Anesthesiology

Aug 19, 2019
Electronic Health Records Continue to Lead to Medical Malpractice Suits
Darrell Ranum, JD, Vice President of Patient Safety and Risk Management
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.

Professional Education
Physical Examination and Its Impact on Outcomes
The Doctor's Advocate
Advancements in technology improve the timeliness and accuracy of many diagnoses but the technology does not replace a thorough physical examination. For some diseases, such as Parkinson’s disease, herpes zoster, cellulitis, and Bell’s palsy the PE is the only diagnostic tool available. This short course makes the case for reversing the downward trend for physical examinations.
0.75 Credits

Professional Education
Oral-Maxillofacial Surgery Informed Consent
Informed consent involves more than a patient signing a form. This activity explains how to enact an informed consent process based on best practices in dentistry and oral surgery.
1.0 Credit

Video Apr 09, 2019
Study of Malpractice Claims Involving Children
Patient safety risks when treating children vary depending on the patient’s age—but communication breakdowns between doctors and patients/families occur in malpractice claims for pediatric patients of ALL ages. Watch this important case study to learn more.

Mar 20, 2019
Study of Malpractice Claims Involving Children
Darrell Ranum, JD, CPHRM, Vice President, Patient Safety and Risk Management
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.

Professional Education
Opioid Pain Management and Appropriate Prescribing for Older Adults
This activity includes five video segments on effective pain management and appropriate prescribing of opioid medication for older adult patients. Presenters include a family practice physician, orthopedic surgeon, palliative care physician, and a pain management specialist provider.
1.5 Credits

Video Sep 27, 2018
Future of Healthcare: Physicians Won't Recommend Their Profession
The Future of Healthcare Survey of over 3,400 doctors shows physicians are disenchanted with practicing medicine, largely because of technologies and payment models they say are interfering with the doctor-patient relationship and their ability to provide quality care. Despite continuing volatility in the industry and resulting dissatisfaction, one of the predominant themes captured in this survey is the concern physicians share for their patients and the quality of the care they receive.

Jul 27, 2018
Distracting Devices in Healthcare: Malpractice Implications
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager II
Digital distraction in healthcare is emerging as a great 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.

Professional Education
Distracted Practice in the Perioperative Area
The invasion of personal electronic devices (PEDs) into certain healthcare environments can put patients at risk. The perioperative area is an environment where distraction from PEDs can lead to patient injury or death. This activity provides tools and information for individuals to become aware of risks, to assess how PEDs impact their environment, and to develop preventive measures to control PED usage.
1.25 Credits

Professional Education
Anesthesia: Reducing Claims
By recognizing the risks associated with their specialty, anesthesiologists can champion changes that result in a higher standard of patient care, increased quality, and decreased complications. This activity requires reading seven anesthesia-related articles published by The Doctors Company, answering a series of questions, and reflecting on changes that would reduce risks and improve care in your practice setting.
1.5 Credits

Dec 07, 2017
Teamwork Saves Lives in Bronx-Lebanon Hospital Shooting
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager, The Doctors Company, and Steven J. Weintraub, MD, Chief of Risk Management, North American Partners in Anesthesia
Teams pull together to save lives and provide support during a deadly hospital shooting.
From The Doctor’s Advocate

Dec 05, 2017
Postoperative Visual Loss: A Catastrophic Complication of Prone Spine and Robotic Head-Down Surgeries
Susan K. Palmer, MD, Anesthesia Consultant
There has been an increase in the number of cases of postoperative visual loss.

Jun 06, 2017
Prescribing Opioids Safely
Howard Marcus, MD, FACP
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

Mar 16, 2017
San Diego Death Diaries
Roneet Lev, MD
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
David B. Troxel, MD, Medical Director, Board of Governors
Dr. David Troxel reviews 1,770 closed by The Doctors Company in which patient harm involved medication factors.
From The Doctor’s Advocate

Jan 05, 2017
Patient Safety in Anesthesiology
Donald Wood, CRNA, CPHRM, Patient Safety Risk Manager II.
Anesthesiologists can reduce potential liability by taking risk management steps, such as obtaining separate informed consent for anesthesia care.

Oct 19, 2016
Patient Safety Guidelines for Anesthesia Care
Ann S. Lofsky, MD, Governor Emeritus. Updated by Donald Wood, CRNA, CPHRM, Patient Safety Risk Manager II.
Safe anesthesia care begins with the preoperative assessment and continues through the postoperative period.

Sep 20, 2016
Money Talks: Discussing Cost with Patients Before Treatment Is a Win-Win
Ralph A. Gambarella, MD, Chairman and President of Kerlan-Jobe Orthopaedic Clinic, and a member of The Doctors Company's Orthopedic Advisory Board.
The physician needs to be involved in making sure that the patient is informed and educated about the financial burden of surgical and medical treatments. Doing this before proceeding with treatment can help lower the risk of a malpractice claim even when the medical outcome doesn’t meet the patient’s expectations.

Feb 23, 2016
Better Than Good: Trade Secrets of Low-Risk Anesthesia Groups
Ann S. Lofsky, MD, Governor Emeritus. Updated by Susan K. Palmer, MD, Anesthesia Consultant.
Two low-risk anesthesia groups discuss what makes their groups successful in preventing malpractice claims.

Sep 03, 2015
Minimizing Surgical Errors
Jonathan Jones, MD
From The Doctor’s Advocate

Sep 03, 2015
Teamwork in the OR
Susan Shepard, MSN, RN, Director, Patient Safety Education, The Doctors Company
From The Doctor’s Advocate

Sep 02, 2015
Anesthesiology Alarms Save Lives
Ann S. Lofsky, MD, Governor Emeritus. Updated by Susan K. Palmer, MD, Anesthesia Consultant
With the advent of sophisticated anesthesia machines incorporating comprehensive monitoring, it is easy to forget that serious anesthesia mishaps still can and do occur. Many disastrous outcomes never would have occurred had the anesthesiologist activated and responded to the standard alarms on the pulse oximeter and end-tidal carbon dioxide monitors.

Jul 17, 2015
Conscious Sedation in the Office
Susan Shepard, MSN, RN, Senior Director, Patient Safety Staff Education, and Ann S. Lofsky, MD, Governor Emeritus
Reduce potential liability with these risk management tips and guidelines for conscious sedation in the office.

Jun 08, 2015
MAC/Sedation Fires Increasing
Susan K. Palmer, MD, The Doctors Company Anesthesia Advisory Board Member
Dr. Susan Palmer offers strategies for preventing MAC/sedation fires. Author: Susan K. Palmer, MD
From The Doctor’s Advocate

Jun 26, 2014
Protect Your Patient, Protect Yourself
Tod Tolan, MD, Oregon Anesthesiology Group, and Susan K. Palmer, MD, The Doctors Company Anesthesia Advisory Board Member.
Dental injuries continue to be one of the most common claims against anesthesia providers.

Jun 07, 2014
Awareness with Recall Can Occur During General Anesthesia
The effects of awareness with recall while under general anesthesia can be severe and long-lasting. Learn how to help prevent this and what to do if it occurs.

May 08, 2014
Anesthesia Closed Claims Study
This review of over 600 anesthesia claims identifies top allegations against anesthesia professionals and top factors contributing to patient injury.

Nov 21, 2012
Interactive Guide for Anesthesiology Services
This interactive guide is designed to help you uncover areas of potential malpractice exposure in your anesthesiology services.

Sep 01, 2012
Interactive Guide for Hospitals: Clinical Departments: Postanesthesia Care Unit (PACU)
The postanesthesia care unit (PACU) can have areas of potential malpractice exposure, and this guide can help uncover risks.

Apr 20, 2012
Physicians and Managed Care
Ann S. Lofsky, MD, Governor Emeritus, and Mark Gorney, MD, FACS, Governor Emeritus. Updated by Susan K. Palmer, MD, Anesthesia Consultant.
The liability pitfalls created by managed care have important implications for all physicians.

Jan 09, 2012
Complications of Cervical Epidural Steroid Injections
Ann S. Lofsky, MD, Governor Emeritus. Updated by Susan K. Palmer, MD, Anesthesia Consultant.
The Doctors Company has noted an alarming incidence of major claims relating to cervical epidural steroid blocks.

Dec 21, 2010
Fire Safety in the Surgical Suite
Susan K. Palmer, MD, Oregon Anesthesiology Group, and Ernest E. Allen, Account Executive, Patient Safety Department, The Doctors Company.
Besides conducting annual fire drills that include what to do if a fire occurs on a patient, it is also wise to review fire risks in high-risk procedures prior to the start of the surgical procedure.

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