and Risk Management Strategies for Emergency Medicine
|Risk Management Overview
This section discusses the nature of "true"
medical emergencies, legal obligations toward the patient,the likelihood
of participating in a legal claim and the use of documentation and
interpersonal communication to reduce claim frequency and improve
- A variety of communication techniques that facilitate rapid rapport
with the patient and their family are presented. Properly used, these
not only reduce patient dissatisfaction but also improve the patients
experience of care.
|Patient Management 1
- The physician must care for two patients: an uncooperative teen
with abdominal pain and an adult with chest pain. Neither is as simple
as they at first appear.The physician must appropriately mobilize
consultants and document interaction with them. Along the way the
physician must also deal with the family members, the hospital staff
and the disease process. Dealing with a hostile family in the face
of a poor outcome provides a challenge to the physician. The role
of differential diagnosis in the care of these patients is presented
|Patient Management 2
- The physician must care for a patient with chest pain. Although
she appears stable initially,the patient has a acute myocardial infarction.
The physician must treat the patient appropriately (including correct
interpretation of EKGs and rhythm strips), deal with her and her husband
in deteriorating circumstances and demonstrate leadership skills with
the emergency department staff.
|The Medical Record
- The requirements of the medical record and it's role in medical-legal
disputes are presented. Emphasis is placed on the construction of
a defensible record. Samples of comprehensive documentation are provided
|Discharge and Disposition
|COBRA Law and Patient Transfers
- The COBRA/EMTALA transfer laws are explained in
detail with illustrative examples from actual case law. The physician
is educated about what constitutes a violation of the law and the
need to avoid improper transfers.