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Articles Tagged With: Documentation

  • Is Diagnosis Uncertain in the ED? Clear Communication Is Needed

    Patients likely expect to leave the emergency department with a definite understanding of what is wrong. Yet many patients are discharged or admitted with an uncertain diagnosis.

  • Safety Strategies to Minimize AI Risks in Healthcare

    Patient safety and risk management strategies for AI in healthcare are crucial for avoiding liability and preventing medical errors.

  • Patients Are Reading Ethicists’ Documentation

    Patients can now view ethics documentation in real time, just as they can view the notes of other clinical providers, as a result of the “Open Notes” requirement in the 21st Century Cures Act (implemented in 2021).

  • Artificial Intelligence Could Help Case Managers Improve Efficiency and Outcomes

    Artificial intelligence is poised to take over the fields of media and marketing, banking, legal services, and programming. It also is used in the healthcare field, including case management. That poses the question: Will artificial intelligence replace case managers?

  • Apologizing Still Works, But Ensure It Is Done Correctly

    Saying “I’m sorry” after an adverse event has become more accepted in recent years to express the clinician or administrator’s sincere regret at the unfortunate outcome, which was discouraged for many years for fear it would be seen as a legal admission of guilt. On the contrary, it has been shown to diffuse the emotions of a patient or family member and diminish the likelihood of litigation. But exactly how those words of regret are spoken can be important.

  • ED Malpractice Claims Differ for Attendings, Trainees, NPs, PAs

    Emergency medicine is an inherently high-risk specialty regarding malpractice liability because of complex cases and a fast-paced environment. Increasingly, EDs are staffed by advanced practice providers. It is unclear whether this changes liability for EDs and, if so, in what way.

  • What to Expect After a HIPAA Violation

    Discovering a HIPAA violation in your organization inevitably causes anxiety about what will follow and how bad the consequences can be. Understanding the process and what to expect can ease some of the worry and help you manage the process to the best possible resolution.

  • Avoid Liability from Patient Elopement

    Patient elopement is a major threat to patient safety, particularly with the most vulnerable patients. Any resulting injury or death could bring liability to the healthcare facility. The risk requires careful adherence to proper policies and procedures, along with the use of some physical precautions that can reduce the risk of elopement.

  • Three Common Missteps to Avoid with Med Mal Cases

    Medical malpractice allegations can set off a cascade of obligations and possible pitfalls, and it can seem like there is too much to handle all at once. Paying attention to three potential missteps can ease some of the burden.

  • How Case Managers Can Help Victims of Trafficking

    Case managers can learn skills and tactics for helping patients who have been trafficked. For example, investigators used an online training module to educate ED staff about human trafficking. Participants reported more confidence in identifying a possible human trafficking victim, noting they were more likely to screen patients for human trafficking.