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ELM Exchange Newsletter
January/February 2012
www.elmechange.com
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NEWS FROM ELM
NEW COURSE RELEASES
We will be releasing the following course topics in 2012:
- Risks in the Office Practice I
- Informed Consent IV
- Managing Difficult Patients IV
- Coordination of Patient Care III
- Documentation (EMR focus)
NEED HELP IN PREPARING A PHYSICIAN DEFENDANT FOR DEPOSITION OR TRIAL?
ELM has developed a new course for you! Deposition and Trial Guidelines for the Physician Defendant is now available! For more information or to request a demo, please contact you sales representative or sales@elmexchange.com.
COMING SOON
In July 2012, ELM will release a new and improved learner dashboard and design layout for learners – stay tuned for more information!
ELM COURSE TAKERS SAID...
Following the completion of each online course, ELM asks course takers to complete an evaluation. Here is what the ELM course takers said in 2011:
97% have a better understanding of the risk and patient safety issues presented in the course
95% feel better prepared to avoid situations that may result in litigation
93% of physicians felt that the courses made them aware of patient safety or risks that may exist in their practice
One of the questions asks what changes they plan to make as a result of the course. Here are some of the responses:
"I am going to tighten up the in–office communication in our EMR system to guarantee appropriate communication of all results to the patient."
"Document facts clearly in the records, report the error to risk management, never conceal error or misrepresent what occurred in the medical record."
"Make certain that our clinic's protocol for receiving, reviewing, documenting, and reporting labs results is in line with principles in this module."
To see more participant feedback, click here.
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Cooperation Between Providers
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The patient underwent a fairly routine procedure–the removal of venous blood–performed at a blood bank by an experienced nurse. Serious complications that arise from this procedure are rare. Certainly, a small hematoma at the venipuncture site would not be unexpected or cause for serious concern. Under normal circumstances, the nurse could have advised the patient when she complained of swelling. However, in this case, the nurse felt that the swelling was greater than she had seen in years of experience. Therefore, the physician was obligated to carefully examine the patient and consider a potential arterial injury or an undetected bleeding disorder that may have required attention and possible intervention. The physician's response was not only substandard care, but his lack of attention and dismissive attitude toward the patient and the nurse could be viewed as disruptive behavior that did not foster patient safety. The patient would certainly take into consideration the physician's lack of compassion in her decision to proceed with a lawsuit. While good "bedside manner" will not prevent every lawsuit, it is often a factor in the patient's decision to take legal action against a healthcare provider.
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PRINCIPLE:
While not every post–procedure complaint indicates a serious complication, when a trained professional indicates that there may be a problem, the supervising physician has a duty to respond appropriately. |
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Correct Answer |
| A physician's bedside manner makes little to no difference in a patient's decision to take legal action for an injury the patient considers to be the result of substandard care. |
False |
| Concerns expressed by trained healthcare professionals regarding post–procedure symptoms deserve careful attention by a physician. |
True |
| A dismissive attitude toward other staff members by a physician may be considered disruptive behavior that increases the risk of patient injury. |
True |
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About ELM Exchange, Inc.
For more than 20 years, ELM Exchange, Inc. (ELM stands for Education in Legal Medicine) has worked with hospitals, health systems, and insurance carriers to educate healthcare providers about risk and patient safety. ELM programs are a tested and proven offering that provides organizations with a method to proactively address critical risk issues and to easily monitor and document those efforts. |
ELM is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. |
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All Web site design, text, graphics, the selection and arrangement thereof, are Copyright © 2012 by ELM Exchange, Inc. ALL RIGHTS RESERVED. Any use of materials in this e-mail or on this Web site, including reproduction, modification, distribution or republication, without the prior written consent of ELM, is strictly prohibited. Case Analysis is not a source of legal advice for actual legal problems. The authors and producers are not offering legal advice. Although the case studies used are based on actual medical malpractice cases, the facts have been adapted to illustrate various clinicolegal issues. Legal principles have been adduced from common law decisions, not from statutory or regulatory laws. The Case Analysis quiz component asks readers to conduct a situational analysis by applying the legal principles illustrated in the case to the situations presented in the quiz questions. The questions are derived from the legal principles introduced in the case study and are intended to be thought-provoking, the questions are not necessarily derived from the materials discussed in the case. Legal considerations involved in medical malpractice claim adjudications arise in specific factual contexts that require case-specific analysis, interpretations and the applications of often times unclear or changing principles. Because of variations in fact patterns and local jurisdictions, specific consultation should be obtained before formal action is taken based on any information contained in this publication. Information in this publication is not intended to be, and should not be used as a substitute for legal advice or contextually based claim adjudication. For specific guidelines on any actual or potential malpractice claim, or for an opinion on a specific liability exposure, consult an attorney.
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