Dentistry

Apr 02, 2021
Pre-Procedural Screening and Testing During COVID-19
Throughout the pandemic, surgeons have faced many challenges in adapting to new situations. Now that facilities have resumed elective surgeries, surgeons are facing additional challenges in evaluating and scheduling patients who have recovered from COVID-19. The strategies highlighted here can help ensure a consistent approach in keeping both patients and providers safe.

Mar 29, 2021
Is Your Patient a Victim of Human Trafficking?
Amy Wasdin, RN, CPHRM, Patient Safety Risk Manager II, The Doctors Company
Although trafficking victims rarely find opportunities to interact with others, a visit to a physician or dental practice may provide an opportunity for a victim to receive help. Learn to recognize the signs of human trafficking and know what steps to take.

Mar 24, 2021
Patient Selection for Elective Cosmetic Procedures
James E. Vogel, MD, FACS, Associate Professor of Plastic Surgery, The Johns Hopkins Hospital and School of Medicine, and Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education, The Doctors Company
The patient selection process is a valuable tool that can help you reduce risks when you assess prospective patients for elective cosmetic procedures.

Feb 26, 2021
Resources for Elective Procedures During COVID-19
Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Management Consultant, and Julie Ritzman, MBA, CPHRM, Vice President, Department of Patient Safety and Risk Management
Your patients most likely want to know about the safety of surgery during the pandemic and what occurs if they contract COVID-19 post-procedure. You may have questions about keeping your staff and patients safe, informing patients about new risks the pandemic has created, and potential liability risks you may be facing.

Feb 23, 2021
Safe Handling of Medical Gas Cylinders
Ernest E. Allen, ARM, CHFM, Senior Patient Safety Risk Manager, The Doctors Company
When incorrectly used, handled, or stored, medical gas cylinders can create dangerous physical and chemical hazards for patients and staff. This review of safety standards can help healthcare facilities and physician and dental offices stay in compliance.

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.
Credits 1.5

Feb 08, 2021
Patient Billing Challenges: Frequently Asked Questions
Susan Shepard, MSN, RN, Senior Director, Patient Safety Education, and Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company
Our experts answer common billing questions and provide strategies to help your practice address issues proactively.

Professional Education
HIPAA for Managers: The High-Level View
The program explores and defines HIPAA policies and procedures, business associate agreements, security assessment and analysis, training requirements, HIPAA compliance requirements, breach events, and informed consent.
Credit 1.0

Professional Education
It's the Little Things: An Introduction to Enhancing Patient Relations and Reducing Risks
It's the Little Things is designed to assist medical practices with improvements in patient interactions by looking at how incorporating hospitality as a focus makes a difference. It has been developed to improve multiple facets of patient interaction.
Credit 1.25

Professional Education
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. Approved by the Florida Board of Medicine—Controlled Substance Prescribing.
Credit 2.0

Professional Education
Prevention of Medical Errors: CME Risk Management Course for Florida Practices
This activity is specific to Florida statutes and reflects regulations effective February 2020. Few medical errors are attributed to faulty medical judgment. More commonly, they are attributed to system failures inherent in healthcare delivery. By drawing on our professional liability closed claims data, we have identified common performance and diagnostic errors that reflect on the most common issues identified by Florida—wrong site surgery, surgery complications, cancer, Ob/Gyn related conditions, gastroenterology conditions, cardiology issues, neurological issues, and adverse drug events—that will serve as the focal point of this patient safety and risk management course.
Credits 2.0

Sep 22, 2020
Should Dentists in One Office Have One Malpractice Insurer?
Laura Archer, Vice President of Underwriting for The Doctors Company
One often-overlooked strategy for a group practice is having all dental professionals covered by the same malpractice insurer: With a group policy, a practice can keep up with changes, avoid damaging conflicts, maximize chances for desirable outcomes when claims arise—and even potentially realize a positive impact on premium.

Professional Education
Telemedicine to Telehealth: Trends and Emerging Risks
This course explores challenges and risks such as privacy and security, licensure, and technology concerns that might instigate a malpractice claim. The risks overlay the inherent challenge of replicating the interaction of a traditional, in-person encounter between a provider and a patient, without compromising the standard of care. It also provides resources for clinicians and practice managers to consider when making decisions about deploying telehealth services or to improve existing services.
1.25 Credits

Aug 25, 2020
Distracting Devices in Healthcare: Malpractice Implications
Shelley Rizzo, MSN, CPHRM, Senior Patient Safety Risk Manager
Digital distraction in healthcare is a 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
Making an Informed Consent an Informed Choice: Training for Healthcare Leaders
This activity is designed for healthcare professionals in leadership positions. It covers the principles of informed consent, crafting and disseminating an informed consent policy, and building systems to improve the informed consent process.
Credit 2.0

Professional Education
Making an Informed Consent an Informed Choice: Training for Healthcare Professionals
This activity, designed for doctors, nurses, and other providers, examines problems with the process of healthcare informed consent. It describes the principles of informed consent and highlights the benefits gained from a good informed consent process.
Credit 2.25

Jun 18, 2020
Moderate or Conscious Sedation in the Office Setting
Julie Brightwell, JD, RN, Director, Healthcare System Patient Safety, Department of Patient Safety and Risk Management
Prevent patient injury when providing moderate sedation in the office by incorporating these patient safety and practice improvement strategies.

Jun 03, 2020
Job Shadowing: Observers and Volunteers in Medical and Dental Practices
Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Management Consultant, Department of Patient Safety and Risk Management
Create guidelines to prevent practice risks, eliminate patient harm, and protect patient privacy.

May 28, 2020
Reopening Your Dental Practice During COVID-19
Mariel Kagan, JD, MSN, Patient Safety Risk Manager
Dental offices across the nation are beginning to reopen as part of the federal government’s approach to reopening the economy. Because The Doctors Company is committed to supporting your practice and sharing important information during this unprecedented time, we researched guidelines and recommendations to provide resources for dentists and dental professionals around the country.

Professional Education
Physician-Patient Relationship: When Does it Begin and When Does it End?
This enduring program will assist the participant in understanding the principles which form the establishment of a physician-patient relationship, as well as the concerns which may result in the need for the physician to consider terminating the physician-patient relationship. Additionally, the concepts of providing patient centered care will be presented for the learner’s consideration.
1.0 credit

May 23, 2020
Providing Dental Services in the Hospital Setting
Amy Wasdin, RN, CPHRM, Patient Safety Risk Manager II, Department of Patient Safety and Risk Management
Because of the infrequency of providing dental care in the hospital setting, many dentists are unfamiliar with hospital and medical staff requirements that apply to the providers who examine and treat inpatients.

May 02, 2020
Medical Emergencies in the Dental Setting
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management
Preparedness is critical to ensure the safety of patients and prevent catastrophic outcomes.

May 01, 2020
Elective Surgery Informed Consent and Shared Decision Making During COVID-19
Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Management Consultant, and Julie Ritzman, MBA, CPHRM, Vice President, Department of Patient Safety and Risk Management
Restarting elective surgeries and procedures after suspension during the COVID-19 pandemic requires a great deal of planning and consideration of many factors, including those related to patients, locations where you practice, and the larger community.

May 01, 2020
Informed Consent for COVID-19 Risks: Frequently Asked Questions
To support our members and the entire medical profession during this unprecedented time, the following are answers to some frequently asked questions regarding informed consent for COVID-19 risks.

Apr 22, 2020
Minor Consent: Challenges for Pediatric Dentistry
Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Consultant, Department of Patient Safety and Risk Management
Identifying legal guardianship and the rights of parents can reduce risk prior to treating a minor.

Apr 07, 2020
COVID-19 Dental Practice Safety Guidance
By Mariel Kagan, JD, MSN, Patient Safety Risk Manager
How dental offices can keep patients and staff safe during the novel coronavirus (COVID-19) outbreak and what to do in the event of a dental emergency.

Professional Education
Internal Medicine: When Personal Relationships Interfere with the Standard of Care (Claims Corner CME)
Claims Corner CME
Physicians and dentists are often faced with the decision whether to treat friends and families without realizing the inherent risks in doing so. A review of one case will highlight some common circumstances and risks associated with the treatment of friends and family members.
0.75 Credit

Professional Education
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.
3.0 Credits

Professional Education
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.
2.5 Credits

Professional Education
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.
3.0 Credits

Nov 05, 2019
When Treating Kids, Learn from the Emergency Department
Phyllis L. Hendry, MD, FAAP, FACEP
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.

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.

Jul 23, 2019
Preventing Wrong Tooth Dental Procedures
Sue Boisvert, BSN, MHSA, Patient Safety Risk Manager II
Wrong-site procedures are a common problem in dentistry. A wrong tooth extraction can be prevented with the use of proper protocols, including confirmed communication with referring dentists and documentation of verbal discussions with patients.

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

Mar 23, 2018
Management of Treatment Complications
Sue Wilson, MBA, CPHRM, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
Even when a patient is provided with care that meets the standard of care, complications may arise during, or as a result of, the treatment provided.

Dec 19, 2017
Risks in Electronic Dental Records
Donald Wood, CRNA, CPHRM, Patient Safety Risk Manager II
System and user errors result in many EHR-related dental claims.

Nov 01, 2017
The Importance of Infection Control in the Community Dental Office
Mariel S. Kagan, JD, MSN, Patient Safety Risk Manager II
Develop appropriate policies and procedures to reduce potential infections and improve patient safety.

Aug 28, 2017
The Search for Mary Smith
David B. Troxel, MD, Medical Director, Board of Governors
A case study illustrating the importance of researching healthcare technologies thoroughly before implementing them.
From The Doctor’s Advocate

Jun 27, 2017
Referral and Negligent Referral in a Dental Practice
Kim Hathaway, RN, CPHRM, Patient Safety Risk Manager.
General dentists should be aware of potential liability issues involving patient referrals.

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

Feb 18, 2017
Up for Review: Five Keys to Managing Online Criticism
Kevin Pho, MD, Founder and Editor, KevinMD.com
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 15, 2017
Withdrawing From the Dentist-Patient Relationship
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management.
Using appropriate guidelines can prevent a malpractice claim.

Oct 19, 2016
Case Study: Over-Sedation and Failure to Resuscitate
Donald Wood, CRNA, CPHRM, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
Prompt administration of reversal agents and respiratory support are critical for over-sedation emergencies.

Sep 15, 2016
Case Study: Poor Response to Patient Concerns Contributes to Dental Claim
Amy Wasdin, RN, CPHRM, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
Effective communication skills to satisfy the patient-provider relationship can increase positive outcomes.

Aug 09, 2016
Case Study: Unethical Treatment Leads to Lawsuit and Dental Board Action
Kim Hathaway, MSN, CPHRM, CPHQ, Patient Safety Risk Manager, Department of Patient Safety and Risk Management
A celebrity dentist performed excessive treatment and committed ethical violations.

Jun 27, 2016
Case Study: Inappropriate Delivery of Care and Delegation Lead to Patient Death
Sandra Strickland, MSN, CPHRM, Assistant Vice President, Department of Patient Safety and Risk Management
Adequate preparation for medical emergencies may prevent harm.

May 04, 2016
Case Study: Failure to Diagnose and Refer Results in Court and Dental Board Action
Donald Wood, CRNA, CPHRM
Legal and licensure penalties are incurred in a dental practice as a result of inadequate patient safety procedures.

Apr 18, 2016
Case Study: Documentation and Scope of Practice Issues
David O. Hester, FASHRM, CPHRM, Director, Department of Patient Safety and Risk Management.
Obtaining written and verbal informed consent and patient response to follow-up care are crucial steps to improve patient safety and mitigate risk in your dental practice.

Mar 22, 2016
Case Study: Failure to Provide Medical Records
Susan L. Marr, MSA, CPHRM, Senior Patient Safety Risk Manager, Department of Patient Safety and Risk Management.
A request for medical records is not uncommon, and understanding the requirements of a request is essential to maintain sound patient relationships and prevent legal action.

Feb 29, 2016
Case Study: Process Failures Lead to Patient Harm
Susan L. Marr, MSA, CPHRM, Senior Patient Safety Risk Manager, Department of Patient Safety and Risk Management
When choosing an alternative treatment plan that deviates from the prevailing standard of care, a dentist should thoroughly document the clinical justification in the dental record.

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