Anesthesiology

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

Jun 06, 2017
The Doctors Company Introduces a New CME Series
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management, and Julie Hopkins, MA, MBA, Director, Continuing Medical Education, Department of Patient Safety and Risk Management
Earn complimentary CME credit for reading designated articles online.
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 (deceased), Anesthesia Consultant and Board Member 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.

May 12, 2016
Specialty Advisory Boards: Bringing Together Expertise
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management, and Miranda Felde, MHA, CPHRM, Assistant Vice President, Department of Patient Safety and Risk Management
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

Feb 23, 2016
Better Than Good: Trade Secrets of Low-Risk Anesthesia Groups
Ann S. Lofsky, MD, Governor Emeritus (deceased), and Susan K. Palmer, MD, The Doctors Company Anesthesia Advisory Board Member.
Two low-risk anesthesia groups discuss what makes their groups successful in preventing malpractice claims.

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

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

Sep 02, 2015
Alarms Save Lives
Ann S. Lofsky, MD, Governor Emeritus (deceased), and Susan K. Palmer, MD, The Doctors Company Anesthesia Advisory Board Member.
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, Director, Patient Safety Education; and Ann S. Lofsky, MD, Governor Emeritus (deceased).
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

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, Medical Director, Board of Governors
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

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 (AWR) while under general anesthesia can be severe and long-lasting. Learn how to help prevent AWR and what to do if it occurs.

Jun 05, 2014
Why Accuracy Matters
Susan K. Palmer, MD, The Doctors Company Anesthesia Advisory Board Member
Susan Palmer, MD, discusses the need for consistent and accurate anesthesia records.
From The Doctor’s Advocate

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.

Oct 11, 2013
Anesthesia Advisory Board
With our Anesthesia Advisory Board, top practitioners from around the nation join our patient safety, claims, and underwriting leaders in discussing key issues to improve safety for all anesthesia professionals.

Nov 25, 2012
End-Tidal CO2 Challenge in the Obstetric Operating Room
Susan K. Palmer, MD, Anesthesia Consultant, and Jacqueline Ross, PhD, RN, Clinical Analyst, Department of Patient Safety, The Doctors Company
The ability to detect and continuously monitor end-tidal CO2 is a requirement for providers of general anesthesia, but misinterpretation of a monitor's information may create a problem.
From The Doctor’s Advocate

Nov 21, 2012
Postoperative Visual Loss: A Catastrophic Complication
Susan K. Palmer, MD, Anesthesia Consultant
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

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 (deceased) and Mark Gorney, MD, FACS, governors emeritus. Updated by Susan K. Palmer, MD, Oregon Anesthesiology Group.
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 (deceased), anesthesia consultant and board member emeritus; updated by Susan K. Palmer, MD, Oregon Anesthesiology Group.
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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