Emergency Care

Emergency Medicine Patient Safety Credit Program

As your partner in patient safety, we are pleased to offer the Emergency Medicine Patient Safety Credit Program, our voluntary program that is open to all qualifying member emergency medicine (EM) physicians and their affiliated staff.

Nov 09, 2018
FDA Approves Dsuvia, Potent New Opioid
The FDA recently announced its approval of Dsuvia.

Jul 27, 2018
Distracting Devices in Healthcare: Malpractice Implications
Shelley Rizzo, MSN, CPHRM, Patient Safety Risk Manager II
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.

Apr 24, 2018
Missed Diagnosis of Spinal Epidural Abscess
David B. Troxel, MD, Medical Director, Board of Governors
This case illustrates the importance of promptly diagnosing and treating spinal epidural abscess.

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

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

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.

Oct 14, 2017
Challenging Communications
Michelle Swift, JD, RN, Patient Safety Risk Manager II
Communication breakdowns are a frequent risk management finding in claims, as highlighted in this case study.

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

Apr 17, 2017
Prescribing Opioids Safely: How to Have Difficult Patient Conversations
Roneet Lev, MD, Chief of Scripps Mercy Emergency Department, Chair of Prescription Drug Abuse Medical Task Force, and President of Independent Emergency Physicians Consortium
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
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 25, 2017
Taking the Risks to Heart: Misdiagnosis of Heart Disease
Differences in the early symptoms and signs of an impending heart attack in women may make diagnosis more difficult compared to men.

Jan 05, 2017
Patient Safety Strategies for Emergency Medicine
Sonny Nguyen, Senior Director, Patient Safety and Risk Management, Northwest Region.
In emergency medicine, doctors can reduce potential liability by following risk management strategies, such as establishing clear protocols for tests and radiology follow-up.

Nov 30, 2016
Watch for the Signs: Screen All Patients for Suicidal Thoughts
Robin Diamond, MSN, JD, RN, Senior Vice President of Patient Safety and Risk Management, The Doctors Company
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.

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

Aug 22, 2016
Did Provider Fatigue Contribute to This Patient’s Death?
Provider fatigue and the rush to get things done when staffing levels are inadequate can lead to mistakes and poor outcomes for patients.

Aug 09, 2016
What Doctors Need to Know About Zika
Dan Wright, JD, RN, vice president of patient safety, The Doctors Company
Physicians across the U.S. should practice vigilance to ensure patient safety and reduce risk of potential adverse events as we continue to learn more about the Zika virus.

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).

Jul 17, 2015
Conscious Sedation in the Office
Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education, and Ann S. Lofsky, MD (1956–2008), Governor Emeritus
Reduce potential liability with these risk management tips and guidelines for conscious sedation in the office.

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.

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.

Apr 13, 2015
Emergency Medicine: Tips to Help Prevent the Top Cause of Patient Injury
The Doctors Company’s Emergency Medicine Closed Claims Study revealed that the top patient allegation was diagnosis related. These tips can help emergency medicine doctors avoid diagnostic errors.

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

Dec 02, 2014
Diagnostic Error in Medical Practice by Specialty
David B. Troxel, MD, Medical Director, Board of Governors
This closed claim review focuses on the variance between specialties in the incidence of diagnosis-related error.
From The Doctor’s Advocate

May 30, 2013
Interactive Guide for Hospitals: Clinical Departments: Emergency Medicine Services
Emergency medicine services can have areas of potential malpractice exposure, and this guide can help uncover risks.

Aug 01, 2012
Interactive Guide for Emergency Medicine Physicians
Our interactive guide is designed to help you uncover areas of potential malpractice exposure in your emergency medicine practice.

Jun 22, 2010
Dilaudid-Related Morbidity and Mortality from Respiratory Depression
Howard Marcus, MD, FACP, a general internist in Austin, Texas, and chairman of The Doctors Company Physician Advisory Board in Texas.
Patient safety organizations and the FDA are focusing on ways to reduce patient harm from opioids.

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