Interpersonal & Communication Skills

EMTALA – What Physicians Need to Know

This internet activity will provide data and analysis of actual claims of EMTALA violations, showing what factors caused the patient claim to win and the hospital to lose. It will also show the array of penalties that may be levied…

ED Handoff Communications

The ED is an error-prone environment, and is perhaps the most handoff-intense setting in all of healthcare. While sign-out is a point where error may be introduced, it is also a point where error may be caught and corrected. Standardized…

Medical Error Prevention, Analysis, and Common Areas

According to the Institute of Medicine Report, there is substantial evidence that 1 in every 10 diagnoses is wrong. To improve the quality of healthcare and patient safety, physicians should know the causes of medical errors (cognitive, system-related, overconfidence) how…

Maternal and Newborn Levels of Care & Transport Implications

A current imbalance in the our perinatal care system has led to inappropriate, unsafe, and lack of transports in clinically relevant patients, as well as, risk of costly EMTALA violations by hospitals and physicians. In an effort to encourage safe…

External Fetal Monitoring Case Study #7: Levels of Care and Transport

Inappropriate, unsafe, or lack of transport when clinically indicated increases medical-legal risk to obstetricians and hospitals. Early identification of a perinatal patient (mother or fetus) requiring transport to a higher level of care improves outcomes. In 2015, ACOG & SMFM…

Withholding Life Sustaining Treatment, an Ethical Paradox

CMS is allowing reimbursement for healthcare providers who have stand-alone discussions with patients about their health care options near the end of life, including life-sustaining treatment. Lack of reimbursement has likely represented one barrier to these important discussions. Another obstacle…

When is a Patient Not a Patient? The Legal Physician-Patient Relationship

How is the legal relationship between health care practitioners and patients defined? The relationship is primarily based in contract law and highly dependent on an analysis of specific facts and state law. In some cases, the law may define a…

Opioid Mortality: What Prescribers Can Do

Deaths from opioid overdose have risen to epidemic levels, leading to a proliferation of many regulations and counter-measures, such as the pharmacy drug monitoring programs (PDMPs). This monograph will assess the effectiveness of these measures, review existing clinical practice guidelines,…

HIV Testing Guidelines (Part 2 of 2)

Since the CDC recommended expanded HIV testing, screening of patients for HIV will increase. In addition, with the approval by the FDA of rapid HIV tests and in-home HIV tests, screening will take place both in primary care and at-home…