The basics of medical malpractice: a primer on navigating the system.

Abstract:

:Medical malpractice with its associated costs, including insurance premiums, impact on practice, consequences for career and insurability, and emotional toll, is a reality of practicing medicine in the United States. Understanding the types of claims that may be asserted, the issues to consider when securing insurance coverage, how to manage the cost of insurance, the nuances of the claims process, and the implications of the claims process are critical to the successful management of this aspect of medical practice. This article provides a guide for practicing physicians on the legal, financial, and practical considerations involved.

journal_name

Chest

journal_title

Chest

authors

Nepps ME

doi

10.1378/chest.08-0186

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1051-1055

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(08)60369-4

journal_volume

134

pub_type

杂志文章,评审

相关文献

CHEST文献大全
  • Diagnosis of tracheoesophageal fistula by analysis of gastric air.

    abstract::Two patients receiving positive pressure ventilation experienced marked gaseous abdominal distension. Analysis of gases from the stomach, ventilator, and room air suggested that the gastric gases came from the ventilator in one patient. The diagnosis of tracheoesophageal fistula was confirmed by esophagoscopy. Analysi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.641

    authors: Kovitz KL,Siebens A,Brower RG

    更新日期:1993-08-01 00:00:00

  • Angioimmunoblastic lymphadenopathy presenting as superior vena caval obstruction.

    abstract::A 60-year-old man presented with features of superior vena cava (SVC) obstruction. On evaluation, he was diagnosed as having angioimmunoblastic lymphadenopathy with dysproteinemia (AILD). SVC obstruction due to AILD, to our knowledge, has not been described. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.6.1721

    authors: Sanghvi S,Kothari AS,Hathi BC,Sharma RG

    更新日期:1991-12-01 00:00:00

  • Alternatively activated macrophages and airway disease.

    abstract::Macrophages are the most abundant immune cell population in normal lung tissue and serve critical roles in innate and adaptive immune responses as well as the development of inflammatory airway disease. Studies in a mouse model of chronic obstructive lung disease and translational studies of humans with asthma and COP...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.10-2132

    authors: Byers DE,Holtzman MJ

    更新日期:2011-09-01 00:00:00

  • Inhalation challenge with sulfidopeptide leukotrienes in human subjects.

    abstract::What is the meaning of these findings to the practicing chest physician? First, leukotrienes are potent airway constrictors; they are capable of reproducing the type of airway constriction observed in asthma. The role of leukotrienes in this regard has yet to be established, but experiments to test the importance of t...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.89.3.414

    authors: Drazen JM

    更新日期:1986-03-01 00:00:00

  • Power spectral analysis of EEG activity during sleep in cigarette smokers.

    abstract:BACKGROUND:Research on the effects of cigarette smoking on sleep architecture is limited. The objective of this investigation was to examine differences in sleep EEG between smokers and nonsmokers. METHODS:Smokers and nonsmokers who were free of all medical comorbidities were matched on different factors, including ag...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1190

    authors: Zhang L,Samet J,Caffo B,Bankman I,Punjabi NM

    更新日期:2008-02-01 00:00:00

  • Cytomegalovirus infection with idiopathic pulmonary fibrosis. Diagnosis suggested by bronchoalveolar lavage.

    abstract::Bronchoalveolar lavage was used to provide important diagnostic information for a patient found to have idiopathic pulmonary fibrosis and concomitant cytomegalovirus infection. The use of this procedure may not only provide useful information regarding the underlying disease, but may also suggest alternative diagnosti...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.84.4.500

    authors: Martin WJ 2nd,McDougall JC

    更新日期:1983-10-01 00:00:00

  • Comparison of Dynamic Expiratory CT With Bronchoscopy for Diagnosing Airway Malacia: A Pilot Evaluation.

    abstract:OBJECTIVE:To assess the accuracy of dynamic expiratory CT for detecting airway malacia using bronchoscopy as the diagnostic "gold standard." MATERIALS AND METHODS:A computerized hospital information system was used to retrospectively identify all patients with bronchoscopically proven airway malacia referred for CT ai...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-2164

    authors: Lee KS,Sun MRM,Ernst A,Feller-Kopman D,Majid A,Boiselle PM

    更新日期:2007-03-01 00:00:00

  • Treatment-Emergent Central Apnea.

    abstract::The purpose of this review is to describe our management approach to patients with treatment-emergent central sleep apnea (TECSA). The emergence of central sleep apnea during positive airway pressure therapy occurs in approximately 8% of titration studies for obstructive sleep apnea, and has been associated with sever...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2021.01.036

    authors: Zeineddine S,Badr MS

    更新日期:2021-01-23 00:00:00

  • The effect of the total cumulative epinephrine dose administered during human CPR on hemodynamic, oxygen transport, and utilization variables in the postresuscitation period.

    abstract:BACKGROUND:Studies evaluating the dose of epinephrine required to optimize return of spontaneous circulation and survival after CPR have shown that doses greater than recommended by advanced cardiac life support (ACLS) improve coronary perfusion pressure and short-term resuscitation rates. Since survival has not improv...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.106.5.1499

    authors: Rivers EP,Wortsman J,Rady MY,Blake HC,McGeorge FT,Buderer NM

    更新日期:1994-11-01 00:00:00

  • Modification of the effect of fiberoptic bronchoscopy on pulmonary mechanics.

    abstract::Thirty-three patients who were to undergo diagnostic fiberoptic bronchoscopy were studied. Pulmonary function tests were performed before the procedure, after topical lidocaine anesthesia, and immediately and four hours after bronchoscopy. Nine patients received aerosolized isoproterenol (Isuprel) before the topical a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.5.516

    authors: Belen J,Neuhaus A,Markowitz D,Rotman HH

    更新日期:1981-05-01 00:00:00

  • Antibiotic utilization: is there an effect on antimicrobial resistance?

    abstract::The antimicrobial resistance problem in hospitals continues to worsen. In particular, extended-spectrum beta-lactamase-producing Klebsiella pneumoniae (ESBL-KP) and vancomycin-resistant enterococci (VRE) are significant causes of morbidity and mortality among critically ill patients. Treating infections caused by thes...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.119.2_suppl.426s

    authors: Patterson JE

    更新日期:2001-02-01 00:00:00

  • Depression is more common in girls with nonatopic asthma.

    abstract:BACKGROUND:Asthma may increase the risk of comorbid depressive disorders in children. Children suffering from asthma or depression are more often overweight. We examined whether depression was more likely in children with atopic and nonatopic asthma, independent of abdominal adiposity. METHODS:A cross-sectional analys...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-0219

    authors: Bahreinian S,Ball GDC,Colman I,Becker AB,Kozyrskyj AL

    更新日期:2011-11-01 00:00:00

  • Overview of genetic and molecular events in the pathogenesis of lung cancer.

    abstract::Research on dominant oncogenes and tumor suppressor genes has characterized differences in genetic lesions between small-cell lung cancer (SCLC) and non-small-cell lung cancer (NSCLC) and identified associations with clinical parameters. More than one half of all lung cancers contain a mutation of the p53 tumor suppre...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.103.1_supplement.1s

    authors: Johnson BE,Kelley MJ

    更新日期:1993-01-01 00:00:00

  • Postinfarctional ventricular septal rupture. Clinical approach and surgical results.

    abstract::This study represents an analysis of 13 cases of ruptured interventricular septum occurring as a complication of myocardial infarction. The cases considered appeared to divide themselves into two groups. One group survived the septal rupture for weeks or months and underwent surgery in the chronic stage. The patients ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.69.6.734

    authors: Kaplan MA,Harris CN,Kay JH,Parker DP,Magidson O

    更新日期:1976-06-01 00:00:00

  • Diaphragm Weakness in the Critically Ill: Basic Mechanisms Reveal Therapeutic Opportunities.

    abstract::The diaphragm is the primary muscle of inspiration. Its capacity to respond to the load imposed by pulmonary disease is a major determining factor both in the onset of ventilatory failure and in the ability to successfully separate patients from ventilator support. It has recently been established that a very large pr...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2018.08.1028

    authors: Petrof BJ

    更新日期:2018-12-01 00:00:00

  • Airway cooling and nocturnal asthma.

    abstract::It has long been recognized that asthma often worsens at night. The nature of nocturnal asthma is unclear. Previously we have demonstrated that acute asthma attacks can be induced by exposing the body to cold, and that such attacks can be prevented by breathing warm, humidified air (WHA). Since body temperature begins...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.81.6.675

    authors: Chen WY,Chai H

    更新日期:1982-06-01 00:00:00

  • Long-Acting Bronchodilator Initiation in COPD and the Risk of Adverse Cardiopulmonary Events: A Population-Based Comparative Safety Study.

    abstract:BACKGROUND:Long-acting bronchodilators, including long-acting beta2-agonists (LABA) and the anticholinergic tiotropium, are recommended as initial maintenance therapy in COPD. Studies to date have been limited in size and reported ambivalent results on the comparative risk of cardiovascular, cerebrovascular, and pulmon...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.08.001

    authors: Suissa S,Dell'Aniello S,Ernst P

    更新日期:2017-01-01 00:00:00

  • Inflammatory biomarkers predict airflow obstruction after exposure to World Trade Center dust.

    abstract:BACKGROUND:The World Trade Center (WTC) collapse on September 11, 2001, produced airflow obstruction in a majority of firefighters receiving subspecialty pulmonary evaluation (SPE) within 6.5 years post-September 11, 2001. METHODS:In a cohort of 801 never smokers with normal pre-September 11, 2001, FEV1, we correlated...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-1202

    authors: Nolan A,Naveed B,Comfort AL,Ferrier N,Hall CB,Kwon S,Kasturiarachchi KJ,Cohen HW,Zeig-Owens R,Glaser MS,Webber MP,Aldrich TK,Rom WN,Kelly K,Prezant DJ,Weiden MD

    更新日期:2012-08-01 00:00:00

  • Sexual content of advertisements and the smoking process in adolescents.

    abstract:STUDY OBJECTIVE:s: To analyze the perception of sexual content (PSC) of tobacco advertisements and its potential impact on the process of smoking in adolescents. DESIGN, PARTICIPANTS, AND SETTING:A questionnaire was administered to 1,186 adolescents at the National Institute of Respiratory Diseases in Mexico City to d...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.6.2016

    authors: Sansores RH,Giraldo-Buitrago G,Reddy C,Ramírez-Venegas A

    更新日期:2002-06-01 00:00:00

  • Effect of weight reduction on respiratory function and airway reactivity in obese women.

    abstract:BACKGROUND:Population-based studies have documented an association between obesity and an increased prevalence of asthma in women. METHODS:We prospectively studied 58 obese women with a body mass index of > 30 kg/m(2), 24 of whom had asthma, who were enrolled in an intensive 6-month weight loss program to determine wh...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.6.2046

    authors: Aaron SD,Fergusson D,Dent R,Chen Y,Vandemheen KL,Dales RE

    更新日期:2004-06-01 00:00:00

  • Assessment of interrater and intrarater reliability in the evaluation of metered dose inhaler technique.

    abstract:STUDY OBJECTIVE:To determine if a training session using videotaped metered dose inhaler (MDI) performances can result in high interrater and intrarater reliability of five evaluators assessing MDI technique. DESIGN:Five evaluators (three pharmacists, two pulmonary fellows) were trained to evaluate MDI technique durin...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.3.710

    authors: Gray SL,Nance AC,Williams DM,Pulliam CC

    更新日期:1994-03-01 00:00:00

  • Emphysema presence, severity, and distribution has little impact on the clinical presentation of a cohort of patients with mild to moderate COPD.

    abstract:BACKGROUND:Phenotypic characterization of patients with COPD may have potential prognostic and therapeutic implications. Available information on the relationship between emphysema and the clinical presentation in patients with COPD is limited to advanced stages of the disease. The objective of this study was to descri...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-0984

    authors: de Torres JP,Bastarrika G,Zagaceta J,Sáiz-Mendiguren R,Alcaide AB,Seijo LM,Montes U,Campo A,Zulueta JJ

    更新日期:2011-01-01 00:00:00

  • Encroachment upon the lungs of large chronic pericardial effusion. Pulmonary tamponade?

    abstract::Pulmonary encroachment by a large chronic pericardial effusion is reported in a woman with pericardiocentesis whom we recently treated. A restrictive pulmonary impairment is documented with pulmonary function data obtained before and after drainage of the effusion and the patient's dyspnea improved. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.2.434

    authors: Kane GC,Figueroa WG

    更新日期:1988-02-01 00:00:00

  • Hemoptysis in a 49-year-old man. An unusual presentation of a sporadic disease.

    abstract::Although amebiasis is prevalent in tropical and subtropical areas, it occurs sporadically in the United States. Pleuropulmonary involvement is seen in about 20 percent of the patients with amebic liver abscesses. We describe a patient with pleuropulmonary amebiasis who complained of hemoptysis but had no gastrointesti...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.5.1275

    authors: Kennedy D,Sharma OP

    更新日期:1990-11-01 00:00:00

  • Giant cell arteritis presenting with annuloaortic ectasia.

    abstract::Four cases of giant cell arteritis causing severe aortic regurgitation secondary to an aneurysm of the ascending aorta are described. In two cases, the nature of the aortic pathology could be suspected considering the past clinical evidence of temporal arteritis and/or polymyalgia rheumatica. In the two other cases, t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.4.1365

    authors: Nesi G,Anichini C,Pedemonte E,Tozzini S,Calamai G,Montesi GF,Gori F

    更新日期:2002-04-01 00:00:00

  • Addition of inhaled tobramycin to ciprofloxacin for acute exacerbations of Pseudomonas aeruginosa infection in adult bronchiectasis.

    abstract:RATIONALE:Pseudomonas aeruginosa lung infection in patients with bronchiectasis, a chronic airway disease that is characterized by episodes of exacerbation, is associated with more severe disease and a higher utilization of health-care resources. Inhaled tobramycin solution reduces the number of acute exacerbations in ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.130.5.1503

    authors: Bilton D,Henig N,Morrissey B,Gotfried M

    更新日期:2006-11-01 00:00:00

  • Formoterol as dry powder inhalation. A dose finding study in comparison with formoterol metered dose inhaler and placebo.

    abstract::We compared the bronchodilator effects and systemic tolerability of 12, 24 and 48 micrograms formoterol DP capsules with 12 micrograms formoterol MDI and placebo in 30 patients with reversible obstructive airway disease. Pulmonary function tests were done and pulse rate and blood pressure were recorded. We observed si...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.101.5.1376

    authors: Maesen FP,Costongs R,Smeets SJ,Zweers PG,Goedhart DM

    更新日期:1992-05-01 00:00:00

  • Improved management of acute asthma among pregnant women presenting to the ED.

    abstract:BACKGROUND:A multicenter study in the late 1990s demonstrated suboptimal emergency asthma care for pregnant women in US EDs. After a decade, follow-up data are lacking. We aimed to examine changes in emergency asthma care of pregnant women since the 1990s. METHODS:We combined data from four multicenter observational s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-1874

    authors: Hasegawa K,Cydulka RK,Sullivan AF,Langdorf MI,Nonas SA,Nowak RM,Wang NE,Camargo CA Jr

    更新日期:2015-02-01 00:00:00

  • Severe Coronavirus Disease 2019 Infection in an Adolescent Patient After Hematopoietic Stem Cell Transplantation.

    abstract::Infection with the severe acute respiratory syndrome coronavirus 2 causes severe acute lung injury in approximately 5% of infected adults, but few reports have been made of severe pediatric disease. We present an adolescent patient who contracted severe acute respiratory syndrome coronavirus 2 one week after a paterna...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.05.579

    authors: Fisler G,Haimed A,Levy CF,Stiles J,Capone CA,Fish JD,Brochstein JA,Taylor MD

    更新日期:2020-10-01 00:00:00

  • Laryngotracheoscopic findings in long-term follow-up after Griggs tracheostomy.

    abstract:OBJECTIVE:Analysis of laryngotracheoscopic findings of the upper airway tract following percutaneous tracheostomy using the technique according to Griggs. DESIGN:Retrospective cohort study PATIENTS:Nineteen of 32 long-term surviving patients (mean follow-up duration, 17 months; range, 11 to 23 months) underwent a mod...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.1.206

    authors: Dollner R,Verch M,Schweiger P,Deluigi C,Graf B,Wallner F

    更新日期:2002-07-01 00:00:00