Advanced Practice Clinician Resources
Get risk management/patient safety resources and free accredited education opportunities tailored for nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, certified midwives, and physician assistants.
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Apr 14, 2025
TDC Group Announces Additions to Its Advanced Practice Clinician (APC) Advisory Board
Professional Education
Prevention of Medical Errors 2024 to 2026 (National)
Few medical errors are attributed to faulty medical judgment. More commonly, they are attributed to system failures inherent in healthcare delivery. By drawing on our professional liability closed claims data, we have identified common performance and diagnostic errors. We analyzed loss prevention measures in tandem with the elements necessary to conduct a credible and thorough root cause analysis to reduce system failures, respond to sentinel events, prevent medical errors, and improve patient safety. The purpose of this program is to provide clinicians with the most current information regarding the prevention of common performance and diagnostic errors.
Professional Education
Prevention of Medical Errors 2024 to 2026 (Florida)
Few medical errors are attributed to faulty medical judgment. More commonly, they are attributed to system failures inherent in healthcare delivery. By drawing on our professional liability closed claims data, we have identified common performance and diagnostic errors. We analyzed loss prevention measures in tandem with the elements necessary to conduct a credible and thorough root cause analysis to reduce system failures, respond to sentinel events, prevent medical errors, and improve patient safety. The purpose of this program is to provide clinicians with the most current information regarding the prevention of common performance and diagnostic errors. This course includes content specifically for Florida licensed practitioners.
Professional Education
Learning from Pain Management Closed Claim Analysis for Advanced Practice Clinicians
This course reviews an analysis of lawsuits and claims filed against pain management advanced practice clinicians (APCs). Insights from the study highlight interventional approaches to treatment that mitigate the risks of unintended outcomes or harms. This study breaks down where most patient injuries occur, what those injuries are, and the lessons learned from those claims.
Professional Education
Delayed, Wrong, or Missed: Diagnostic Process Failure in Nurse Practitioner Practice
Diagnostic process failure resulting in delayed, wrong, or missed diagnoses has been identified as a serious and often preventable harm in healthcare. To prevent diagnostic error, nurse practitioners (NPs) should be aware of the most misdiagnosed conditions and understand the risks associated with cognitive bias. This course will help NPs understand the 12-step diagnostic process of care framework and determine where contributing factors exist in their primary practice setting to effectively recognize and implement appropriate improvement strategies.
Mar 12, 2025
Choosing a Professional Liability Insurance Carrier: A Guide for Advanced Practice Clinicians
Choosing the right malpractice insurer is one of the most important professional decisions you’ll make. Despite facing many of the same liability and malpractice risks as physicians, advanced practice clinicians (APCs)—including nurse practitioners (NPs), physician assistants (PAs), certified registered nurse anesthetists (CRNAs), certified nurse midwives (CNMs), and certified midwives (CMs)—are often not as well insured.
Feb 17, 2025
Are You Protecting Your Career? 5 Essential Questions About Your NP Liability Insurance
Surani Hayre-Kwan, DNP, MBA, FNP-BC, FACHE, FAANP, Nurse Practitioner, West County Health Centers, and Member, TDC Group APC Advisory Board, provides nurse practitioners with five questions to ask about professional liability insurance to ensure their career is protected.
Feb 03, 2025
Simulation-Based Training Prepares Practitioners for High-Risk Events
SIM-based training can enhance clinical skills and competencies while helping students and midcareer professionals prepare for various scenarios, including emergencies.
Feb 03, 2025
Midwives, Are You Covered? 5 Questions to Ask About Professional Liability Insurance
Midwives face distinct, significant, and long-lasting liability risks, and providing excellent care is not enough to mitigate them. Careful consideration of liability coverage options is essential for midwives to protect their licenses, reputations, professional and geographic mobility, and long-term financial health.
Feb 03, 2025
Physician Assistants Can Reduce Risks Through Teamwork: 5 Strategies
While delivering high-quality care, PAs can increase patient safety and mitigate liability risks by committing to teamwork. We can use structured communication tools and escalate when necessary. We can also seek and offer mentorship to foster career-long development.
Feb 03, 2025
Nurse Practitioners, Are You Protecting Your Career? 5 Questions to Ask About Your Professional Liability Insurance
Nurse practitioners face distinct, significant, and long-lasting liability risks, and providing excellent care is not enough to mitigate them. Careful consideration of liability coverage options is essential for midwives to protect their licenses, reputations, professional and geographic mobility, and long-term financial health.
Jan 31, 2025
PSQH: The Podcast Episode 122 – The Growing Role of Advanced Practice Clinicians
Laura Kline, MBA, CPCU, Senior Vice President of Business Development for The Doctors Company and TDC Group, discusses how nurse practitioners and physician assistants are taking on greater responsibility in primary care delivery. These expanded roles offer opportunities for all members of the healthcare delivery team to operate at the top of their licenses.
Jan 30, 2025
Off-Label Use: Patient Safety Implications
Once authorized, a drug product may be prescribed by a licensed healthcare practitioner for any use deemed appropriate based on the practitioner’s professional opinion. The governing standard is what other similarly trained practitioners would do—not what the manufacturer of the medication or product recommends.
Jan 15, 2025
Job Shadowing: Observers, Volunteers, and Students in Clinical Settings
Create guidelines to prevent practice risks, eliminate patient harm, and protect patient privacy.
Video Jan 08, 2025
An Introduction to Medical Professional Liability Insurance for Midwives
This presentation provides a detailed examination of medical professional liability insurance, specifically designed for midwives. Learn policy coverage and exclusions, as well as practical strategies to protect your practice, whether employed or practicing independently. This session also analyzes common causes of loss in midwifery claims, comparing outcomes with those of physicians.
Dec 20, 2024
Patient Safety Predictions for 2025, Part 2
Laura Kline, MBA, CPCU, Senior Vice President, Business Development, The Doctors Company and TDC Group, discusses how collaboration between physicians and advanced practice clinicians can lay the foundation for continuity of care, delivering significant benefits for patients and providers.
Dec 17, 2024
Reduce Patient Safety Risks With Vaccinations
Take time to assess the vaccine administration protocols in your practice.
Dec 09, 2024
Is Your Patient a Victim of Human Trafficking?
Although trafficking victims rarely find opportunities to interact with others, a visit to a physician or dental practice may provide an opportunity for a victim to receive help. Learn to recognize the signs of human trafficking and know what steps to take.
Nov 04, 2024
Mental Health Practitioners: Balancing Privacy With Public Welfare
Societal tension and an increase in demand for mental health services have resulted in unexpected consequences for healthcare practitioners.
Sep 09, 2024
Shoulder Dystocia Documentation: Implementing a Protocol
Shoulder dystocia claims have traditionally been among the most problematic to defend.
Aug 27, 2024
Adjusting Medications for Patients With Kidney Disease: Case Study
Strategies from our case examination can help practitioners ensure that patients with poor kidney function receive appropriately adjusted medication doses.
From
The Doctor’s Advocate
Video Jul 10, 2024
Increasing APC Responsibilities Lead to New Care Models: How TDC Group Provides Support
In a time of worsening physician shortages, new approaches to primary care, home care, and elder care are essential. Thoughtful structuring of care teams can assist many specialties in maintaining or expanding access to care while containing costs, relieving burdens for physicians, and continuing to provide high-quality and attentive care. Learn more about these new care models and how TDC Group provides support from Laura Kline, Senior Vice President of Business Development for TDC Group.
Jul 02, 2024
Practitioner Refusal to Treat Vaccine-Hesitant Patients in the Office Setting
We offer expert strategies to help practitioners address patients who refuse or delay vaccines.
Video May 24, 2024
What Is One of the Keys to Alleviating the Physician Shortage?
The Association of American Medical Colleges (AAMC) predicts demand for medical services in the U.S. will grow much faster than physician supply, leading to an estimated physician shortage of between 54,100 and 139,000 by 2033. In primary care relief is coming for overburdened physicians, as APCs are among the fastest growing professions.
Professional Education
Healthcare AI: Peril or Paradigm?
This program provides nurses with an overview of the range of artificial intelligence models that can potentially be applied in healthcare, examples of regulatory and ethical AI guidance documents, and evidence-based discussions of risks and strategies to address the risks of using AI in healthcare.
Jan 30, 2024
Patient Safety Strategies for Surrogate Births
Surrogate pregnancies present unique challenges that require planning and clear communication.
Jan 22, 2024
Fulfilling the Growing Need for Primary Care
Laura Kline, MBA, CPCU, Senior Vice President, Business Development, The Doctors Company and TDC Group, discusses how advanced practice clinicians are part of the solution to addressing the physician shortage.
Dec 21, 2023
Suicide Prevention: Primary Care Is a Crucial Setting for Identifying Risk
At any given time, some of your patients are having thoughts of suicide. Effective suicide prevention requires a comprehensive approach.
Dec 21, 2023
Medical Malpractice and the Volunteer Team Physician
Community physicians have long served as local high school team physicians. Michael C. Koester, MD, discusses the potential liability risks.
From
The Doctor’s Advocate
Professional Education
Preventing Errors in Preoperative Clearance (Claims Corner)
Primary care providers (PCPs) routinely manage complex elderly patients with multiple comorbidities who require elective surgery. Errors can occur when providers are rushed, there is a lack of effective interoffice communication, and the patient has a low health literacy. Communication and care coordination issues are commonly noted among PCPs and consulting specialists. The Doctors Company has analyzed closed claims where PCPs have been held responsible for failures in surgical mismanagement, specifically preop clearance. This program will highlight the contributing factors identified in malpractice claims involving medical clearance and provide practice strategies for reducing liability risk.
Professional Education
Cardiology–Business of Medicine: Lessons from Medical Malpractice Claims
This educational activity is from an article that was originally published in Cardiology Magazine in June 2023. The article explains the Three Ps—Prevent, Preclude, and Prevail—as key elements to reduce clinician risk related to malpractice litigation. This article reviews an actual cardiology closed claims lawsuit and applies the analysis of the Three Ps. It concludes by explaining the reasons the lawsuit was settled for a nominal amount.
Nov 28, 2023
Higher Malpractice Risk with Advanced Practice Providers? Data Say Not Really
Does the increased prevalence of non-physician patient care mean an increased risk to patient safety?
Professional Education
Shoulder Dystocia Clinician-Patient Disclosure
This enduring activity is designed to assist physicians and advanced practice clinicians (APCs) in enhancing their communication skills when disclosing a shoulder dystocia injury to patients and family members. This type of injury to the infant may, unfortunately, occur despite the best of care; however, effective physician-patient communication is an integral part of clinical practice and has been shown to positively influence outcomes by increasing patient understanding and trust.
Professional Education
Missed Medical History Leads to Adverse Outcome (Claims Corner)
The Doctors Company has identified patient assessment issues and communication failure between providers as key contributors to malpractice claims. This dental case study describes how inadequate patient history taking and poor communication can lead to an adverse patient outcome. The lessons learned in this course are applicable to all healthcare professionals.
Professional Education
Loss Lessons: Lithium Toxicity, Fine Tuning Medications Used in Behavioral Health
Lithium therapy can be used for bipolar affective disorders and in depressive disorders where other antidepressants have been unsuccessful. It is considered a “high-risk” drug due to its narrow therapeutic range and potential for overdose toxicity. This case illustrates the pitfalls that occurred resulting in litigation. It is followed by a discussion of the problems that could have been avoided by following safety guidelines for prescribing lithium.
Professional Education
Cardiology Medical Malpractice Case Study: A Lesson in 'Three P' Analysis
Clinicians, such as primary care and cardiologists, who routinely evaluate and treat patients with cardiac conditions, may benefit from insight from a real cardiology closed claims lawsuit and what factors contributed to it. They will learn the concept of the “Three P” analysis as a strategy to minimize the risk of professional liability litigation. This educational activity explains the various issues that led to the filing of the lawsuit and why it was dismissed, such as good documentation, which is often a prevailing factor in successfully defending a professional liability lawsuit.
Oct 01, 2023
Suicide and Crisis Lifeline: Call or Text 988
The National Suicide Prevention Lifeline is now 988, an easy-to-remember number for 24/7 crisis care.
Professional Education
Empowering Patients Through Open Clinical Notes
This course focuses on the 21st Century Cures Act mandate for interoperability to support patients’ access to their health information. To comply with the information blocking rule, healthcare providers must ensure that they are not engaging in practices that constitute information blocking, such as restricting access to patient electronic health information, imposing unreasonable fees for EHI access, or failing to respond to requests for EHI in a timely manner.
Professional Education
Patient Termination
This brief audio presentation will give healthcare providers information on how to mitigate their risk when terminating a patient relationship. The key topics covered include establishing patient expectations, what to do when expectations aren’t being met, special circumstances to consider prior to termination, and finally, the elements of the termination notice.
Aug 01, 2023
Advanced Practice Clinicians: A Preventive Action and Loss Reduction Guide
Depending on the state, an APC may be permitted to practice autonomously, as part of a collaborative agreement, or under the supervision of a physician. Regardless of an APC’s practice status or employment arrangement, however, all individuals can be held liable for their own acts of negligence. Our preventive action and loss reduction guide can help APCs in every practice environment.
Aug 01, 2023
Obstetrics and Gynecology: Frequently Asked Patient Safety Questions
Our experts answer questions about topics in obstetrics and gynecology, including cesarean delivery on maternal request and screening mammograms.
Jul 25, 2023
Pediatrics: Consider Car Window Hammers for Your Office Emergency Response Kit
Seconds count if an infant, toddler, or young child is accidentally locked inside a hot vehicle. A car window hammer can be a lifesaving tool to include in an emergency response cart or kit.
Professional Education
Failure to Diagnose Congenital Asplenia Results in Tragic Patient Outcome
(Claims Corner CME)
Referral process system failures can contribute to delayed diagnosis of serious conditions which can lead to severe consequences for patients. Problems can arise when referral is needed but is not initiated properly or timely, when the specialist does not ensure their recommendations are fully and clearly communicated back to the referring clinician, when the referring clinician does not understand or act on the specialist’s recommendations, or when the referring office fails to track their open referrals to ensure they have received all consultation reports. This program will examine a malpractice case involving all the above referral-related deficiencies, leading to a catastrophic result for the patient and significant liability for the involved clinicians. Risk management strategies will be provided for any practice to improve the referral process and to prevent similar tragedies from occurring.
Professional Education
Risk Management 101 for Healthcare Professionals: Malpractice, Patient Relations, and Documentation
This is an introductory level course about basic risk management for practicing clinicians focusing on malpractice, patient communication, and documentation. Healthcare professionals new to practice and more experienced will learn the legal elements of a malpractice claim that must be proven for a plaintiff to prevail. We share communication strategies to enhance patient understanding, compliance, and satisfaction while reducing the risk of abandonment when ending patient relationships. We address the importance of documentation, share open notes strategies for success, and strategies to demonstrate quality of care and reduce risk. Documentation examples are provided, as are tips for electronic health record (EHR) and telehealth documentation.
Jun 14, 2023
Medical Malpractice and Preparticipation Sports Physicals
Physicians should be aware of liability risks associated with preparticipation sports physicals.
Jun 13, 2023
Patient Safety Tips for Obstetrics and Gynecology
These strategies can help you keep your patients safe and reduce potential liability. The tips highlighted here include tracking test results, documenting prenatal records, discussing birth plans, and managing noncompliant patients.
Professional Education
Loss Lessons: Practicing Out of Bounds
Unlicensed staff are vital to efficient patient flow in medical practice. Healthcare organizations have many tasks that are safely and effectively carried out by skilled unlicensed support staff every day. To reach such efficiencies with safety and reliability, careful attention must be given to scope of practice and state and local statutes regarding delegation and supervision. Policies and protocols that outline the scope of practice for unlicensed staff to follow independently, and when they must consult with licensed staff, help even the most talented of your staff understand their boundaries. This case illustrates how informal verbal guidelines can blur the lines and cause well-meaning staff to cross the boundary lines of their scope leading to misdiagnosis and death.
Professional Education
Failure to Rescue a Recurring Post-Surgical Event (Claims Corner CME)
Claims arising from the perioperative experience are frequent, often preventable, and some of the costliest claims for physicians. One study of surgical claims conducted by The Doctors Company noted that about two out of three general surgeons have been involved in a medical malpractice suit. Malpractice data consistently finds that the most serious and common post-operative complications are unrecognized intestinal puncture or perforation. Diagnostic error by surgeons involving unrecognized intestinal puncture or perforation of an organ can quickly lead to septic shock and death.
Professional Education
You Have Been Served with a Malpractice Lawsuit or a Regulatory Action Notice: Now What?
Malpractice litigation and government regulatory and licensing oversight are inherent aspects of licensed healthcare professionals. The concern regarding malpractice litigation is well-founded, and regulatory and licensing actions can pose significant challenges. Therefore, clinicians must be prepared and knowledgeable about navigating legal notices and taking appropriate steps to ensure compliance. By participating in this program, they can effectively mitigate the impact of claims, complaints, or regulatory actions and safeguard their practice.
May 22, 2023
Laboratory and Diagnostic Test Tracking in Ambulatory Practice
Managing patient test results in ambulatory practices can pose a significant challenge. Establishing a standardized workflow to track results is a successful strategy for avoiding missed or delayed diagnosis that can lead to patient injury.
May 17, 2023
Did Emergency Department Provider Fatigue Contribute to This Patient’s Death?
Practitioner fatigue and the rush to get things done when staffing levels are inadequate can lead to mistakes and poor patient outcomes.
Apr 25, 2023
Nonadherent and Noncompliant Patients: Overcoming Barriers
Nonadherent or noncompliant patient conduct (whether intentional or inadvertent) can adversely affect clinical outcomes, undermine the practitioner-patient relationship, and disrupt the operation of practice.
Mar 22, 2023
Remote Patient Monitoring: Considerations for Telehealth Care
Remote patient monitoring is advancing the safety and accuracy of telehealth by filling in some gaps and increasing the types of care that can safely be provided in the home.
Mar 07, 2023
Primary Care Innovations Can Deepen the Specialty
Dr. Megan Mahoney outlines ways that team-focused innovations in care models and technologies can help preserve depth in primary care, even as it faces a physician shortage.
From
The Doctor’s Advocate
Professional Education
Loss Lessons: Recognition of Wernicke Encephalopathy
Wernicke encephalopathy (WE) is a syndrome commonly seen in patients with alcohol use disorder who do not take adequate thiamine. WE should be suspected in any patient with conditions that may lead to malnutrition in combination with any of the following symptoms: altered mental status ophthalmoplegia, ataxia, delirium, and hypotension. Considered a medical emergency, it must be reversed to prevent permanent deficits. This case illustrates a cascade of errors which led to permanent disability. Some practical interventions to quickly recognize and reverse the condition are offered following the case presentation, which will be helpful for gastroenterology/gastroenterologists, ophthalmology/ophthalmologists, and neurology/neurologists.
Professional Education
Errors in Anticoagulation Management in the Dermatology Office (Claims Corner CME)
In reviewing closed malpractice claims, The Doctors Company has found an increased risk of claims in patients taking direct acting oral anticoagulants that undergo office-based dermatologic procedures. This case study highlights the factors contributing to the improper management of these patients, including errors in clinical judgment, anticoagulant management, and communication.
Professional Education
Anesthesia Care: Preventing Dental Injury
Dental injury claims continue to make up almost a quarter of all anesthesiology claims (22 percent) with over 30 percent of tooth damage claims resulting in indemnity payments to the plaintiff. Due to the frequent occurrence of dental injury claims, anesthesia professionals must be aware of dental injury causes, preventive measures, and steps to take if injury occurs.
Oct 18, 2022
Moderate or Conscious Sedation in the Office Setting
Prevent patient injury when providing moderate sedation in the office by incorporating these patient safety and practice improvement strategies.
Professional Education
Reducing the Risk of a Malpractice Claim
This enduring program is designed to assist physicians, dentists, and advanced practice clinicians, improve patient safety by providing information on how to implement a root cause analysis (RCA2) when a near-miss, or injury has been identified. Real cases serve as examples of how sustainable change can minimize human and environmental factors while decreasing system failures and reducing the risk of a malpractice claim.
Professional Education
Test Tracking and Referrals: Strategies for Advanced Practice Clinicians
Tracking of tests and consults is critically important in preventing diagnostic errors and preventing patient harm. The risk factors triggering an alleged malpractice claim were primarily related to the breakdown in clinical systems for test result management. Failures of systems often prevent providers from making timely and accurate diagnoses. Testing failures included test performance issues, misinterpretation of studies, receipt, and transmittal problems. Follow-up failures included lack of physician follow-up with the patient, referral management, inadequate provider to provider communication and patient noncompliance.
Professional Education
Preventing Dictation Errors for Advanced Practice Clinicians
Emergency medicine providers are increasingly using voice recognition programs, such as Dragon Direct Voice Recognition Program, to document encounters. In reviewing closed malpractice claims, The Doctors Company identified dictation errors as a significant patient safety risk factor. The following case highlights the importance of timely recognition of dictation errors to ensure accuracy of the permanent electronic health record (EHR). This is particularly important when using a voice recognition program to document encounters in the busy emergency department. In this case, the voice recognition system was Dragon Direct Voice Recognition Program.
Professional Education
Medication Management: Strategies for Advanced Practice Clinicians
Medication management is by far the area providers can make the most impact within the professional practice arena. Data from closed claims shows that medication management is a risky area, most importantly the monitoring of medications. Monitoring and management begin when the patient receives the medication until the patient is no longer on the medication. An effective medication management process is essential for safe patient care. Having current patient medication information will assist with subsequent prescribing and a plan of care.
Professional Education
Delayed Diagnosis of Malignancy: Case Review for Advanced Practice Clinicians
In reviewing closed malpractice claims, The Doctors Company identified delayed diagnosis of a malignancy as a reoccurring problem. The following highlights the importance of recognizing a spinal abnormality and recommending further follow up of a lesion seen on imaging. Contributing factors include misinterpretation of radiologic studies, narrow diagnostic focus, lack of communication, and failure to establish a differential diagnosis.
Professional Education
Delayed Diagnosis of Stroke: Case Review for Advanced Practice Clinicians
In reviewing closed malpractice claims, The Doctors Company identified diagnostic failure as a reoccurring problem and one of the top three leading allegations that result in malpractice claims. This failure often leads to a delay in treatment and causes significant harm to patients. The following highlights the importance of recognizing the signs and symptoms of a stroke. Factors contributing to delay diagnosis and treatment included failure to recognize the window (“last known well time”) for tissue plasminogen activator-clot buster (tPA) failure to order a stat MRI and neurology consult, failed communication among providers regarding changes of recurring symptoms of ischemic stroke, failure to appreciate new signs and symptoms of a stroke, and poor or inconsistent documentation. The National Academy of Medicine (NAM) has identified the top three causes of serious harm from diagnostic failure. Number one is ischemic stroke.
Jul 21, 2022
Effective Obstetrical Team Communication
Effective communication requires a team effort for the exchange of concise and relevant information.
Professional Education
Managing Patient Information: Strategies for Advanced Practice Clinicians
This program covers the patient information system, specifically documentation of patient information in the medical record. Many times, insufficient documentation results in the provider not being able to find information needed to guide clinical decision-making. Adequate documentation will enhance patient care by ensuring that patients receive the care necessary and may prevent a missed or delayed diagnosis.
Professional Education
Diversity, Equity, and Inclusion in Healthcare for Advanced Practice Clinicians
Diversity, equity, and inclusion of all patients can lead to better health outcomes in the community in which we work. Creating a culture of inclusion and understanding our own biases, will help us improve patient care. It is important to understand how we are the same and how we are different in language, education, race, ethnicity, gender, gender identify, sexual orientation, age, social class, physical ability, religion, political beliefs, and morals. Providers may not be aware of how diversity, equity, and inclusion problems can hinder their care and relationships with patients. Some states are requiring all clinical professionals to have continuing education on cultural and linguistic competency and implicit bias.
Professional Education
Preventing Diagnostic Error in Primary Care: Strategies for Advanced Practice Clinicians
Diagnostic errors occur often in primary care settings and can impact over 12 million outpatients annually. This is a top patient safety concern and a global burden among advanced practice clinicians (APCs). Significant patient harm can occur due to treatment delay, testing, or misdiagnosis. This course is an opportunity to promote awareness and visibility by identifying where these errors occur most often in the diagnostic process of care framework. Examples of some best practices for the diagnostic process involves a timely and accurate diagnosis, patient engagement, effective system processes, active follow up, and communication. The information in this course will focus heavily on prevention strategies related to the primary care setting.
Professional Education
Cervical Cancer Claims: A Review for Advanced Practice Clinicians
Cervical cancer medical negligence claims are reviewed over a 10-year period to identify the major case types in which the advanced practice clinician (APC) is the responsible party. The factors that contributed to those claims as identified by plaintiff and defense provider experts are discussed through case examples with learner questions. Risk mitigation strategies are identified to guide gynecologists in further providing the safest patient care and thereby improving their risk profile.
Professional Education
Breast Cancer Claims: A Review for Advanced Practice Clinicians
Breast cancer medical negligence claims are reviewed over a 10-year period to identify the major case types in which the gynecologist is the responsible party. The factors that contributed to those claims as identified by plaintiff and defense physician experts are discussed through case examples with learner questions. Risk mitigation strategies are identified to guide gynecologists in further providing the safest patient care and thereby improving their risk profile.
Professional Education
Hidden Liability Risks Identified by Medical Office Reviews: Risky Practices for Advanced Practice Clinicians
Office practice assessments by TDC Group's patient safety risk managers uncover hidden liability risks, often exposing areas where patients can “fall through the cracks” and leave the practice vulnerable to a malpractice claim. Our Practice Risk INSIGHT, an assessment tool customized by specialty, zeros in on problematic areas. The assessments have been completed across a range of practice environments around the country—from small offices to practices that are part of large integrated delivery systems. In this course, we analyze the results of the Practice Risk INSIGHT assessments, highlight problem-prone areas, and offer strategies to minimize liability for advanced practice clinicians (APCs).
Professional Education
The Advanced Practice Clinician–Patient Relationship: When Does it Begin and When Does it End?
This enduring program will assist the participant in understanding the principles which form the establishment of an advanced practice clinician (APC)–patient relationship, as well as the concerns which may result in the need for the APC to consider terminating the APC-patient relationship. Additionally, the concepts of providing patient-centered care will be presented for the learner’s consideration.
Professional Education
Administrative and Regulatory Actions: Protecting Your Practice
Healthcare practitioners, including physicians, dentists, and advanced practice clinicians, need to understand the roles of their professional licensing board and state and federal agencies to protect the public.
Professional Education
Team Physicians: Mitigating Liability Risks
Physicians serving as volunteer team physicians for high school or other community sports programs are often unaware of potential liability risks.
Professional Education
An Introduction to Enhancing Patient Relations and Reducing Risks for Advanced Practice Clinicians
This enduring program is designed to assist advanced practice clinicians (APCs) with improvements in patient interactions by looking at how incorporating hospitality as a focus makes a difference. It has been developed to improve multiple facets of patient interaction.
Professional Education
Clinical Presentations for Advanced Practice Clinicians: Failure to Diagnose Myocardial Infarctions
In reviewing closed malpractice claims, TDC Group identified missed or delayed diagnosis of myocardial infarction (MI) in the ambulatory internal medicine setting as a reoccurring problem. This course highlights the importance of recognizing the varying clinical presentations of MI and contributing factors associated with failure to diagnose and treat. Assumptions, lack of a thorough history and physical, communication failures, and failure to recognizing atypical signs and symptoms are highlighted in this case study.
Professional Education
When Personal Relationships Interfere with the Standard of Care for Advanced Practice Clinicians
The Doctors Company rigorously analyzed 988 claims* against internal medicine physicians that closed from 2009–2018. Regardless of the outcome, all cases that closed from 2009–2018 were included in this analysis—an approach that helps better understand what motivates patients to pursue claims and gain a broader overview of the system failures and processes that result in patient harm.
May 31, 2022
The Role of the Medical Assistant in Your Office Practice
A medical assistant (MA) can be a valuable addition to an office practice, but MAs should not perform tasks outside their scope of practice.
Apr 01, 2022
Delay in Diagnosing Breast Cancer: A Case Summary and Tips to Reduce Risk
A delay in diagnosing breast cancer may result when a patient doesn’t follow through with diagnostic recommendations.
Sep 23, 2021
The Malpractice Experience of Obstetricians with Shoulder Dystocia: Preparation May Mitigate Risks With This Unpredictable Event
Shoulder dystocia (SD) is a rare complication of vaginal delivery. The purpose of this study was to better understand factors that may contribute to medical malpractice claims with SD and to offer recommendations to practicing obstetricians regarding the management of SD.
Jan 29, 2021
Pain Management Closed Claims Study
The Doctors Company reviewed medical malpractice claims that closed between 2008 and 2018 and involved pain management physicians as the primary specialty responsible in the claim. That criteria identified 273 claims and lawsuits.
Aug 25, 2020
Distracting Devices in Healthcare: Malpractice Implications
Digital distraction in healthcare is a threat to patient safety and physician well-being. Personal electronic devices can create a digital distraction so engaging that it consumes awareness, potentially preventing healthcare providers from focusing on the primary task at hand—caring for and interacting with patients.
Jun 15, 2020
Overview of Obesity-Related Malpractice Claims
The Doctors Company continues to see an increase in lawsuits involving patients with obesity.
Apr 29, 2020
Patient Safety in Anesthesia Care
Anesthesiologists can reduce potential liability by taking risk management steps, such as obtaining separate informed consent for anesthesia care.
Aug 27, 2019
Electronic Health Records Continue to Lead to Medical Malpractice Suits
We analyzed 216 medical malpractice claims that closed from 2010 to 2018 in which EHRs contributed to patient injury. The pace of these claims grew, from a low of seven cases in 2010 to an average of 22.5 cases per year in 2017 and 2018. As EHRs approach near-universal adoption, they may become a more prevalent source of patient safety risk.
Mar 20, 2019
Study of Malpractice Claims Involving Children
The Doctors Company analyzed 1,215 claims filed on behalf of pediatric patients that closed from 2008 through 2017. The study is based on the claims filed against physicians in 52 specialties and subspecialties and includes an overview of the most common types of claims, expert insights into the specific elements that led to patient injury, and risk mitigation strategies.