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An ED pulses with the randomness of the next encounter. From traumas to the tedium of another sore throat, the unbroken flow of familiar uncertainty is both rewarding and risky.
Missed and delayed diagnoses are Emergency Medicine’s most pressing risk, the drivers of which vary by ED practice setting and volume. The Benchmarking Report excerpts below illustrate key vulnerabilities at each stage of a patient’s visit.
About 85 percent of ED diagnosis-related malpractice claims cite an inadequate assessment.
In 39 percent of the ED diagnosis-related cases, a judgment error related to ordering a test or an image was noted. A mismanaged consult was a factor in 26 percent of cases.
One out of every three ED malpractice cases has breakdowns in communication by the physicians, nurses, or both.
Allegations of premature discharge are common among patients involved in malpractice cases. Will you be surprised if the patient you just discharged returns tomorrow?
QUICK VIEW Article
July 25, 2012
In 2010, to expedite throughput in their increasingly busy ED, the University of California San Diego Medical Center (UCSD) implemented standardized symptom-based protocols.
Citing CRICO’s CBS data, UCSD Medical Center has instituted a significant change for its Radiology service.
Maine Medical Center developed triggers for reassessment of boarding patients.
Results from a convening session of ED leaders across 19 different organizations. Together they identify root cases in missed and delayed diagnosis malpractice claims.