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The care managers at St. Vincents Hospital and Saint Josephs Medical Center never know what the day may bring, says John Francis, LSCW, who oversees the care managers.
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Sometimes the best lessons come when things do not work out as planned. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, learned that in the aftermath of a project for his masters degree three years ago. At the time, he was assistant manager in a neuro intensive care unit.
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It is not always easy to get people to change behaviors. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, experienced that when he tried to get nurses on a neuro intensive care unit to start giving report in the room with patients and their families. There was always a reason why some nurses just couldnt do it.
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In the last few months of 2013 and the beginning of this year, some ED administrators around the country observed a curious variation in their data.
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The government has increased enforcement actions against healthcare providers, including prosecuting physicians for quality-of-care issues, according to defense attorneys.
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Criminal prosecutions of physicians for grossly substandard care almost invariably involve the death of multiple patients revealing a pattern of gross negligence or reckless indifference to patient safety, says Ben A. Rich, JD, PhD, professor in the Department of Anesthesiology and Pain Medicine at the University of California — Davis Health System’s School of Medicine.
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The prescribing of opioid analgesics is a “target-rich” environment for criminal prosecution, says Ben A. Rich, JD, PhD, professor in the Department of Anesthesiology and Pain Medicine at the School of Medicine, University of California — Davis.
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Participants in peer review discussions after an adverse event occurs might fear that documents created during the process will be used against them later during malpractice litigation. While many states have implemented statutes to protect peer review information, some states are eroding this protection.
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Some well-intentioned hospitals or physician practices carry out peer review on an “ad hoc” basis and select the best way to deal with a particular problem, says Richard C. Kraus, JD, an attorney at Foster Swift Collins & Smith in Lansing, MI.
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A physician who becomes aware of another physician’s impairment generally has no legal duty to report the concern, but plaintiff attorneys are likely to sue anyone suspected to have had knowledge of impairment who neglected to report it.
