Closed Claims Studies


Professional Education
Psychiatry: Preventing Adverse Outcomes
The Doctors Company study of closed claims reveals areas of higher risk in outpatient psychiatry practices. Using this as a foundation, the course provides information to evaluate your practice and make changes to improve decisions about treatment, operational processes, reporting, and documentation.
1.5 Credits

Mar 20, 2019
Preview Our Study of Malpractice Claims Involving Children
Darrell Ranum, JD, CPHRM, Vice President, Department of Patient Safety and Risk Management
Highlights from our analysis of 1,215 pediatric patient claims filed over a 10-year period.
From The Doctor’s Advocate

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.

Jan 15, 2019
Maternal Injury and Death Closed Claims Study
Each year, 700 women die from complications related to childbirth in the U.S. This analysis of closed malpractice claims involving maternal injury and death identifies potential sources of patient injury and provides tools for enhancing safety in ob/gyn.

Video Jan 15, 2019
Postpartum Hemorrhage: Reduce the Risk of Maternal Death
Postpartum hemorrhage is the leading cause of maternal injury in medical malpractice claims. Darrell Ranum, JD, CPHRM, vice president of patient safety at The Doctors Company, explains how this condition results in injury or death and provides tips on how physicians and providers can reduce risks.

Video Jan 15, 2019
Preventing Maternal Deaths in the U.S.
Susan Mann, MD, discusses the three most common potentially preventable causes of maternal death identified by the CDC and the top factors that lead to patient injuries. She also provides tips for plans and precautions that all hospitals should put in place to prevent maternal death from postpartum hemorrhage, venous thromboembolism, and severe hypertension.

Video Jan 15, 2019
Preeclampsia/Eclampsia: Reduce the Risk of Maternal Death
Studying malpractice claims involving preeclampsia and eclampsia reveals the key factors leading to patient injury and steps that physicians and providers should take to reduce the risks of maternal injury or death. These results are shared by Darrell Ranum, JD, CPHRM, vice president of patient safety at The Doctors Company.

Professional Education
Saline Overdose Cases [The Doctor's Advocate CME]
This activity delivers insights from malpractice claims involving severe hyponatremia. The recommendations and strategies outlined here can help physicians avoid adverse outcomes when treating patients with this particularly difficult and complex condition.
0.5 Credit

Nov 28, 2018
Plastic Surgery Closed Claims Study
We analyzed 1,438 malpractice claims against plastic surgeons to understand what motivates patients to pursue claims and gain a broader overview of the system failures and processes that result in patient harm.

Video Aug 29, 2018
Analyzing Malpractice Claims Improves Patient Safety
The Doctors Company Claims Analysis INSIGHT Service helps physicians figure out what is driving their medical malpractice claims, improve their ability to give better quality of care, and ultimately reduce claims. Pamela Willis, patient safety risk manager at The Doctors Company, and Tony Cardona, director of medical legal affairs for the Scripps Clinic/Scripps Medical Foundation, explain the process.

Professional Education
Prevention of Medical Errors (Florida Practices)
This activity is specific to Florida statutes and reflects regulations effective February 2018. It delves into the prevention of common performance and diagnostic errors including adverse drug events, wrong-patient/wrong-site/wrong-procedure, unintended retention of foreign objects, surgery complications, and sepsis. It also covers conditions related to respiratory, ob/gyn, cardiology, and cancer.
2.0 Credits

Video May 23, 2018
Hospital Obstetrics: Innovations in Patient Safety
Marcus Tower, MD, an obstetrician at the Cleveland Clinic’s Hillcrest Hospital in Cleveland, Ohio, describes important data and recommendations for patient safety revealed in The Doctors Company’s Obstetrics Closed Claims Study. The study helped the hospital adopt changes that address common pitfalls obstetrics professionals may face, including abnormal fetal heart rate tracings, postpartum and massive hemorrhage, and shoulder dystocia.

Video May 18, 2018
Obstetrics: Innovations in Patient Safety
Jay M. Berman, MD, FACOG, of the Wayne State University Physician Group in Detroit, Michigan, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Obstetrics Closed Claims Study. The study provided a common understanding on which colleagues, hospital administrators, residents, and nursing staff were able to work collaboratively to make changes to reduce the risk of shoulder dystocia and obstetric hemorrhage.

Professional Education
Managing Risks in Podiatry
An analysis by The Doctors Company of closed podiatry claims revealed the prevalent risk factors that contributed to patient injury. The analysis showed that most claims result from errors in systems, rather than faulty medical judgment or performance. This activity helps podiatrists recognize risk exposures and take steps that reinforce a culture of patient safety in their practice.
1.0 Credit

Professional Education
Managing Orthopedic Risks (National Course)
The activity examines the analysis of closed orthopedic claims from The Doctors Company and the Medical Professional Liability Association. Case studies highlight system errors and define strategies to prevent errors and reduce the risk of a malpractice claim.
1.0 Credit

Professional Education
A Deep Dive into Managing Orthopedic Risks (National Course)
This activity identifies the systems and processes that represent the highest risks for patient harm in an orthopedic practice. It reviews strategies known to reduce these risks and contribute to better patient outcomes.
1.0 Credit

Professional Education
Deep Dive into Managing Orthopedic Risks [FORPG]
This activity is designed for Florida Orthopedic Risk Purchasing Group (FORPG) members. Like our national version, it identifies the systems and processes that represent the highest risks for patient harm in an orthopedic practice. It covers the strategies known to reduce these risks and improve patient outcomes.
1.0 Credit

Mar 26, 2018
Nurse Practitioner Closed Claims: Risk Mitigation Strategies
Strategies to help nurse practitioners and physicians prevent patient injuries.
From The Doctor’s Advocate

Video Mar 26, 2018
Nurse Practitioners and the Changing Delivery of Primary Care
Increasingly, the growing need for primary care services will be met with nurse practitioners. The Doctors Company studied nurse practitioner medical malpractice claims over a six-year period and compared them to claims against primary care physicians (family medicine and internal medicine) to identify risk management issues that may be unique to nurse practitioners.

Professional Education
Nurse Practitioner Closed Claims Study (The Doctor's Advocate CME)
The Doctors Company analysis of claims involving nurse practitioners revealed system failures and processes that result in patient harm. Nurse practitioners and physicians can examine risk mitigation strategies that, when applied, can improve patient safety and may prevent the injuries identified in the study. 
1.25 Credits

Mar 09, 2018
Nurse Practitioner Closed Claims Study: Top Risks in the Changing Delivery of Primary Care
Our study of nurse practitioner medical malpractice claims, compared against family medicine and internal medicine claims, identifies the top patient safety risks that may lead to adverse events.

Professional Education
Managing Orthopedic Risks FORPG 2018-2020
The activity is for members of the Florida Orthopedic Risk Purchasing Group (FORPG). Case studies highlight system errors and define strategies to prevent errors and reduce the risk of a malpractice claim.
1.0 Credit

Video Feb 12, 2018
Plastic Surgery: Innovations in Patient Safety
Phillip Haeck, MD, a plastic surgeon at the Polyclinic in Seattle, Washington, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Plastic Surgery Closed Claims Study. The study revealed that 10 percent of claims against plastic surgeons involved a communication problem—miscommunication or failure to communicate between the doctor and staff or between the patient and doctor.

Professional Education
Spinal Epidural Abscess: A Case Study Review
Designed primarily for hospitalists and other physicians practicing in the hospital setting, this activity explores the problems associated with diagnosing and treating spinal epidural abscess. It defines the most frequent type of risk and the severity of losses, as well as strategies to overcome these risks.
1.0 Credit

Video Jan 22, 2018
Internal Medicine: Innovations in Patient Safety
Howard Marcus, MD, an internal medicine physician in Austin, Texas, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Internal Medicine Closed Claims Study. Thirty-nine percent of claims against internal medicine physicians are the result of a failure to diagnose. There are 8,000 possible diagnostic conditions, but the average primary care physician sees only about 400 per year—leaving a large number of diagnoses the physician sees only rarely.

Professional Education
Electronic Health Record, Closed Claims Study (The Doctor's Advocate CME)
EHR-related claims have increased continuously over the past 10 years. This analysis of The Doctors Company's closed claims teaches doctors and their staff which factors related to EHRs lead to patient injuries and the steps to take to mitigate these risks.
1.0 Credit

Dec 06, 2017
Electronic Health Record Closed Claims Study
David B. Troxel, MD, Medical Director, Board of Governors
Dr. Troxel provides a follow-up to his 2015 analysis of EHR-related claims.
From The Doctor’s Advocate

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.

Video Nov 06, 2017
How to Reduce the Safety Risks of EHRs
Don't just rely on technology. It is vital that you have processes in place for auditing, backing up, and cross-checking data in your electronic health record (EHR), according to Lily Talakoub, MD, FAAD, of McLean Dermatology and Skincare Center in McLean, Virginia, and The Doctors Company's EHR Closed Claims Study. Dr. Talakoub discusses the biggest risks identified in the study, including that imaging and labs are often not found or not followed up on in the EHR or errors with copy and paste, and shares the processes that her office uses to lessen these risks.

Professional Education
Preventing Adverse Outcomes: Obstetrics
This activity is based on The Doctors Company's guide to reducing patient safety risks in obstetrics and gynecology. It is intended to provide essential training for obstetricians, gynecologists, family practitioners, and advanced practice providers who are actively involved in delivering women’s healthcare. 
3.0 Credits

Professional Education
Preventing Adverse Outcomes: Gastroenterology
This activity identifies the factors that contribute to patient allegations and injuries as revealed by closed claims involving gastroenterologists. It provides physicians with appropriate strategies for their practice that, if implemented, can improve quality and safety and positively affect patient outcomes.
1.0 Credit

Professional Education
Preventing Adverse Outcomes: Cardiology
This activity shares insights from an analysis of closed claims involving cardiology. It identifies the most common risks and the system and process improvements that enhance patient safety and mitigate factors that can lead to adverse events and lawsuits.
1.0 Credit

Video Oct 25, 2017
The Dangers of Templates in EHRs
The role of electronic health records (EHRs) as a contributing factor to malpractice claims has increased over the past three years—with incorrect use of templates being a top risk factor. This case study from The Doctors Company’s EHR Closed Claims Study illustrates that danger.

Oct 24, 2017
General Practitioners and Misdiagnosed Cardiovascular Disease
Sandeep S. Mangalmurti, MD, JD
A study by The Doctors Company and CRICO Strategies found that a significant proportion of liability cases involving cardiovascular disease were due to errors of diagnosis and the real liability danger doesn’t come from unusual or ambiguous cases, but from the relatively straightforward ones.

Oct 24, 2017
Doctors Examine Injury Risks with Malpractice Closed Claims
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
Taking a close look at research into real-life malpractice claims and incorporating some of the findings into their practices is one way physicians are reducing risks of adverse events.

Video Oct 23, 2017
The Dangers of Copy and Paste in EHRs
The role of electronic health records (EHRs) as a contributing factor to malpractice claims has increased over the past three years—with copy and paste errors appearing in 14 percent of these claims. These cases from The Doctors Company’s EHR Closed Claims Study illustrate that danger.

Professional Education
Lessons Learned - Plastic Surgery Closed Claims Study
The Doctors Company's analysis of 1,438 closed claims against plastic surgeons revealed what motivates patients to pursue claims. This activity helps physicians understand the system failures and processes that result in patient harm and implement strategies known to decrease the risk of injury and improve quality of care.
1.0 Credit

Professional Education
Lessons Learned - Internal Medicine Closed Claims Study
The Doctors Company analyzed 1,180 closed claims against internal medicine physicians to identify what motivates patients to pursue claims, where system failures and processes result in patient harm, and what strategies can be used to mitigate risk. 
1.0 Credit

Professional Education
Lessons Learned - Hospitalist Malpractice Claims Study
The findings from The Doctors Company's study of 464 closed claims against hospitalists revealed what motivates patients to pursue claims, where system failures and processes result in patient harm, and what strategies can be used to mitigate risk.
1.0 Credit

Oct 16, 2017
Electronic Health Record Closed Claims Study: Navigating the Rising Risks of EHRs
The number of malpractice closed claims in which EHRs were a contributing factor has increased continuously over the past 10 years. While EHRs have brought many positives, they have also created new risks and frustrations for doctors and patients.

Video Oct 03, 2017
Orthopaedic Trauma Surgery: Innovations in Patient Safety
Douglas W. Lundy, MD, MBA, an orthopedic trauma surgeon at Resurgens Orthopaedics in Atlanta, Georgia, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Orthopedics Closed Claims Study. The study revealed that most claims against orthopedists do not reflect the quality of care, but the patient’s perception of the care. Many lawsuits stem from known complications of the procedure.

Video Sep 12, 2017
Emergency Medicine: Innovations in Patient Safety
Roneet Lev, MD, FACEP, chief of the emergency medicine department at Scripps Mercy in San Diego, California, describes changes her department made to improve patient safety based on the data and recommendations in The Doctors Company’s Emergency Medicine Closed Claims Study. The study identified the need for rapid recognition of stroke patients and treatment for tissue plasminogen activator (tPA).

Aug 28, 2017
Obstetrical Closed Claims: What Can We Learn?
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management, and Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education
These lessons learned from our analysis of closed obstetrical claims are part of our CME article series.
From The Doctor’s Advocate

Aug 15, 2017
Objective Review of Potential Risks in a Medical Practice Can Be Beneficial
Ted Abernathy, MD, Managing Partner of Pediatric & Adolescent Health Partners discusses his experience with an assessment service offered by The Doctors Company which provided his practice with a comprehensive checkup of key areas and customized action plan.

Video Jul 11, 2017
Hospitalists: Innovations in Patient Safety
John R. Nelson, MD, an internal medicine hospitalist at Overlake Medical Center in Bellevue, Washington, describes important data and recommendations for patient safety revealed in The Doctors Company’s Hospitalist Closed Claims Study. The severity of injury is much higher in claims against hospitalists than those against other specialists.

Video Jun 13, 2017
Orthopaedics: Innovations in Patient Safety
Ralph A. Gambardella, MD, an orthopedic surgery and sports medicine specialist with the Kerlan Jobe Orthopaedic Clinic in Los Angeles, California, describes changes his practice made to improve patient safety based on the data and recommendations in The Doctors Company’s Orthopedics Closed Claims Study. Patient behaviors are a factor in over one-third of orthopedic claims.

Dec 29, 2016
Cardiology Closed Claims Study
This review of 429 cardiology malpractice claims identifies the most common patient allegations and the specific factors contributing to patient injury.

Dec 14, 2016
Plastic Surgery Closed Claims: What Can We Learn?
Our analysis of closed plastic surgery claims identifies top allegations and the most common factors that contribute to patient injury.
From The Doctor’s Advocate

Sep 23, 2016
Internal Medicine Closed Claims: What Can We Learn?
Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management, and Julie Brightwell, JD, RN, Director, Healthcare System Patient Safety and Risk Management
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

Video Sep 22, 2016
Why Plastic Surgeons Get Sued
Why do plastic surgeons get sued, and how do patients get injured? The Doctors Company’s study of 1,438 closed claims against plastic surgeons revealed the most common patient allegations and the most common factors that lead to patient injury.

Sep 21, 2016
Internal Medicine Closed Claims Study
This study of 1,180 internal medicine malpractice claims identified the most common patient allegations and the specific factors contributing to patient injury.

Video Sep 20, 2016
Why Internists Get Sued
Why do internists get sued, and how do patients get injured? The Doctors Company’s study of 1,180 closed claims against internal medicine physicians revealed the most common patient allegations and the most common factors that lead to patient injury.

Video Mar 03, 2016
Why Hospitalists Get Sued
A study of 464 claims against hospitalists that closed from 2007-2014 revealed leading patient allegations and the most common factors that lead to patient injury. The goals of the study were to alert hospitalists and patients to the most common risks and identify system weaknesses to encourage collaboration with hospital leadership to improve patient safety.

Mar 01, 2016
Hospitalist Closed Claims Study
This review of 464 closed hospitalist claims identifies top allegations and factors contributing to patient injury.

Feb 18, 2016
Analysis of Closed Hospitalist Claims
Darrell Ranum, JD, CPHRM, Vice President, Department of Patient Safety and Risk Management, David B. Troxel, MD, Medical Director, Board of Governors, and Robin Diamond, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management
From The Doctor’s Advocate

Dec 15, 2015
Analysis of Cerebral Vascular Accidents and Case Studies
Susan Shepard, MSN, RN, Director, Patient Safety and Risk Management Education
Physicians can improve patient prognosis by educating staff to recognize signs and symptoms of cerebral vascular accidents (CVAs).

Video Aug 27, 2015
Why Orthopedists Get Sued
Why do orthopedists get sued—and what is the most common cause of injury among orthopedic patients? A study of 1,895 closed orthopedic malpractice claims revealed leading patient allegations in these claims and the top factors that contribute to patient injury.

Aug 26, 2015
Orthopedics Closed Claims Study
The study of 1,895 orthopedics malpractice claims identified the most common patient allegations and the specific factors contributing to patient injury.

May 01, 2015
Tips for Reducing Medical Malpractice Claims in Obstetrics
The Doctors Company’s Obstetrics Closed Claims Study, a review of 882 obstetrical claims that closed from 2007-2014, revealed underlying vulnerabilities that place patients at risk and increase liability for doctors. These tips can help physicians address these risks.

May 01, 2015
Obstetrics Closed Claims Study
This review of 882 obstetrical claims identifies the most common patient allegations and the specific factors contributing to patient injury.

Apr 13, 2015
Emergency Medicine Closed Claims Study
The study of 332 emergency medicine malpractice claims identified the most common patient allegations and the specific factors contributing to patient injury. Download the study and the infographic.

Mar 16, 2015
Analysis of EHR Contributing Factors in Medical Professional Liability Claims
David B. Troxel, MD, Medical Director, Board of Governors
Dr. Troxel presents the first analysis of our EHR-related claims.
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.

Sep 19, 2012
Otolaryngology Closed Claim Study
A review of 211 otolaryngology claims to identify top allegations and factors contributing to patient injury.

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