Hospitalists

JUN 06, 2017
Prescribing Opioids Safely
Dr. Howard Marcus discusses guidelines and recommendations for preventing opioid misuse and addiction in patients with acute or chronic pain.
From The Doctor’s Advocate

JUN 06, 2017
The Doctors Company Introduces a New CME Series
Earn complimentary CME credit for reading designated articles online.
From The Doctor’s Advocate

APR 20, 2017
The Opioid Epidemic: Resources and Insights
The dramatic increase in opioid use over the past few decades has resulted in an opioid-related epidemic of addiction and death. These expert resources, including data analysis that shines a light on trends in opioid claims, can help address this important issue.

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.

FEB 23, 2017
Caring for the Hospitalized Obese Patient
By Paul Nagle, ARM, CPHRM, Director of Physician Patient Safety, and Shelley Rizzo, RN, CPHRM, Patient Safety Risk Manager II.
Hospitalists and facilities can reduce potential liability when caring for obese patients by taking risk management steps, such as additional monitoring for patients with OSA.

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 11, 2016
Missed Opportunities
Susan Shepard, MSN, RN
Miscommunication and missed opportunities resulting from hurried handoffs can produce fatal results.

MAY 12, 2016
Specialty Advisory Boards: Bringing Together Expertise
Robin Diamond, JD, RN, and Miranda Felde, MHA, CPHRM
We provide forums for healthcare leaders to exchange ideas and identify ways to help us advance the practice of good medicine.
From The Doctor’s Advocate

Hospitalist Closed Claims Study

MAR 01, 2016
Hospitalist Closed Claims Study
This review of 464 closed hospitalist claims identifies top allegations and factors contributing to patient injury.

FEB 18, 2016
Analysis of Closed Hospitalist Claims
Darrell Ranum, JD, CPHRM, David B. Troxel, MD, Robin Diamond, MSN, JD
Medical Director David B. Troxel, MD, shares highlights from our Hospitalist Closed Claims Study.
From The Doctor’s Advocate

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.

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

NOV 01, 2014
Strategies to Reduce Liability Risks for Hospitalists
Kathleen Stillwell, MPA, RN
Two common problem areas for hospitalists are confusion regarding the hospitalist's role in the patient care continuum and miscommunication during the different phases of inpatient care, especially during handoffs.

AUG 26, 2014
A Team Approach to Reducing Risk
Paul Bauer, MD, and Tara Benton, MD, MSCI
Drs. Bauer and Benton discuss their team's quality improvement initiative to reduce catheter-associated bloodstream infections in pediatric patients.
From The Doctor’s Advocate

OCT 24, 2013
Hospitalist Advisory Board
Our Hospitalist Advisory Board meetings bring together top practitioners from around the country with patient safety, claims, and underwriting leaders from The Doctors Company to analyze emerging trends and discuss key issues specific to hospitalists.

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.

SEP 08, 2013
The Rising Tide: Perils of Opioid Use
Howard Marcus, MD, FACP
Dr. Howard Marcus discusses steps physicians should take when initiating opioid therapy.
From The Doctor’s Advocate

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

FEB 26, 2013
Changing Times, Changing Practices
Siobhan S. Dunnavant, MD, FACOG
This article outlines a hospitalist model designed to enhance patient safety, reduce malpractice risk, and improve physician quality of life.
From The Doctor’s Advocate

NOV 27, 2012
REMS: Opioid-Related Patient Safety and Liability
David B. Troxel, MD
The FDA's Risk Evaluation and Mitigation Strategies (REMS) program addresses the epidemic of adverse events related to the inappropriate prescribing, misuse, and abuse of long-acting opioids.
From The Doctor’s Advocate

NOV 21, 2012
Postoperative Visual Loss: A Catastrophic Complication
Susan K. Palmer, MD
There has been an increase in the number of cases of complete or partial postoperative vision loss associated with surgeries such as prone back surgery, extreme head-down pelvic surgery, and orthopedic surgeries.
From The Doctor’s Advocate

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.

APR 16, 2012
Medication-Related Errors and Liability: What Can You Do?
David B. Troxel, MD
This article outlines strategies for mitigation of medication-related errors.

FEB 08, 2012
Imperative Conversations: Managing Transitions of Care in the Hospital
Susan Shepard, MSN, RN
Standardizing the handoff process has been shown to lower rates of perceived near-miss events and adverse outcomes.

SEP 01, 2011
Patient-Centered Communications: Building Patient Rapport
Wendy G. Anderson, MD, MS
Communication skills can help hospitalists overcome barriers to care by ensuring a clear exchange of information that engenders patient trust.

JUL 26, 2011
Medicine Is an Open Book Exam
Howard Marcus, MD, FACP
Dr. Howard Marcus outlines a case of acute salicylate poisoning and how point-of-care knowledge tools could have improved the outcome.

AUG 01, 2010
Interactive Guide to Patient Safety for Hospitalists
The practice of hospital medicine can have areas of potential malpractice exposure, and this guide can help uncover risks.

JUN 22, 2010
Hospitalists: New Specialty and New Risks
Susan Shepard, MSN, RN, and Kathleen Stillwell, MPA, RN
By understanding the problems that can occur during handoffs and planning effective communications, hospitalists can minimize risk and enhance patient safety.

JUN 22, 2010
Focusing on Missed or Delayed Diagnosis
Robin Diamond, JD, RN, and Susan Shepard, MSN, RN
This companion article to "An Analysis of Internal Medicine Malpractice Claims" focuses on the types of claims seen in the allegation of missed or delayed diagnosis.

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
An Analysis of Internal Medicine Malpractice Claims
David B. Troxel, MD
369 consecutive closed internal medicine claims were reviewed to identify events that place internists at risk for a malpractice claim.

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.

JUN 01, 2010
Focusing on Selection and Management of Therapy
Robin Diamond, JD, RN, and Susan Shepard, MSN, RN
Claims dealing with selection and management of therapy illustrate how ineffective communication and lack of coordination of care play an important role in adverse events.

APR 07, 2010
Examining the Provider's Role
Arlene Luu, JD, RN, and William J. Oetgen, MD, MBA, FACC

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