De-escalation: Two techniques to try
Two ways de-escalation can work in your practice
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29 more phrases to help you de-escalate angry patients
Help patients move from cross to calm with these de-escalating phrases
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25 phrases to help you de-escalate angry patients
Read about practical ways to manage difficult patient interactions
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Improper patient transfer: EMTALA case study
A pregnant woman arrived in the ED at or near term. She was experiencing one-minute, moderate contractions every three minutes.
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FDA adds new warnings, requirements for breast implants
FDA has added restrictions and new labeling for all approved breast implants.
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About Case Closed: Trial Victories
Though these claims represent trial victories for our policyholders, several risk management issues are apparent.
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Fees for PMP-EHR integration begin September 1
Physicians will be charged $50 for access to the PMP through their EHR Online access through PMP AWARxE will continue free of charge.
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Other Cancer
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Failure to communicate MRI results
A pain management specialist ordered an MRI of the thoracic spine. In addition to some spinal pathology, the radiologist noted a “possible 9 mm right lung nodule.”
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Failure to respond to radiology report
The radiologist interpreted the study and noted an area of slightly hazy density in the left lung with nearby fibrotic changes.
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Delay in obtaining colonoscopy
The patient was a 47-year-old woman with a history of anal cancer and surgery. She was referred to Gastroenterologist A.
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Delay in diagnosing colon cancer
The patient claimed that the physician told him that the rectal bleeding was due to his diverticulosis and was not life threatening.
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Failure to discuss interruption of anticoagulation
A 72-year-old man came to a surgeon, who confirmed the patient had a reducible right inguinal hernia. The patient’s medical history included a CVA four years earlier.
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Failure to diagnose postpartum stroke
The first documented assessment of the patient in the ED revealed a temperature of 97.9 degrees; pulse 53; respirations 20; blood pressure 147/77 mm Hg; oxygen saturation 97%.
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Failure to monitor patient exhibiting signs of stroke
A 58-year-old woman with a history of morbid obesity, type 2 diabetes, hypertension, and high cholesterol arrived in the ED by ambulance. She reported numbness and blurred vision.
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Failure to timely diagnose femur fracture
A 28-year-old man was involved in a motorcycle collision, sustaining multiple injuries. The EMS records reflect that the patient’s chief complaint at the scene was leg pain.
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Failure to diagnose and treat complications
A 16-year-old girl was brought to the emergency department after sustaining a leg injury while playing soccer. X-rays revealed a right bimalleolar ankle fracture dislocation.
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Failure to diagnose mandible fracture
On June 1, a 35-year-old woman fell while stepping off a boat, injuring her chin, jaw, wrist, and hand. She went to an urgent-care clinic for treatment.
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Delay in diagnosis of hip fracture
A 90-year-old woman fell at the assisted living facility where she resided. Following the fall, she began to report severe right hip pain.
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Failure to diagnose and treat fungal infection
The patient sought treatment from a dermatologist for a scaly plaque on his scalp
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