Abstract:
OBJECTIVES:The telephone can facilitate medical care but also result in adverse outcomes leading to telephone-related malpractice suits. Analyzing claims might identify errors amenable to prevention. The objective of the study was to describe medical errors involving the telephone in patient-clinician encounters that significantly impacted medical care and medico-legal outcomes. DESIGN:The design of the study was a descriptive, retrospective case review of telephone-related closed malpractice claims that included depositions, expert witness testimony, medical records, allegations, injuries, and outcomes. PATIENTS/PARTICIPANTS:Forty defendants from 32 cases coded specifically as telephone related by a major provider of malpractice insurance. Leading specialists sued: Internists, pediatricians, and obstetricians. MEASUREMENTS AND MAIN RESULTS:Cases were reviewed by a physician experienced in telephone medicine and independently checked by a risk management nurse specialist and discussed by 2 additional risk management analysts before arriving at full agreement. Twenty-four (60%) cases were settled or awarded to the plaintiff. The most common allegation was failed diagnosis (68%), most common injury was death (44%), and most common setting was general medicine ambulatory practice. Leading errors were documentation (88%) and faulty triage (84%). The average indemnity was $518,932, with a total indemnity of $12,454,375. CONCLUSIONS:Telephone-related claims were costly; injuries were catastrophic. Poor documentation and faulty triage were major factors influencing care and legal outcome. Telephone errors may represent the tip of the iceberg in patient safety in ambulatory practice; however, these preliminary results need to be confirmed in a larger sample of cases.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Katz HP,Kaltsounis D,Halloran L,Mondor Mdoi
10.1007/s11606-007-0491-ysubject
Has Abstractpub_date
2008-05-01 00:00:00pages
517-22issue
5eissn
0884-8734issn
1525-1497journal_volume
23pub_type
杂志文章abstract:BACKGROUND:Despite recent reductions in national unplanned readmission rates, we have relatively little understanding of which hospital strategies are most associated with changes in risk-standardized readmission rates (RSRR). OBJECTIVE:We examined associations between the change in hospital 30-day RSRR for patients w...
journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
doi:10.1007/s11606-014-3105-5
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Individualized selection of antiretroviral (ARV) therapy is complex, considering drug resistance, comorbidities, drug-drug interactions, and other factors. HIV-ASSIST (www.hivassist.com) is a free, online tool that provides ARV decision support. HIV-ASSIST synthesizes patient and virus-specific attributes to...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
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abstract::African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and ...
journal_title:Journal of general internal medicine
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更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Multiple payment reform efforts are under way to improve the value of care delivered to Medicare beneficiaries, yet few directly address the interface between primary and specialty care. OBJECTIVE:To describe regional variation in outpatient visits for individual specialties and the association between spec...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Despite growing emphasis on public reporting of health care quality data, available data are often ignored. OBJECTIVE:To evaluate the usefulness of web-based physician-level data for patients choosing a new primary care physician (PCP). DESIGN:Patients seeking a new PCP (n = 2225) were invited to view web-...
journal_title:Journal of general internal medicine
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更新日期:2007-10-01 00:00:00
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更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Use of electronic health records (EHRs) is associated with physician stress and burnout. While emergency departments and subspecialists have used scribes to address this issue, little is known about the impact of scribes in academic primary care. OBJECTIVE:Assess the impact of a scribe on physician and pati...
journal_title:Journal of general internal medicine
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更新日期:2018-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2000-11-01 00:00:00
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journal_title:Journal of general internal medicine
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2017-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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journal_title:Journal of general internal medicine
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更新日期:1998-08-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2019-07-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:1995-04-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2006-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2008-09-01 00:00:00
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更新日期:2011-05-01 00:00:00
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更新日期:2010-05-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2020-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1525-1497.2006.00465.x
更新日期:2006-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-008-0603-3
更新日期:2008-06-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:10.1007/BF02602397
更新日期:1995-09-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2015-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-009-1006-9
更新日期:2009-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2004-05-01 00:00:00