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Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America
- 1st Edition, Volume 43-1 - November 12, 2024
- Editors: Michael B. Weinstock, Gita Pensa
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 0 2 - 4
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 0 3 - 1
In this issue of Emergency Medicine Clinics, guest editors Drs. Michael B. Weinstock and Gita Pensa bring their considerable expertise to the topic of Risk Management in Emergency… Read more
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Request a sales quoteIn this issue of Emergency Medicine Clinics, guest editors Drs. Michael B. Weinstock and Gita Pensa bring their considerable expertise to the topic of Risk Management in Emergency Medicine. Top experts discuss documentation; legal risk to the resident in training; balancing the legal risk to the clinician and the medical health of the patient; pediatric high-risk conditions; medical malpractice stress syndrome; and more.
- Contains 14 relevant, practice-oriented topics including specific legal risks of chest pain, headache, abdominal pain, and neurologic; collaboration of physicians and PAs and NPs; lessons from a medical malpractice defense attorney; and more.
- Provides in-depth clinical reviews on risk management in emergency medicine, offering actionable insights for clinical practice.
- Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Emergency Medicine
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Medical Malpractice Stress Syndrome
- Key points
- “YOU have children of your own”
- Litigation stress and medical malpractice stress syndrome
- Gaining perspective
- Strategies for litigation stress support
- Summary
- Clinics care points
- Balancing the Legal Risk to the Clinician with the Medical Interests of the Patient
- Key points
- The scenario
- The choices:
- Practice variation
- Metrics: appropriate or an impediment to safe care?
- Risk to the patient
- Risk to the clinician: defensive medicine and legal considerations
- How do we obtain the “balance”?
- We propose 5 specific actions
- Specific actions
- Bringing it all home
- Take home points
- Clinics care points
- Medical Malpractice Epidemiology: Adults and Pediatrics
- Key points
- Emergency medicine overview
- Adult malpractice claims
- Pediatric malpractice claims
- Summary
- Clinics care points
- Medicolegally Protective Documentation in Emergency Medicine
- Key points
- Introduction
- Discussion
- Controversies/pitfalls
- Summary
- Clinics care points
- Pediatric High-Risk Conditions
- Key points
- Introduction to pediatric malpractice litigation
- Meningitis
- Appendicitis
- Testicular torsion
- Clinics care points
- Chest Pain-Specific Legal Risk
- Key points
- Acute coronary syndrome
- Pulmonary embolism
- Aortic dissection
- Risk management at the bedside
- Summary
- Clinics care points
- Misdiagnosis of Acute Headache: Mitigating Medico-legal Risks
- Key points
- Introduction and methods
- “Cannot miss” causes of acute headache
- Misdiagnosis, misconceptions, and red flags
- Reasons for misdiagnosis and strategies to avoid or mitigate them by process of care
- Emergent treatments in the emergency department
- Discharge criteria, instructions, and ambiguity
- Future directions
- Summary
- Clinics care points
- Neurologic Specific Risk: Strokes, Lytics, and Litigation
- Key points
- Neurologic specific risk: headaches and strokes, thrombolytics and pitfalls
- Clinics care points
- Abdominal Pain-Specific Legal Risk
- Key points
- Introduction
- Anatomy of a lawsuit
- Scope of this study
- Imaging characteristics: your tests can lie to you
- The importance of communication
- Intra-abdominal processes
- Pelvic processes
- Extraabdominal Processes (Pain that Originates Outside of the Abdomen but Can be Perceived as Abdominal Pain)
- Special populations
- Cancer
- Discharging the patient with abdominal pain
- Clinics care points
- Legal Risk to the Emergency Medicine Resident in Training and Attending Supervisors
- Key points
- Introduction
- Legal nomenclature and study limitations
- Legal risk to the emergency medicine resident in training
- Legal risk to the supervising attending
- Legal risk of residents practicing telehealth
- Summary
- Clinics care points
- Navigating Supervision of Advanced Practice Providers
- Key points
- Introduction and current landscape
- Laws and guidelines of advanced practice provider supervision
- Factors affecting supervision and scope of practice
- Coding, billing, and documentation
- Medicolegal and risk mitigation
- Summary
- Clinics care points
- Understanding Against Medical Advice, Informed Consent, and Emergency Medical Treatment and Labor Act
- Key points
- Left without being seen
- Left before treatment complete
- Against medical advice: a process and not simply a signature
- Against medical advice framework
- Example of against medical advice addendum
- Common myths of against medical advice
- Informed consent
- Using shared decision-making
- The “difficult patient”
- Tips for the intoxicated patient
- Does opioid use impair informed consent?
- Emergency Medical Treatment and Labor Act
- Definitions matter when dealing with Emergency Medical Treatment and Labor Act
- Who can perform medical screening examinations?
- Parental consent for a pediatric medical screening examination
- The “VIP” patient
- Preauthorization calls
- Mode of transfer to another facility
- Is severe pain considered an emergency medical condition?
- Under Emergency Medical Treatment and Labor Act, is there a legal obligation to refill pain medication prescriptions?
- A patient has come to the emergency department almost every other day for evaluation. During triage, can that patient be told that they have x number of ED visits this year?
- Does Emergency Medical Treatment and Labor Act apply to inpatients?
- Does Emergency Medical Treatment and Labor Act apply to consultants?
- Emergency Medical Treatment and Labor Act and patients leaving against medical advice
- How Is Emergency Medical Treatment and Labor Act enforced?
- How does one report a violation?
- An example of Emergency Medical Treatment and Labor Act violation
- When is medical screening examination not required?
- Clinics care points
- Clinical Practice Guidelines and Medical Malpractice Risk
- Key points
- Introduction
- Background
- Discussion
- Back to the case
- Summary
- Clinics care points
- Reflections from a Medical Malpractice Defense Attorney: Insights on Avoiding Claims and Lawsuits
- Key points
- Avoiding claims and lawsuits
- Case Study 1
- Case study 2
- Case study 3: lightning round
- Case study 4: chief complaint: a 5 year old presents with symptoms of coronavirus disease 2019 or flu
- Case Study 5
- Summary
- Clinics care points
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 43-1
- Published: November 12, 2024
- Imprint: Elsevier
- Hardback ISBN: 9780443296024
- eBook ISBN: 9780443296031
MW
Michael B. Weinstock
Affiliations and expertise
Emergency Medicine attending physician, Adena Health System Director of Research, Adena Health System Professor of Emergency Medicine, Adjunct, The Wexner Medical Center at The Ohio State University Medical Director, Ohio Dominican University Physician Assistant studies program Columbus, OhioGP
Gita Pensa
Affiliations and expertise
Associate Professor of Emergency Medicine, Clinician Educator, and Associate Director of the Emergency Digital Health Innovation program at Alpert Medical School of Brown University