Emergency Care

Emergency Medicine Patient Safety Credit Program

As your partner in patient safety, we are pleased to offer the Emergency Medicine Patient Safety Credit Program, our voluntary program that is open to all qualifying member emergency medicine (EM) physicians and their affiliated staff.

APR 17, 2017
Prescribing Opioids Safely: How to Have Difficult Patient Conversations
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. Building a strong doctor-patient rapport can help facilitate tough conversations with patients about opioid prescriptions and reduce risks that could lead to malpractice suits.

APR 03, 2017
FDA Announces Medical Device Recall of HeartStart MRx Monitor/Defibrillator
The FDA has announced a Class I recall of the HeartStart MRx monitor/defibrillator.

MAR 16, 2017
San Diego Death Diaries
Dr. Roneet Lev provides insights into the prescription opioid abuse epidemic.
From The Doctor’s Advocate

MAR 16, 2017
Analysis of Medication-Related Claims from The Doctors Company
Dr. David Troxel reviews 1,770 closed by The Doctors Company in which patient harm involved medication factors.
From The Doctor’s Advocate

JAN 24, 2017
Taking the Risks to Heart: Misdiagnosis of Heart Disease
Differences in the early symptoms and signs of an impending heart attack in women may make diagnosis more difficult compared to men.

JAN 05, 2017
Patient Safety Strategies for Emergency Medicine
Sonny Nguyen, Senior Director, Patient Safety and Risk Management, Northwest Region
In emergency medicine, doctors can reduce potential liability by following risk management strategies, such as establishing clear protocols for tests and radiology follow-up.

NOV 29, 2016
Watch for the Signs: Screen All Patients for Suicidal Thoughts
Patients with suicidal thoughts or ideation appear occasionally in physician encounters. Any patient, no matter what issue is being treated and in any setting, could be at risk for suicide. A consistent and formal screening process, plus a response plan, will protect both the patient and the physician.

SEP 23, 2016
Internal Medicine Closed Claims: What Can We Learn?
Robin Diamond, JD, RN, and Julie Brightwell, JD, RN
Our analysis of closed internal medicine claims identifies top allegations and the most common factors that contribute to patient injury.
From The Doctor’s Advocate

AUG 22, 2016
Did Provider Fatigue Contribute to This Patient's Death?
Julie Brightwell, JD, RN
Provider fatigue and the rush to get things done when staffing levels are inadequate can lead to mistakes and poor outcomes for patients.

AUG 09, 2016
What Doctors Need to Know About Zika
Dan Wright, JD, RN, vice president of patient safety, The Doctors Company
Physicians across the U.S. should practice vigilance to ensure patient safety and reduce risk of potential adverse events as we continue to learn more about the Zika virus.

DEC 15, 2015
Analysis of Cerebral Vascular Accidents and Case Studies
Mary Lerch, RN
Physicians can improve patient prognosis by educating staff to recognize signs and symptoms of cerebral vascular accidents (CVAs).

JUL 17, 2015
Conscious Sedation in the Office
Reduce potential liability with these risk management tips and guidelines for conscious sedation in the office.

APR 20, 2015
Mid-level Practitioner Liability—Preventive Action and Loss Reduction Plan
This booklet can help practitioners avoid liability risks when hiring or working with mid-level practitioners.

Emergency Medicine Closed Claims Study and Infographic

APR 13, 2015
Emergency Medicine Closed Claims Study and Infographic
The study of 332 emergency medicine malpractice claims identified the most common patient allegations and the specific factors contributing to patient injury. Download the study and the infographic.

DEC 10, 2014
Editorial Comment on Maintenance of Certification
David B. Troxel, MD
Dr. Troxel suggests ways to restructure the MoC examination process to adapt it to changes in the healthcare delivery system.
From The Doctor’s Advocate

DEC 02, 2014
Diagnostic Error in Medical Practice by Specialty
David B. Troxel, MD
This closed claim review focuses on the variance between specialties in the incidence of diagnosis-related error.
From The Doctor’s Advocate

OCT 08, 2013
Tips for Preventing Misdiagnosis of Spinal Epidural Abscess
Spinal epidural abscess (SEA) requires prompt diagnosis and treatment to prevent serious neurological complications.

AUG 27, 2013
Be Aware of the Risk of Sudden Cardiac Arrest That Killed "Tony Soprano"
Healthcare providers need to be on alert for the risk factors of sudden cardiac arrest (SCA), including high blood pressure, obesity, use of illegal drugs, and nutritional imbalances.

MAY 30, 2013
Interactive Guide for Hospitals: Clinical Departments: Emergency Medicine Services
Emergency medicine services can have areas of potential malpractice exposure, and this guide can help uncover risks.

FEB 28, 2013
TIA Recognition and Management
David B. Troxel, MD
Failure to recognize subtle transient neurologic deficits as a transient ischemic attack or a harbinger of impending stroke can lead to a claim if a stroke subsequently occurs.
From The Doctor’s Advocate

OCT 30, 2012
It Hurts: The Patient with Noncancer Pain
Susan Shepard, MSN, RN, and Howard Marcus, MD, FACP
Physicians who treat acute and chronic pain need to be comfortable and secure in their competency and cognizant of the correct dosing guidelines, which may have dramatically changed in the past decade.

SEP 14, 2012
Challenging Communications
Laura A. Dixon, JD, RN
Communication breakdowns are a frequent risk management finding in claims, as highlighted in this case study.

AUG 01, 2012
Interactive Guide for Emergency Medicine Physicians
The practice of emergency medicine can have areas of potential malpractice exposure, and this guide can help uncover risks.

JUN 22, 2010
Who's in Charge?
David B. Troxel, MD
This case study illustrates the importance of promptly diagnosing and treating spinal epidural abscess.

JUN 22, 2010
Dilaudid-Related Morbidity and Mortality from Respiratory Depression
Howard Marcus, MD, FACP
Patient safety organizations and the FDA are focusing on ways to reduce patient harm from opioids.

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