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Nevada Medical Board files a complaint against a Las Vegas doctor … for the actions of a physician’s assistant. That’s right. The PA was allegedly prescribing “unnecessary” drugs and in one instance allegedly prescribed excessive thyroid hormone to a patient. The PA also gave patients expired medications. The PA lost her license to dispense medication. However, the doctor’s medical license is now in jeopardy. The doctor allegedly wasn’t supervising the PA closely enough to prevent the PA from performing these dastardly deeds. In Nevada, doctors must “ensure strict compliance” that the physician’s assistant complies with the rules of the pharmacy board.”
Watch how the tides begin to turn with liability for the actions of PAs and NPs.
Missouri medical malpractice plaintiff attorney complains about the “conspiracy of silence” where he has difficulty finding experts to testify in medical malpractice trials and he has to travel to all parts of the country to find such experts at academic medical centers.
Sure. Conspiracy. Right. All us doctors have a secret medical school course where we all agree never to testify about the wrongdoing of another doctor.
Would be interesting to see how many times Bob Buckley has testified in legal malpractice cases against other attorneys. My guess is that the number is a hypocritical “zero.”
Which specialties are sued the most? This Medscape study says that it is Internal Medicine. Fleas are not even close to being the top sued specialty — according to multiple other studies.
Interesting answers to some questions, though.
74% of docs were surprised to be sued.
One in five cases went to trial.
45% of cases were resolved after a deposition – in 27% the suit was settled and in 18% the suit was dismissed. Deposition preparation is CRITICAL
Nice study in Annals showing that just observing a child in the emergency department will decrease the rate of CT scans without decreasing the incidence of diagnosing significant traumatic brain injuries. How that long wait during observation and the unwillingness of the doctor to do a test to make sure one’s baby is OK will affect Press Ganey scores is another issue.
Affinity Health Plan (in New York State) agrees to $1.2 million settlement with Feds for HIPAA violation when it returned copiers to a leasing agent. The health plan forgot (or didn’t realize) that the copiers had a hard drive inside and had copies of all the patient information that had been copied.
Shasta Regional Medical Center (California) pays Feds $275,000 after senior management sent an e-mail to the entire hospital workforce regarding a patient’s diagnosis and treatment, then met with media to discuss the case, “disclosing PHI to multiple media outlets on at least three separate occasions, without a valid written authorization.”
The nice HHS summary fails to give everyone the whole story, though.
According to this LA Times article, another newspaper published a story about patient Darlene Courtois, alleging that the hospital was overbilling Medicare for the patient’s treatment. The hospital was attempting to defend itself from these potentially criminal allegations when it disseminated the patient’s information. Implicit in the back story is that Darlene Courtois released some of her health records to the newspaper with the intent of making that information public so that it could create its news story.
How crazy is it when patients, newspapers, and/or the government can accuse you of criminal acts in performing your trade and then accuse you of criminal acts for disclosing information to try to defend yourself?
Pushing the envelope. Orlando FLORIDA abortion clinic giving out coupons to save $50 when woman chooses to have an abortion on Sundays. One coupon per patient, of course.
I don’t watch much TV, but now the latest fad is “Bizarre ER”? Really? Isn’t reading the medical blogs enough?
Lower costs or higher radiation?
Study in the Journal of the American College of Cardiology shows that use of CT angiography in triaging chest pain patients from the ED reduces admissions from 40% to 14%, reduces incidence of patients returning to the ED within 30 days by 80%, and decreases the length of stay in the ED by 40%.
But it is one of those unnecessary radiologic tests that we probably shouldn’t be ordering because of the high radiation doses.
A new product was presented to our emergency department … the DisImpactor. A plastic instrument with soft barbs on the end that gets pushed into the stool impaction and then used to pull out the impaction like little Jack Horner pulling out a plum.
The problem I often see in treating patients with an impaction is that the large hard stool bolus has to be broken up in order to make it out through the rectum. Think a hard chunk of modeling clay in consistency. Hooking onto the big one and then trying to yank it out through a small hole intuitively doesn’t seem like it will work.
Novel idea, but I’d have to see this thing in action before I even think about using it.