Executive Summary

Malpractice cases involving boarded patients are sometimes triggered by the ED’s failure to carry out orders written by the admitting physician. Such cases often include these factors:

  • A lack of clarity as to who will carry out the orders;
  • The EP’s failure to convey the severity of the patient’s condition to the admitting physician;
  • The ED’s failure to convey the expectation that the admitting physician will round on the patient in an urgent manner.