Louisiana Medical Mutual Insurance Company (LAMMICO)

Malpractice Litigation: Managing the Stress

Receiving notice of a medical malpractice claim often comes as a shock to physicians. It ushers them into an adversarial and hostile legal environment. The stress can impair the physician’s health, family relationships, and ability to meet the professional obligations…

Radiology Diagnoses: The Effects of Cognitive and Systems Factors

As specialists who are closely involved in the process of diagnosing patients’ conditions (often serious ones), radiologists have a comparatively high malpractice liability risk, and the top allegation in claims against them is that they have made an error in…

Prescribing Controlled Substances

According to the CDC, drug overdose deaths are the leading cause of injury deaths in the US, and this death rate more than doubled from 1999 to 2013. Abused drugs included opioid pain killers, stimulants, -and -depressants, and the majority…

Ischemic Stroke: Risk Issues for the Emergency Physician

While professional society guidelines differ in their grading of the recommendation to administer intravenous tissue plasminogen activator (IV tPA) for treatment of ischemic stroke, there is evidence that giving tPA within established parameters can improve some patients’ outcomes. Patients with…

EFM Case Study #13: Diagnostic Error

Diagnostic error in medicine is one of the top ten causes of death in the US and around the world. Failure to diagnosis EFM patterns accurately has long and short term implications for patients and the perinatal team. Failure to…

Antibiotic Stewardship Strategies for Adult Outpatient Care

Studies of antibiotics provided to US children found that over half of all antibiotic prescriptions in the outpatient setting are given for infections that are likely viral rather than bacterial. In such situations, the medication prescribed has no therapeutic benefit…

Pediatric Asthma Part I: Risks, Burden, Practice Gaps

Asthma is the most common chronic health condition in children under 18 years old. Low-income, minority and underserved populations are most at risk for poor outcomes. While there have been significant improvements in asthma care, barriers to the implementation of…

Pediatric Asthma Part III: Education for a Partnership in Care

A partnership between the clinician and the person who has asthma (and the caregiver, for children) is required for effective asthma management. When providers, patients and caregivers work together, patients can better learn self-management skills. Self-management education provided at multiple…

Social Media Management: How to Respond to Negativity Aimed at You

With the rise of social media as a preferred communication platform, every industry has become a target of negative reviews. The rise in websites that facilitate negative commentary has proliferated. Unfortunately, negative comments are often divisive, angry, and can feel…

EFM Case Study #9: Verbal Communication

Miscommunication is a primary root cause of perinatal injury and death. Current evidence links miscommunication to 56% of sentinel events and an increase in medical-legal malpractice claims. Since 2005, national professional and patient safety organizations endorse and support the use…