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Professional Education
Delayed Diagnosis of Stroke: Case Review for Advanced Practice Clinicians
In reviewing closed malpractice claims, The Doctors Company identified diagnostic failure as a reoccurring problem and one of the top three leading allegations that result in malpractice claims. This failure often leads to a delay in treatment and causes significant harm to patients. The following highlights the importance of recognizing the signs and symptoms of a stroke. Factors contributing to delay diagnosis and treatment included failure to recognize the window (“last known well time”) for tissue plasminogen activator-clot buster (tPA) failure to order a stat MRI and neurology consult, failed communication among providers regarding changes of recurring symptoms of ischemic stroke, failure to appreciate new signs and symptoms of a stroke, and poor or inconsistent documentation. The National Academy of Medicine (NAM) has identified the top three causes of serious harm from diagnostic failure. Number one is ischemic stroke.

February 05, 2024, Part B News
AI Proliferates: Coding and Chat Remain Fertile Ground, But Watch Decision-Making
Sue Boisvert, BSN, MHSA, CPPS, CPHRM, DFASHRM, Senior Patient Safety Risk Manager, Department of Patient Safety and Risk Management, The Doctors Company, part of TDC Group, discusses the benefits of AI in medical coding for streamlining processes, but emphasizes the necessity of human oversight to ensure accuracy and mitigate potential biases.

Video Nov 15, 2023
Shoulder Dystocia: Physician-Patient Disclosure
The purpose of this video is to assist physicians in enhancing their communication skills when disclosing a shoulder dystocia injury to patients and family members. This type of injury to the infant may unfortunately occur, despite the best of care. However, effective physician-patient communication is an integral part of clinical practice and has shown to positively influence outcomes by increasing patient understanding and trust.

Mike Tungate
Mike Tungate is president of The Doctors Agency of Michigan.

Mar 01, 2024
Burnout and Litigation Against Primary Care Providers: Where Do They Overlap?
Jacqueline Ross, RN, PhD, Coding Director, and Robert Morton, MAS, CPPS, CPHRM, ARM, Assistant Vice President, Department of Patient Safety and Risk Management, The Doctors Company, Part of TDC Group
Certain trends in primary care suggest potential avenues for investigation into malpractice allegations. These include a worsening shortage of primary care physicians, an association between burnout and patient safety concerns, and the rise in both the number of women physicians and the rate of burnout among women physicians.

April 05, 2022, Medical Economics
The Financial Health of Malpractice Insurers
Robert E. White, Jr., Chief Operating Officer of The Doctors Company and TDC Group, notes that malpractice insurance companies have been paying more in settlements than they are collecting in premiums, forcing them to raise premiums.

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