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https://www.readbyqxmd.com/read/29215494/descriptive-analysis-of-state-and-federal-spine-surgery-malpractice-litigation-in-the-united-states
#1
Nitin Agarwal, Raghav Gupta, Prateek Agarwal, Pravin Matthew, Richard Wolferz Jr, Aakash Shah, Nimer Adeeb, Arpan V Prabhu, Adam S Kanter, David O Okonkwo, D Kojo Hamilton
STUDY DESIGN: Retrospective Review OBJECTIVE.: This study aimed to determine the factors associated with malpractice litigation in cases involving spine surgery in the United States. SUMMARY OF BACKGROUND DATA: Medical malpractice is of substantial interest to the medical community due to concerns of increased healthcare costs and medical decision-making for the sole purpose of reducing legal liability. METHODS: The Westlaw online legal database (Thomson Reuters, New York, NY) was searched for verdict and settlement reports pertaining to spine surgery from 2010 to 2015...
December 5, 2017: Spine
https://www.readbyqxmd.com/read/29214284/characteristics-of-medical-liability-claims-against-dermatologists-from-1991-through-2015
#2
Heather Kornmehl, Sanminder Singh, Brandon L Adler, Alexander E Wolf, Dean A Bochner, April W Armstrong
Importance: Recognizing malpractice trends in the field of dermatology is important for establishing safeguards for patient care and minimizing liability. However, there is a lack of published data on malpractice claims against dermatologists. Objective: To determine characteristics of medical professional liability claims in the field of dermatology and to compare these claims with those against all physicians. Design, Setting, and Participants: We examined malpractice liability data collected on dermatologists and other physicians insured by companies that report data to the Physician Insurers Association of America Data Sharing Project (PIAA-DSP), a nationally representative liability claims registry...
December 6, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/29209790/-delegation-of-medical-activities-in-acute-pain-therapy
#3
REVIEW
J Erlenwein, A Moroder, E Biermann, F Petzke, A P F Ehlers, H Bitter, E Pogatzki-Zahn
Acute pain management is an interprofessional and interdisciplinary task and requires a good and trustful cooperation between stakeholders. Despite provisions in Germany according to which medical treatment can only be rendered by a formally qualified physician ("Arztvorbehalt"), a physician does not have to carry out every medical activity in person. Under certain conditions, some medical activities can be delegated to medical auxiliary personnel but they need to be (1) instructed, (2) supervised and (3) checked by the physician himself; however, medical history, diagnostic assessment and evaluation, indications, therapy planning (e...
December 5, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/29206097/a-closed-claim-analysis-of-complaints-after-paediatric-antebrachial-fractures
#4
Christian Wong, Søren Bødtker, Peter Buxbom, Michael Schultz-Larsen
INTRODUCTION: Antebrachial fractures in children (AFC) are common and account for one third of all paediatric fractures. The Danish Patient Compensation Association (PCA) receives complaints from patients who believe that they have sustained injuries due to potential malpractice or unfortunate circumstances. Case files on AFC from the PCA were assessed to identify causality and factors contributing to complaints and potential malpractice. METHODS: A closed-claim analysis was performed in 138 cases with the diagnosis codes DS52...
December 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29206080/understanding-forensic-psychiatry-in-healthcare-practices-and-collaboration-between-legal-nurse-consultants-and-physicians
#5
Daphne K Sharpe, Jasmine K Hall, Sochima Ochije, Rahn K Bailey
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME)...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29205147/medico-legal-aspects-on-neuromonitoring-in-thyroid-surgery-informed-consent-on-malpractice-claims
#6
R Demontis, M R Pittau, A Maturo, P Petruzzo, G Calò
AIM: The purpose of this paper is to provide a forensic profile framework of neuromonitoring in thyroid surgery, regarding the information given to the patient and its classification as part of professional liability in the event of recurrent injury. METHOD: Evaluation and reflections on the required behaviour of the surgeon on providing details on the operation before the informed consent is given and to outline the possible legal implications regarding professional liability as a result of recurrent injury...
May 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29201926/factors-associated-with-physician-loss-in-anterior-cruciate-ligament-reconstruction-malpractice-lawsuits
#7
Steven L Bokshan, Roy Ruttiman, Adam E M Eltorai, J Mason DePasse, Alan H Daniels, Brett D Owens
Background: Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction. Purpose: To characterize the causes of malpractice litigation after ACL reconstruction. Study Design: Cross-sectional study. Methods: A retrospective review of malpractice lawsuits after ACL reconstruction was performed using VerdictSearch, a large legal claims database encompassing nearly 180,000 legal cases, from February 1988 to May 2015...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29201502/robotic-surgery-and-malpractice
#8
REVIEW
Fatih Hitami Usluoğulları, Sıtkı Tıplamaz, Nesime Yaycı
Robotic surgery has undergone exponential growth since the last two decades. Employment of new technologies in surgery creates many ethical challenges concerning the advantages and disadvantages different from conventional surgery, ensuring safety of the new technology, giving permission to surgeons for using new technology, the way of informing patients before undergoing a new technology or technique, and the responsibilities of surgeons, firms and hospitals to the patients etc. In this review, robotic surgery was discussed from malpractice perspective...
December 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29200173/medical-malpractice-claims-following-incidental-durotomy-due-to-spinal-surgery
#9
Wesley M Durand, Adam E M Eltorai, Govind Shantharam, J Mason DePasse, Eren O Kuris, Alicia E Hersey, Mark A Palumbo, Alan H Daniels
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Analyze medical malpractice verdicts and settlements associated with incidental durotomy. SUMMARY OF BACKGROUND DATA: Incidental durotomy is a common complication of spine surgery. While most intraoperative dural tears are repaired without sequelae, persistent CSF leak, infection, or neurological injury can yield adverse outcomes. The medicolegal implications of incidental durotomy are poorly understood...
December 4, 2017: Spine
https://www.readbyqxmd.com/read/29189439/leading-causes-of-anesthesia-related-liability-claims-in-ambulatory-surgery-centers
#10
Darrell Ranum, Anair Beverly, Fred E Shapiro, Richard D Urman
OBJECTIVE: We present a contemporary analysis of patient injury, allegations, and contributing factors of anesthesia-related closed claims, which involved cases that specifically occurred in free-standing ambulatory surgery centers (ASCs). METHODS: We examined ASC-closed claims data between 2007 and 2014 from The Doctors Company, a medical malpractice insurer. Findings were coded using the Comprehensive Risk Intelligence Tool developed by CRICO Strategies. We compared coded data from ASC claims with hospital operating room (HOR) claims, in terms of injury severity category, nature of injury, nature of allegation, contributing factors identified, and contributing comorbidities and claim value...
November 16, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29184584/evaluating-the-effective-factors-for-reporting-medical-errors-among-midwives-working-at-teaching-hospitals-affiliated-to-isfahan-university-of-medical-sciences
#11
Fahimeh Khorasani, Marjan Beigi
Background: Recently, evaluation and accreditation system of hospitals has had a special emphasis on reporting malpractices and sharing errors or lessons learnt from errors, but still due to lack of promotion of systematic approach for solving problems from the same system, this issue has remained unattended. This study was conducted to determine the effective factors for reporting medical errors among midwives. Materials and Methods: This project was a descriptive cross-sectional observational study...
November 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29177942/the-net-effects-of-medical-malpractice-tort-reform-on-health-insurance-losses-the-texas-experience
#12
Patricia H Born, J Bradley Karl, W Kip Viscusi
In this paper, we examine the influence of medical malpractice tort reform on the level of private health insurance company losses incurred. We employ a natural experiment framework centered on a series of tort reform measures enacted in Texas in 2003 that drastically altered the medical malpractice environment in the state. The results of a difference-in-differences analysis using a variety of comparison states, as well as a difference-in-difference-in-differences analysis, indicate that ameliorating medical malpractice risk has little effect on health insurance losses incurred by private health insurers...
November 24, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29173965/complications-and-patient-injury-after-ankle-fracture-surgery-a-closed-claim-analysis-with-data-from-the-patient-compensation-association-in-denmark
#13
Naja Bjørslev, Lars Bo Ebskov, Camilla Mersø, Christian Wong
BACKGROUND: The Patient Compensation Association (PCA) receives claims for financial compensation from patients who believe they have sustained damage from their treatment in the Danish health care system. In this study, we have analysed closed claims in which patients suffered injuries due to the surgical treatment of their ankle fracture. We identified causalities contributing to these injuries and malpractices, as well as the economic consequences of these damages. METHODS: Fifty-one approved closed claims from the PCA database from the years 2004-2009 were analysed in a retrospective systematic review...
November 21, 2017: Injury
https://www.readbyqxmd.com/read/29171054/the-sticky-standard-of-care
#14
Michelle Oberman
The problem at the heart of "Stemming the Standard-of-Care Sprawl: Clinician Self-Interest and the Case of Electronic Fetal Monitoring," an article by Kayte Spector-Bagdady and colleagues in the November-December 2017 issue of the Hastings Center Report, is the persistence of a suboptimal standard of care long after evidence-driven approaches would dictate a change. That problem is not simply defensive medicine, or what the authors call "standard-of-care sprawl." Instead, it is that, in some cases, the standard of care lags behind best practices...
November 2017: Hastings Center Report
https://www.readbyqxmd.com/read/29164542/-vr-and-ar-applications-in-medical-practice-and-education
#15
Min-Chai Hsieh, Yu-Hsuan Lin
As technology advances, mobile devices have gradually turned into wearable devices. Furthermore, virtual reality (VR), augmented reality (AR), and mixed reality (MR) are being increasingly applied in medical fields such as medical education and training, surgical simulation, neurological rehabilitation, psychotherapy, and telemedicine. Research results demonstrate the ability of VR, AR, and MR to ameliorate the inconveniences that are often associated with traditional medical care, reduce incidents of medical malpractice caused by unskilled operations, and reduce the cost of medical education and training...
December 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29161140/medicolegal-malpractice-and-ethical-issues-in-radiologybreast-density-laws
#16
Leonard Berlin
No abstract text is available yet for this article.
December 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29159602/competitive-advantage-of-mba-for-physician-executives-a-systematic-literature-review
#17
REVIEW
Anthony D Turner, Stanislaw P Stawicki, Weidun Alan Guo
In response to systemic challenges facing the US healthcare system, many medical students, residents and practicing physicians are pursuing a Master in Business Administration (MBA) degree. The value of such proposition remains poorly defined. The aim of this review is to analyze current literature pertaining to the added value of MBA training for physician executives (PEs). We hypothesized that physicians who supplement their clinical expertise with business education gain a significant competitive advantage...
November 20, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29158092/medical-malpractice-in-neurosurgery-a-comprehensive-analysis
#18
Ranjit Thomas, Raghav Gupta, Christoph J Griessenauer, Justin M Moore, Nimer Adeeb, Rouzbeh Motiei-Langroudi, Bryan Guidal, Nitin Agarwal, Ron L Alterman, Robert M Friedlander, Christopher S Ogilvy, Ajith J Thomas
INTRODUCTION: Neurosurgeons face the highest probability of facing a medical malpractice claim of any specialist. Here, we perform the first specialty-wide review of malpractice claims in neurosurgery using a well-established, national, online legal database. MATERIALS AND METHODS: The Westlaw (Thomson Reuters, New York) legal service was queried for jury verdicts and settlements related to neurosurgery and medical malpractice from 1985 to 2015. Case files were examined and factors recorded included the age and sex of the patient, the state and year in which the verdict was reached, defendant specialties, award payouts, and alleged reasons for malpractice...
November 17, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29155227/linking-physician-attitudes-to-their-breast-cancer-screening-practices-a-survey-of-us-primary-care-providers-and-gynecologists
#19
Archana Radhakrishnan, Sarah A Nowak, Andrew M Parker, Kala Visvanathan, Craig E Pollack
Despite changes to breast cancer screening guidelines intended to decrease screening in younger and older women, mammography rates remain high. We investigated physician attitudes towards screening younger and older women. Surveys were mailed to US primary care providers and gynecologists between May and September 2016 (871/1665, 52.3% adjusted response rate). We assessed physician (1) attitudes towards screening younger (45-49years) and older (75+ years) women and (2) recommendations for routine mammography...
November 16, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29148320/the-extraregulatory-effect-of-nurse-practitioner-scope-of-practice-laws-on-physician-malpractice-rates
#20
Benjamin J McMichael, Barbara J Safriet, Peter I Buerhaus
Patients can hold physicians directly or vicariously liable for the malpractice of nurse practitioners under their supervision. Restrictive scope-of-practice laws governing nurse practitioners can ease patients' legal burdens in establishing physician liability. We analyze the effect of restrictive scope-of-practice laws on the number of malpractice payments made on behalf of physicians between 1999 and 2012. Enacting less restrictive scope-of-practice laws decreases the number of payments made by physicians by as much as 31%, suggesting that restrictive scope-of-practice laws have a salient extraregulatory effect on physician malpractice rates...
January 1, 2017: Medical Care Research and Review: MCRR
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