart documentation As we have discussed in the previous chapter, there are many components to a progress note.
Finally, if you call in a prescription or refill while on call, make note of it in the chart as soon as possible or you may forget. Physician phone calls to patients are a key component to defensive medicine. First of all, patients are delighted when their physician calls them. It lets them know that their physician cared enough about their health to take the time to call. It also gives them a chance to discuss any questions that may have arisen since they last saw their physician. In addition, it gives them a sense of a stronger relationship with their physician.
Interventions can consist of something simple like repeating a blood pressure or a temperature. Documentation of improving vital signs gives an objective sense that the patient’s condition is improving. This improvement will be hard for a lawyer to dispute. In contrast, if vital signs improve but were not recorded, the physician will have a heavier burden in court showing that the patient was improved before discharge. The multi-trauma patient presents an emergency scenario where documentation can become complicated.