Dec 11, 2019
Cultural Diversity Creates Language Barriers: Reducing Claims with Multilingual Patients
Clear and unambiguous communication constitutes the key component of the physician-patient relationship. Proactively implementing office procedures to promote optimum communication reduces the risk of disputes.
Safe and Effective Opioid Prescribing - Georgia Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management, as delineated in Georgia Rule 360-15-.01. It also provides tools and resources to assist in educating staff and informing patients.
Prescribing Opioids Safely
Faced with an opioid-related epidemic that continues to bring addiction and deaths, it is important to define the role of opioids for both acute and chronic pain management. This activity spotlights the epidemic and presents the Centers for Disease Control and Prevention (CDC) guidelines, regulations, studies, and emerging solutions to address the epidemic and allow for effective and appropriate use of these drugs.
Safe and Effective Opioid Prescribing - Michigan Edition
This three-hour learning activity provides instruction on controlled substance prescribing guidelines, recognizing signs of abuse or misuse of controlled substances, and requirements delineated in Michigan’s law. It also provides tools and resources to assist in educating staff and informing patients.
Safe and Effective Opioid Prescribing - Florida Edition
The Doctors Company recognizes the opioid epidemic in this country. This course provides insights into the risks of opioid usage, as shown by malpractice claims, and how to reduce those risks both for your patient and for your practice. The course presents updated guidance from the Center for Disease Control and Prevention, Health and Human Services, and providers into clinical applications, tips and strategies which help you and your patients manage pain. The course covers alternatives to opioids but also recognizes that opioids have a place in medicine, for example in treating cancer patients. It covers lessons learned about their appropriate and safe use, how to reduce the dosage and duration of opioids to prevent addiction, and the patient education that is essential to ending the epidemic. The information contained in this CME activity applies to dentists.
Nov 05, 2019
When Treating Kids, Learn from the Emergency Department
To prevent communication gaps when treating kids, all specialties can benefit from lessons learned in the Emergency Department, where conversations are rushed, stakes are high, teams are assembled ad hoc, and physicians seldom have relationships with the patient.
Oct 31, 2019
The Algorithm Will See You Now: How AI’s Healthcare Potential Outweighs Its Risk
A third of U.S. physicians are already using artificial intelligence (AI) in their practices, and many believe there is ample reason to think this advanced technology can help address diagnostic errors—the largest cause of malpractice claims. However, there are still unresolved questions about the risks.
Interventional Radiology: Communications and Assessments
Ensuring patient safety for any procedure requires communication between the diagnosing physician and the proceduralist. This includes ensuring all physicians are aware of pre-procedural testing that the proceduralist would need to adequately care for the patient and manage complications.
Advanced Practice Providers Closed Claims: What Can We Learn?
A recent study by the Association of American Medical Colleges predicts that the U.S. would need an additional 95,900 doctors, 22,700 NPs, and 12,800 PAs immediately if healthcare use patterns were equalized across race, insurance coverage, and geographic location.
More understanding of the liability associated with APPs can help provide insight on the current situation and identify strategies that decrease risk, improve patient safety, and advance patient care.
Dementia Q&A: What Physicians Ask About Diagnosis and Treatment
This course focuses on the common concerns and questions expressed by physicians about dementia and cognitive impairment. This course covers making the initial observation of cognitive decline and beginning a conversation with older adult patients; overcoming common barriers to making a definitive diagnosis of dementia; and managing the ongoing clinical needs of patients experiencing dementia.
Jun 17, 2019
Terminating Patient Relationships
It is an acceptable practice for doctors to end a patient relationship under most conditions, but some situations may require additional steps or delay of the termination.
Alzheimer’s Disease and Related Dementias Evaluation and Diagnosis
The second course introduces The Alzheimer's Project Evaluation Algorithm and Evaluation Instruments, and focuses on differential diagnoses. The course includes ideas for how to prepare and engage in a sensitive dementia diagnosis disclosure with patients and caregivers.
Dementia Screening Among Adults with Cognitive Decline
The first course introduces The Alzheimer’s Project and highlights the increasingly important role of primary care practitioners in dementia care. It presents The Alzheimer’s Project Cognitive Impairment Screening Algorithm and Screening Instruments, and it addresses reversible conditions that may present similar symptoms to cognitive impairment. The course incorporates four videos, each followed by a series of related questions.
Physical Examination and Its Impact on Outcomes
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.
Neurological Case Study: Management of the Surgical Patient
This Claims Corner examines a neurosurgical case that alleges several failures to assess and treat a patient in a timely manner. It also highlights the importance of communicating with physicians and advanced practice providers involved with post-surgical care.
Ob/Gyn: Telephone Communications
The most frequent inconsistent practice found in the Practice Risk INSIGHT assessments was telephone communication (22 percent not met). When appropriate and adequate systems are in place, the physician is less at risk for having a suit filed. This case-based study provides insights and risk management techniques to lessen the frequency and severity of such a claim.
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.
Preventing Adverse Outcomes When Treating Children
The Doctors Company studied claims filed on behalf of pediatric patients
that closed over a 10-year period from 2008 through 2017. You are provided the most common types of claims and includes expert insights into the specific elements that led to patient injury, and risk mitigation strategies.
Dec 28, 2018
Curbside Consultations: Patient Safety and Legal Risks
Physicians should be aware of the potential liability of informal "curbside" consultations, especially if expectations between the physicians are not clearly communicated.
Dec 20, 2018
Reduce Risks in Patient Handoffs: Signing Off and Signing Out
Whether signing out to a colleague for the weekend or permanently closing a practice, handing off responsibility for patient care can create liability risks for the physician.
Nov 14, 2018
Patient Selection for Elective Procedures
The patient selection process is a valuable tool for loss control, because many claims occur with patients who are not appropriate candidates for a procedure.
Aug 14, 2018
Surprise, Disappointment, and Anger Lead to Malpractice Lawsuits
The common denominator of all malpractice claims is a combination of surprise, disappointment, and anger. Anger is by far the most common factor in stimulating further action by the patient. Regardless of the actual cause, anger will be focused on the most convenient and visible target—the physician.
Jul 27, 2018
Distracting Devices in Healthcare: Malpractice Implications
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.
Video Jul 27, 2018
Malpractice Repercussions: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, about distracting devices in the context of patient-centered care and the malpractice repercussions that occur when practitioners appear to be distracted.
Video Jul 27, 2018
Addiction Indicators: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, about the potential for a physician to be perceived as addicted to a personal electronic device.
Video Jul 27, 2018
The Stress Paradigm: Distracting Devices and Patient-Centered Care
The health environment has been invaded by not only medical technology, but by individuals who become too connected to their own devices. Steven Weintraub, MD, interviews Peter J. Papadakos, MD, FCCM, FAARC, on distracting devices and how they contribute to physician stress.
Distracted Practice Reduction: Strategies for Healthcare Leaders
Healthcare leaders play an important role in patient safety. This activity examines how distraction and interruptions impact safe patient care and identifies what leaders of organizations, teams, and departments can do to address the problem.
Jun 07, 2018
Team Synergy: A Critical Core Competency for Safe Care
An account of one group’s efforts to create and sustain a team-oriented culture through teamwork training.
The Doctor’s Advocate
Teamwork Benefits: How Practices Build Effective Teams
All healthcare professionals need a framework and tools to function as an effective team member in a hospital, clinic, or medical or dental practice. This activity highlights how teamwork contributed to performance improvement in one medical practice.
Pathology: Reducing Malpractice Claim Risks
By recognizing the risks associated with their specialty, pathologists can bring about changes that result in faster, higher-quality, and safer care. This course requires reading six pathology-related articles published by The Doctors Company, answering a series of questions, and reflecting on changes that could reduce risks and improve care in your practice setting.
May 24, 2018
Physician Learning Must Evolve to Keep Healthcare Workforce Prepared
Funded by a grant from The Doctors Company Foundation, Mt. Sinai is the first hospital in New York that has established a program designed specifically to assess and address some of the unique communication challenges facing hospitalists to improve patient care.
May 14, 2018
Improving Medical Office Communication and Safety
Develop procedures for your staff to help reduce communication errors with hospitals, labs, and other physicians, as well as communications within the office.
Apr 25, 2018
Communication and Resolution Programs Improve Patient Safety, Mitigate Risk
This article discusses the benefits to physicians of using communication and resolution programs (CRPs) within the context of the movement to disclose medical errors.
Mar 29, 2018
Obtaining Informed Consent in Teaching Institutions
It is important to inform patients when a resident physician will perform all or part of a procedure.
Feb 21, 2018
Telephone Triage and Medical Advice
Telephone communication, a critical part of the patient's overall care and management, presents a significant area of liability exposure.
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.
Feb 01, 2018
Rx for Patient Safety: Ask Me 3
The Ask Me 3 program is a time-efficient, effective tool that encourages patients to participate in their healthcare by asking questions.
Video Jan 24, 2018
How to Spot Potentially Violent Patients
Healthcare workers face significant risk of job-related violence: 52% of all workplace violence occurs in healthcare. Mitigating the risk of violence includes early identification of high-risk patients.
The Alzheimer's Project
The goal of this series is to educate clinicians on standardized screening, evaluation, and management of Alzheimer’s disease and related dementias. The Doctors Company is pleased to support Champions for Health in training primary care physicians and other healthcare practitioners to diagnose and care for patients with Alzheimer’s or dementia.
Video Jan 04, 2018
Disaster Preparedness for Your Medical Practice
Recent fires, hurricanes, and floods nationwide have highlighted the importance of planning for disasters. Wildfires in California forced several physicians to quickly relocate their practices―some permanently―and to move scheduled procedures to different facilities. Hurricane and flood damage in Texas and Florida left practices without power for days or even weeks. Is your practice prepared for this type of situation?
Dec 15, 2017
Frequently Asked Questions: Americans with Disabilities Act
Our experts answer questions about the Americans with Disabilities Act (ADA), which is designed to eliminate discrimination against persons with disabilities and provide enforceable standards to address such discrimination.
Dec 13, 2017
Disaster Preparedness for Your Medical Practice
Recent fires, hurricanes, and floods nationwide have highlighted the importance of planning for disasters. Physicians are critical participants in disaster preparedness, ensuring that patient care and critical services are not interrupted—especially for at-risk individuals who may have special medical needs.
Dec 07, 2017
Teamwork Saves Lives in Bronx-Lebanon Hospital Shooting
Teams pull together to save lives and provide support during a deadly hospital shooting.
The Doctor’s Advocate
Obstetrics: Preventing Adverse Outcomes
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.
Teamwork Training! An Overview of TeamSTEPPS
This activity presents an overview of the evidence-based TeamSTEPPS concepts, tools, and strategies that are based on leadership, mutual support, situation monitoring, and communication. These teachable/learnable skills can improve communication and teamwork among healthcare professionals in both acute care and ambulatory care environments.
Obstetrics: Spotlight on Preventing Claims
This activity highlights The Doctors Company's insights into preventing obstetrical claims by sharing the most likely risks encountered by obstetricians and preventive actions that have proven effective at mitigating these risks.
Gastroenterology: Preventing Adverse Outcomes
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.
Patient-Physician Relationship: When Does It Begin and When Does It End?
This activity increases understanding of the principles that form a physician-patient relationship and the necessary considerations before terminating a relationship. It also highlights the importance of timely documentation when establishing or ending a physician-patient relationship.
Managing Challenging Patients
This activity explores ways to enhance communication among providers and patients with the goal of reducing confrontational behavior when managing a difficult patient. It includes preventive strategies as well the considerations necessary before taking steps to end a physician-patient relationship.
Plastic Surgery Closed Claims Study: Lessons Learned
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.
Internal Medicine Closed Claims Study: Lessons Learned
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.
Hospitalist Malpractice Claims Study: Lessons Learned
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.
Patient Relations: It's the Little Things
Gain insights into how physician and dental practices enhance the patient experience by using hospitality and communication techniques. Improving the patient experience, both in-person and online, reduces bad publicity and the chance of a lawsuit.
Oct 14, 2017
Communication breakdowns are a frequent risk management finding in claims, as highlighted in this case study.
Video Aug 19, 2017
How to Build Patient-Centered Relationships
A patient-centered relationship can improve patient outcomes. The first step in developing a patient-centered relationship is starting a dialogue with the patient and exploring the patient's concerns.
Video Aug 14, 2017
Tips for Improving Patient Satisfaction
Physicians who communicate well with their patients have higher patient satisfaction scores and lower liability risks. Self-analysis and coaching can help physicians become better communicators.
Video Aug 05, 2017
Don't Interrupt. Let Your Patient Talk
Diagnostic accuracy is improved when physicians give patients the time and space to tell their story. By allowing patients the time they need to explain the reason for their visit, physicians can reduce "doorknob questions," which occur when the patient brings up what may be the most critical symptom just as the doctor is leaving the exam room.
Jun 14, 2017
How Medical Scribes Are Trained—And Used—Varies Widely
Though it is the fastest growing medical field, there is little regulation or standardization for training medical scribes.
Apr 17, 2017
Prescribing Opioids Safely: How to Have Difficult Patient Conversations
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. Building a strong doctor-patient rapport can help facilitate tough conversations with patients about opioid prescriptions and reduce risks that could lead to malpractice suits.
Mar 16, 2017
San Diego Death Diaries
Dr. Roneet Lev provides insights into the prescription opioid abuse epidemic.
The Doctor’s Advocate
Mar 16, 2017
Analysis of Medication-Related Claims from The Doctors Company
Dr. David Troxel reviews 1,770 closed by The Doctors Company in which patient harm involved medication factors.
The Doctor’s Advocate
Feb 18, 2017
Up for Review: Five Keys to Managing Online Criticism
No matter how professional and caring a doctor you may be, eventually you will face criticism on the web. Here are five keys to managing that criticism.
Feb 03, 2017
To Text or Not to Text
Without appropriate safeguards, texting can lead to violations of the Health Insurance Portability and Accountability Act (HIPAA).
Nov 30, 2016
Watch for the Signs: Screen All Patients for Suicidal Thoughts
Patients with suicidal thoughts or ideation appear occasionally in physician encounters. Any patient, no matter what issue is being treated and in any setting, could be at risk for suicide. A consistent and formal screening process, plus a response plan, will protect both the patient and the physician.
Nov 08, 2016
Meeting the Challenges of the Nonadherent Orthopedic Surgical Patient
Orthopedic surgeons can reduce potential liability by following these tips for managing nonadherent patient behavior.
Aug 11, 2016
Miscommunication and missed opportunities resulting from hurried handoffs can produce fatal results.
Jun 13, 2016
Telephone Communication for Physicians
When carelessly conducted, telephone communications can lead to diagnostic errors and misunderstandings that culminate in medical malpractice claims and lawsuits.
May 06, 2016
Shared Responsibility for Preventing Malpractice Suits—Patient Interactions
The basic emotions leading to any medical liability action are surprise, disappointment, and anger.
May 01, 2016
Effective Obstetrical Team Communication
Effective communication requires a team effort for the exchange of concise and relevant information.
Apr 13, 2015
Damage Control: Dealing with Online Patient Complaints
There is no easy remedy to completely eradicate negative comments once they are on the Internet.
Dec 02, 2014
Documenting a patient’s refusal of test or treatment options is key to minimizing risk exposure.
Sep 01, 2014
The Internet: Friend or Foe to Physicians
Physicians must use care in dealing with Internet review sites used by consumers.
Nov 01, 2013
Frequently Asked Questions: Treating Patients in a Difficult Economy
Our experts answer questions about billing issues, including when patients are unable or unwilling to pay doctor charges.
Feb 08, 2012
Imperative Conversations: Managing Transitions of Care in the Hospital
Standardizing the handoff process has been shown to lower rates of perceived near-miss events and adverse outcomes.
Sep 01, 2011
Patient-Centered Communications: Building Patient Rapport
Communication skills can help hospitalists overcome barriers to care by ensuring a clear exchange of information that engenders patient trust.
Jul 01, 2011
Addressing Patient Issues and Other Challenging Situations
The majority of patients who sue for malpractice will criticize their physician’s communication style. Effective communication is a vital element in reducing nonmeritorious claims.
Jul 01, 2011
Eight Little Words
No wording will be more carefully scrutinized than that in a medical record involved in a malpractice trial.
Dec 21, 2010
Fire Safety in the Surgical Suite
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.