Cardiology

Dec 05, 2023
Telehealth From the Field: Case Study Involving Remote Monitoring Problems
Sue Boisvert, BSN, MHSA, Senior Patient Safety Risk Manager, The Doctors Company, and Chad Anguilm, MBA, Vice President, In-Practice Technology Services, Medical Advantage, Part of the TDC Group
Remote patient monitoring technologies offer many benefits, but they also create potential malpractice risks.

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.
0.5 credit

Professional Education
Prevention and Control of High Blood Pressure
10/25/2023, Mission Hills, CA
The American Heart Association has identified the management of hypertension as a major medical issue in the United States. Rising healthcare costs, an aging population, and increased prevalence among certain races and ethnicities are important incentives to focus attention on reducing disparities in hypertension control to improve patient outcomes. This session will present important strategies to manage resistant hypertension and selection of antihypertensive medication. Additionally, population-based approaches to hypertension control in the Black and Latino communities will be discussed. Attend this important program to learn strategies for your treatment of patients with hypertension.
1.0 credit

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.
0.5 credit

Aug 02, 2023
Noncompliant Patients Increase Liability Risks for Practitioners
Richard F. Cahill, JD, Vice President and Associate General Counsel, The Doctors Company
Practitioners face potential liability when patients do not follow up as instructed or refuse at-home help.

Mar 22, 2023
Remote Patient Monitoring: Considerations for Telehealth Care
Sue Boisvert, BSN, MHSA, Senior Patient Safety Risk Manager, The Doctors Company
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.

Oct 24, 2022
Why Medical Clearance Is Really a Preoperative Evaluation
Debra Davidson, MJ, CPHRM, Senior Patient Safety Risk Manager, The Doctors Company, and David L. Feldman, MD, MBA, FACS, Chief Medical Officer, The Doctors Company and TDC Group; Senior Vice President, Healthcare Risk Advisors
The goals of the preoperative evaluation are to determine the patient's level of risk and to identify opportunities to mitigate it.

Nov 29, 2021
The Evolving Landscape of Diagnostic Errors—Challenges and Opportunities
David E. Newman-Toker, MD, PhD, Professor of Neurology, Ophthalmology, and Otolaryngology, and Director, Armstrong Institute Center for Diagnostic Excellence, Johns Hopkins University School of Medicine
Internationally recognized healthcare leader David E. Newman-Toker, MD, PhD, presents a compelling case example and shares key insights into transforming diagnostic accuracy.
From The Doctor’s Advocate

Professional Education
Clinical Presentations Cause Delays: Failure to Diagnose Myocardial Infarction
In reviewing closed malpractice claims, The Doctors Company 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.
0.5 credit

Video Aug 27, 2021
Do Cardiologists Face Particular Challenges Stemming from COVID-19?
Marco Spadacenta, Senior Vice President of Claims for The Doctors Company, outlines the three main challenges cardiologists face in treating COVID-19 patients.

Professional Education
TeamSTEPPS® Teamwork Training in the Office Practice
This course provides an overview of the evidence-based TeamSTEPPS® concepts, tools, and strategies based on the four areas of 1) leadership, 2) mutual support, 3) situation monitoring, and 4) communication. TeamSTEPPS training provides teachable/learnable skills that improve communication and teamwork among healthcare professionals in both acute care and ambulatory care environments.
1.5 credits

Dec 02, 2020
The Role of Pretest Probability in the Evaluation of Suspected Venous Thromboembolism
Howard Marcus, MD, FACP
The presenting signs and symptoms of venous thromboembolism are often vague and nonspecific, and early diagnosis—often crucial to the patient’s outcome—may be challenging.
From The Doctor’s Advocate

Nov 12, 2020
Cardiology Closed Claims Study
This review of 210 cardiology malpractice claims identifies the most common patient allegations and the specific factors contributing to patient injury.

Jan 30, 2020
Doctors: How to Talk to Patients About Nutrition and Diet
Kerin Torpey Bashaw, MPH, RN, Senior Vice President, Department of Patient Safety and Risk Management, The Doctors Company
No more powerful an approach exists to preventing or even reversing heart disease than improving lifestyle, especially nutrition and diet. The challenge for physicians is finding an effective way to talk about nutrition with their patients, because the usual admonitions to eat better and exercise often do not work.

Aug 27, 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.

Video Jul 30, 2018
What to Expect from Litigation: Dr. Go's Perspective
This video features cardiologist Darlene M. Go. Dr. Go discusses the malpractice claim that was made against her and how the support of her insurer, her attorney, and expert witnesses helped her win her case.

Video Nov 27, 2017
Cardiology: Innovations in Patient Safety
Sandeep S. Mangalmurti, MD, JD, a cardiologist at Basset Healthcare in Cooperstown, New York, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Cardiology Closed Claims Study. First, the study outlined the liability pitfalls of certain medications, particularly cardiovascular medications, which have inherent risks even when used correctly. As a result of the study, Dr. Mangalmurti seeks to manage anticoagulants more carefully and to be clear about who has responsibility for their administration.

Professional Education
Nutrition Science for Health and Longevity: What Every Physician Needs to Know
The critical role that patient education plays in improving healthcare outcomes is a reoccurring lesson in our studies. This CME activity helps physicians better engage with patients about nutrition to improve their heart health and achieve better outcomes.
4.0 credits

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