The most important lesson for physicians and care providers from this case is to always receive fully informed consent for the actual procedure performed. Receiving consent beforehand is a prerequisite, but if the circumstances change, or if a modification to the procedure appears appropriate, seek and receive consent again.
The recent $50 million settlement by a West Virginia hospital shows the danger of violating or skating on the edge of federal laws regarding kickbacks. It also shows the vulnerability of healthcare organizations to current and former employees who are willing to allege wrongdoing to get a piece of the recovered funds.
This case demonstrates the importance of carefully preparing one’s argument and presenting the evidence to support necessary findings. Another interesting lesson from this case is on the basic elements of medical malpractice: Even in the face of an undisputed breach of the standard of care, medical malpractice liability is not guaranteed.
Two years ago, Dosher Memorial Hospital was losing one of its three hospitalists. This small-town hospital in Southport, NC, needed to fill the slot quickly, which had never been easy. Yet without that hospitalist, there would be no overnight coverage.
A doctor who talked herself off the ledge — literally
June 4, 2020
Lynette Charity, MD, a board-certified physician and anesthesiologist, was on the ledge of a bridge ready to jump to her death. She measured the distance and the rate of fall in her mind, hoping she would hit a rock rather than drown. That was 22 years ago. Today, she is a public speaker and stand-up comic, using humor to address burnout and suicide among healthcare workers.
A work group in the Veterans Administration determined that the necessary staffing of antimicrobial stewardship programs dealing with inpatients (including long-term care) is 1.0 clinical pharmacy specialist with infectious disease knowledge and 0.25 physician (preferably trained in infectious disease) per 100 occupied beds. Needs for outpatient stewardship, which is now mandated, were not included in the assessment.
More than 40% of patients report nondisclosure of complementary and alternative medicine (CAM; also known as integrative medicine treatments) to their primary care physicians. They cite failure of physicians to initiate conversation on CAM, coupled with a belief that physicians do not need to know about CAM usage, as key factors in nondisclosure, according to patient survey.
Bay Area Hospital in Coos Bay, OR, had an ED struggling to keep up with demand for years. The ED had so many patients that its left without being seen statistics were about 8%, well over the industry average of 2%. The ED overcame this problem with the strategic use of physician assistants and nurse practitioners.