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"Many times, something as simple as a check mark as to whether the patient had anything to eat or drink while they were in the ED may become an important fact in the defense of a lawsuit," says Stimmel. Here are some of Stimmel's recommendations:
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Though myocardial infarction is often a key area of focus when it comes to ED misdiagnoses and subsequent lawsuits, appendicitis is another common and serious misdiagnosis in the ED.
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Last month's ED Legal Letter analyzed some recent tort reform court battles. This month, we review cases where physicians are suing state governments to stop them from pilfering the cash in patient malpractice compensation funds, and a few more cases litigating state and federal tort laws.
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"This takes the longest to document," he says. "I might not remember every piece of history I asked, or every part of the physical exam that I did, even with computer guidance," he says. "But I spend most of my time on medical reasoning."
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There are many things that factor into missing a diagnosis of appendicitis, says William Sullivan, DO, JD, FACEP, director of emergency services at St. Mary's Hospital in Streator, IL.
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Using information compiled from its clients, the Association for the Accreditation of Human Research Protection Programs (AAHRPP) is providing an intriguing snapshot of IRB operations.
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As institutions involved in the Clinical and Translational Science Awards program examine how to best incorporate the CTSA's "community engagement" requirement, one CTSA recipient took a hard look at its community involvement practices.
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To learn the difference collecting and analyzing metrics can make for an IRB, it may be helpful to be a proverbial fly on the wall at the offices of the Vanderbilt University Human Research Protection Program (HRPP).
