Primary Care

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.

OCT 25, 2016
Optimize the EHR: Better Workflow Means Better Work-Life Balance
There are tools that can streamline patient care and payment workflows in the electronic health record (EHR). By dedicating time and effort up front to optimize the EHR, physicians can get relief from administrative tasks, reduce duplicate entry of data, and save time by not having to search for records in multiple places.

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

MAY 12, 2016
Obesity: A Common Comorbidity in Malpractice Claims
David B. Troxel, MD
This case study effectively illustrates the challenges of caring for morbidly obese patients.
From The Doctor’s Advocate

MAR 30, 2016
Undiagnosed Heart Disease in Women Poses Malpractice Risk
Differences in the early symptoms and signs of an impending heart attack in women may make diagnosis more difficult compared to men.

DEC 15, 2015
Challenges in Cultural Diversity: Protect Your Patients and Yourself
Susan Shepard, MSN, RN
Physicians are increasingly faced with providing care to a multicultural society complicated by literacy issues.

AUG 26, 2015
Medical Malpractice and Preparticipation Sports Physicals
Michael C. Koester, MD, ATC
Physicians should be aware of liability risks associated with preparticipation sports physicals.

AUG 04, 2015
On Alert: What All Doctors Need to Know About Alzheimer’s Disease
As the population ages, Alzheimer’s is becoming a more common cause of death. Early diagnosis of dementia, requiring the expertise of a neuropsychiatric physician who specializes in dementia, is essential to allow for maximum quality of life. Physicians of all specialties should become familiar with the early signs of this disease in order to refer patients with symptoms to a specialist for further testing.

JUL 15, 2015
Boost Patient Safety: How Doctors Can Reduce Risks with Vaccinations
Physicians should always be attentive to the importance of timely vaccines against infectious diseases for patients of all ages. Whether you’re seeing patients for back-to-school immunizations or preparing adult patients for travel abroad, this article can help you assess the vaccine administration protocol in your practice to reduce risks and enhance patient safety.

JUL 08, 2015
Laboratory and Diagnostic Test Tracking in Ambulatory Practice
Dana Faber, RN, BS, Patient Safety Risk Manager
Inadequate clinical laboratory and diagnostic test tracking is a top factor leading to patient injury.

JUN 23, 2015
Employing Advanced Practice Providers: Balancing Benefits and Potential Malpractice Risks
Advanced practice providers (APPs), like physician assistants and nurse practitioners, perform both routine and complicated medical services for hospitals and medical practices across the country, improving patient access to healthcare. However, practices and hospitals that use APPs must also be aware of potential liability risks. Implementing effective risk management measures will help ensure that the benefits of using APPs are not at the expense of increased liability exposure.

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.

FEB 24, 2015
Rising Number of Measles Cases Creates Numerous Patient Safety Issues
New cases of measles (rubeola) are once again making national headlines. Physicians should implement effective screening protocols, infection control techniques, and patient education to reduce liability risks and promote patient safety.

JAN 21, 2015
Working with Patients Who Do Not Follow the Treatment Plan
Patients who do not follow the treatment plan may become high liability risks because their behavior often exacerbates existing health problems, which can lead to negative outcomes.

DEC 29, 2014
Tracking Referrals
An adequate referral tracking system can help reduce risks and help you provide safe, high-quality care.

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 07, 2014
Communication Is Key to Improving Diabetic Patient Outcomes and Reducing Liability
It’s not uncommon for diabetic patients to file claims against their diabetes care team for failure to properly diagnose, supervise, monitor, and/or treat their disease. This article outlines ways physicians can have effective conversations with their patients to decrease malpractice risks.

SEP 04, 2014
Conflicting Guidelines on Mammograms Can Pose Risks
Breast cancer screening guidelines issued by national organizations and medical specialties have inconsistent recommendations about mammogram screening ages and intervals, which can create potential liability for delayed or missed diagnoses. Learn how to reduce these mammography risks.

JUN 25, 2014
Rising Number of Infectious Disease Cases Creates Patient Safety Issues
Infectious diseases and their inherent liability risks are becoming more common. This article highlights ways physicians can increase patient safety and reduce liability risks when outbreaks occur.

MAY 08, 2014
An Overview of Obesity-Related Claims
Paul Nagle, ARM, CPHRM
The Doctors Company continues to see an alarming increase in lawsuits that involve obese patients.

DEC 20, 2013
Interactive Guide to Patient Safety for Office Practices
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your practice.

SEP 10, 2013
A Perfect Storm
David B. Troxel, MD
This malpractice claim could have been avoided if the physician had put one simple policy in place.
From The Doctor’s Advocate

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

AUG 20, 2013
Mid-level Practitioners: Shared Benefits, Shared Risks
Susan Shepard, MSN, RN
Doctors who work with physician extenders must be aware of their respective roles and the liability exposures that may result.

MAY 16, 2013
Johns Hopkins Launches Online Pain Certificate for Primary Care Physicians in 2013
Members of The Doctors Company can obtain a 30 percent discount on the registration fee for a CME course created by Johns Hopkins School of Medicine.
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

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

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.

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.

NOV 15, 2011
Diabetes Risk Management
Randy Linde, MD, and Howard Marcus, MD, FACP
Diabetic patients pose unique risk management concerns for physicians.

SEP 01, 2011
A Tragic Lesson in Drug Safety
David B. Troxel, MD
This case study highlights the dangers of not being fully knowledgeable about a prescribed medication.

MAR 01, 2008
Getting Sued for Breast Cancer
Richard E. Anderson, MD, FACP
Suits involving breast cancer are the most common cause of malpractice litigation in the United States. This article lists the most common issues that lead to claims.

Stay in the know with our monthly newsletter.

Sign up to receive The Doctor’s Practice.

Our e-mail newsletter delivers timely updates across a range of topics each month, including
patient safety, legislative updates, and the latest industry and company news.