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https://www.readbyqxmd.com/read/29454789/less-is-more-a-minimalist-approach-to-endoscopy
#1
Nicholas J Shaheen, M Brian Fennerty, Jacques J Bergman
A substantial literature documents inappropriate usage of gastrointestinal endoscopy in a variety of clinical settings. Overusage of endoscopy appears to be common, and 30% or more of procedures performed in some clinical settings have questionable indications. The potential reasons for overuse of endoscopy are multiple, and include cancer phobia, fear of medical malpractice litigation, profit motive, the investigation of "incidentalomas" found on other imaging, and under-appreciation of the delayed harms of endoscopy, among other reasons...
February 15, 2018: Gastroenterology
https://www.readbyqxmd.com/read/29452564/when-consent-does-not-help-challenges-to-women-s-access-to-a-vaginal-birth-after-cesarean-section-and-the-limitations-of-the-informed-consent-doctrine
#2
Hindi E Stohl
Pregnant women with a prior cesarean delivery face challenges in accessing a vaginal birth due to both hospital and provider preferences and practices. Although the doctrine of informed consent secures women's reproductive rights, it is not a viable legal remedy. Instead, women should champion increased maternity-related education and transparency as well as medical malpractice reform to increase the desired access.
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29452560/health-care-efficiencies-consolidation-and-alternative-models-vs-health-care-and-antitrust-regulation-irreconcilable-differences
#3
Michael W King
Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29445392/how-many-parathyroid-glands-can-be-identified-during-thyroidectomy-evidence-based-data-for-medical-experts
#4
Elisabeth Gschwandtner, Rudolf Seemann, Claudia Bures, Lejla Preldzic, Eduard Szucsik, Michael Hermann
Background: The purpose of this study is to provide guidance for medical experts regarding malpractice claims on permanent hypoparathyroidism by analyzing the number of parathyroid glands (PGs) identified during thyroidectomy and the clinical outcome. Methods: Parathyroid findings were documented in a standardized protocol for 357 patients undergoing thyroidectomy and treated by a single specialized surgeon. The resected thyroid was routinely dissected for accidentally removed PGs with consecutive autotransplantation and the pathological report also described unintentionally resected PGs...
2018: European Surgery: ACA: Acta Chirurgica Austriaca
https://www.readbyqxmd.com/read/29441736/the-legal-doctrine-on-the-liability-of-physicians-in-medical-malpractice-lawsuits-involving-complex-regional-pain-syndrome
#5
SuHwan Shin, Seung Gyeong Jang, KyeongTae Min, Won Lee, So Yoon Kim
BACKGROUND: Complex regional pain syndrome (CRPS) involves severe pain and it is difficult to identify the exact cause or pathogenesis. Therefore, there are controversies regarding legal issues related to the establishment of damage in medical malpractice lawsuits involving CRPS. This study aimed to analyze malpractice lawsuits involving CRPS, which occurred after the disputed medical treatment, to provide information on the courts' opinion and characteristics of the cases. METHODS: This study analyzed 23 lawsuit judgments involving CRPS that were sentenced from 2005 to 2015...
February 26, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29435727/gendered-expectations-do-they-contribute-to-high-burnout-among-female-physicians
#6
Mark Linzer, Eileen Harwood
Patients have differing expectations of female versus male physicians. Female patients tend to seek more empathic listening and longer visits, especially with female physicians; however, female doctors are not provided more time for this. Female doctors have more female patients than male doctors, and more patients with psychosocial complexity. We propose that gender differences in patient panels and gendered expectations of female physicians may contribute to the high rate of burnout among female clinicians, as well as to the many female physicians working part-time to reduce stress in their work lives...
February 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29428450/physicians-working-under-the-influence-of-alcohol-an-analysis-of-past-disciplinary-proceedings-and-their-outcomes
#7
Damian Jacob Sendler
INTRODUCTION: The intoxicated person may cause harm to others, often requiring expert evaluation for the determination of guilt. The primary aim of this study was to determine the mechanisms of mistakes that led 17 doctors accused of working under the influence of alcohol to face malpractice. We also wanted to clarify what were the legal, professional, and financial consequences - depending on specific patient outcomes. METHOD: We based analysis on the review and meta-analysis of the past forensic evaluation reports of institution-run forensics programs...
February 5, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29427478/from-ruling-out-to-ruling-in-putting-pocus-in-focus
#8
Arjun K Venkatesh, Charles D Scales, Marta E Heilbrun
Over the past twenty years, the Emergency Department (ED) has transformed from a location that managed patients with acute life-threatening illness or injury to an acute diagnostic center. The advent of rapid and accurate imaging, novel biomarkers, and other innovations concurrent with effects from financial and social forces has supported the development of an acute care system focused on "ruling out" low-frequency, high-mortality events such as acute myocardial infarction, stroke, pulmonary embolism, and aortic dissection...
February 10, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29422170/-mobile-technology-to-improve-heart-failure-outcomes-a-proof-of-concept-paper
#9
Ponrathi Athilingam, Bradlee A Jenkins, Heather Zumpano, Miguel A Labrador
BACKGROUND: Heart failure (HF) causes significant symptom burden and human suffering with considerable economic burden due to hospital readmissions. Targeted interventions to encourage and support self-management behavior is warranted. AIM: To test the proof of concept of a mobile application (HeartMapp) in improving self-care management of patients with heart failure. METHOD: An exploratory inquiry used a field study strategy with purposeful sampling and constant comparative analysis to test the proof of concept of HeartMapp using The Business Model Canvas framework...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29419553/malpractice-litigation-in-cornea-and-refractive-surgery-a-review-of-the-westlaw-database
#10
Stephanie B Engelhard, Christopher T Shah, Austin J Sim, Ashvini K Reddy
PURPOSE: To report and analyze the causes and outcomes of malpractice litigation in cornea and refractive surgery. METHODS: The WestLaw database was reviewed for all malpractice litigation related to ophthalmology in the United States between 1930 and 2014. Search terms included ophthalmology or ophthalmologist and malpractice anywhere in the retrieved results. All cases involving cornea and refractive surgery were included in this analysis, and results were compared with ophthalmology as a whole...
February 6, 2018: Cornea
https://www.readbyqxmd.com/read/29413951/a-comparison-of-malpractice-lawsuits-mediated-and-judged-in-court-in-china
#11
Yuan Li, Dong Gao, Weibo Liang, Lirong Qiu, Xin Liu, Lin Zhang, Zhenhua Deng
OBJECTIVE: An analysis of malpractice lawsuits judged in court compared with those mediated in court may help explain perceptions of malpractice risk. METHODS: We conducted a retrospective study of malpractice lawsuits mediated and judged in court using data from district courts in Beijing from 2010 through 2014. We evaluated the number of cases, the payment amount, and the time to resolution, by resolution type. Patient age, sex, the severity of injury, and adverse event type were measured...
January 30, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29402665/malpractice-litigation-in-the-endovascular-era
#12
Kenny Oh, Goda Savulionyte, Satish Muluk
OBJECTIVE: The standard of care in the treatment of vascular disease continues to evolve as endovascular therapies develop. Currently, it is unclear how medical malpractice litigation has adapted to the "endovascular era." This retrospective case review is the most comprehensive analysis to date of malpractice actions involving endovascular procedures performed by vascular surgeons (VSs), interventional radiologists (IRs), interventional cardiologists (ICs), and cardiothoracic surgeons (CTSs)...
February 3, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29381539/ablative-lasers-24-years-of-medical-malpractice-cases-in-the-united-states
#13
Richard R Pierce, David W Martell
No abstract text is available yet for this article.
January 29, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29373421/partnering-with-a-medical-malpractice-insurer-to-improve-patient-safety-and-decrease-risk
#14
Carol A Keohane, Kathy Dwyer, Jason Boulanger, Katherine Zigmont, Astrid Babayan, Elizabeth Cushing, Brian Walsh
Implementing evolving science into clinical practice remains challenging. Assimilating new scientific evidence into clinical protocols and best practice recommendations, in a timely manner, can be difficult. In this article, we examine the value of partnering with a captive medical malpractice insurance company and its Patient Safety Organization to use data and convening opportunities to build upon the principles of implementation science and foster efficient and widespread adoption of the most current evidence-based interventions...
January 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29372862/damage-capitation-in-the-modern-liability-climate-a-primer-for-neurosurgeons-and-systematic-review-of-the-literature
#15
Jacob R Lepard, Beverly C Walters, Curtis J Rozzelle
OBJECTIVE Neurosurgery, and particularly spine surgery, is among the most highly litigated medical specialties in the US, rendering the current malpractice climate of primary importance to spine surgeons nationwide. One of the primary methods of tort reform in the civil justice system is malpractice damage capitation (or "caps"); however, its efficacy is widely debated. The purpose of this article is to serve as a review for the practicing neurosurgeon, with particular emphasis on short- and long-term effects of damage caps and on the current debate regarding their utility, based on a systematic review of the literature...
January 26, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29372856/editorial-damage-capitation-as-malpractice-reform
#16
Anthony M DiGiorgio, Michael S Virk, Praveen V Mummaneni
No abstract text is available yet for this article.
January 26, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29365027/surgical-residents-and-medical-malpractice
#17
Adam C Schaffer, Susan Nevelow Mart, McKinley Glover
No abstract text is available yet for this article.
January 24, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29365019/surgical-residents-and-medical-malpractice-reply
#18
Cornelius A Thiels, Elizabeth B Habermann, Martin D Zielinski
No abstract text is available yet for this article.
January 24, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29360294/medical-malpractice-and-tort-reform
#19
Robert White
No abstract text is available yet for this article.
December 26, 2017: Issue Brief of the Health Policy Tracking Service
https://www.readbyqxmd.com/read/29355404/medicolegal-malpractice-and-ethical-issues-in-radiologyfaster-radiologic-interpretation-errors-and-malpractice-an-unavoidable-triad
#20
Leonard Berlin
No abstract text is available yet for this article.
February 2018: AJR. American Journal of Roentgenology
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