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


: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.






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2008-11-01 00:00:00
















  • Acute tuberculous pneumonia.

    abstract::A case of acute tuberculous pneumonia diagnosed by transbronchial biopsy is presented. We postulate that the unusually rapid progression was due to an exudative hypersensitivity reaction to aspirated tuberculoprotein. ...


    pub_type: 杂志文章


    authors: Septimus EJ,Awe RJ,Greenberg SD,Raleigh JW

    更新日期:1977-06-01 00:00:00

  • Electrolyte disturbances in patients with chronic, stable asthma: effect of therapy.

    abstract:OBJECTIVE:To determine the prevalence of electrolyte disturbances in patients with chronic, stable asthma, and to assess whether the therapeutic agents used to treat chronic asthma have an effect on abnormal electrolyte levels. DESIGN:Prospective, hospital-based, cross-sectional study. SETTING:University teaching hos...


    pub_type: 杂志文章


    authors: Alamoudi OS

    更新日期:2001-08-01 00:00:00

  • The role of physician-assistants in critical care units.

    abstract::We evaluated the feasibility of utilizing physician assistants as providers of primary care in a medical ICU. After a three-month period of rigorous training, two PAs were assigned to the ICU. Their performance as well as the operation of the ICU over a two-year period was evaluated and compared to two preceding years...


    pub_type: 杂志文章


    authors: Dubaybo BA,Samson MK,Carlson RW

    更新日期:1991-01-01 00:00:00

  • What Extrapolation Could Mean for Your Practice: A Legal Overview of Statistical Sampling in Overpayment and False Claims Act Cases.

    abstract::Auditors in Medicare overpayment or False Claims Act (FCA) cases often use statistical extrapolation to estimate a health-care provider's total liability from a small sample of audited claims. Courts treat statistical extrapolation differently depending on the context. They generally afford the government substantial ...


    pub_type: 杂志文章,评审


    authors: Salcido R,Rubin E

    更新日期:2016-06-01 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...


    pub_type: 杂志文章,评审


    authors: Drazen JM

    更新日期:1986-03-01 00:00:00

  • Thrombin and platelet activation.

    abstract::The accumulation of thrombin at sites of vascular injury provides one of the chief means for recruiting platelets into a growing hemostatic plug. Studies completed over the past 10 years show that platelet responses to thrombin are mediated by a subset of G protein-coupled receptors known as protease-activated recepto...


    pub_type: 杂志文章,评审


    authors: Brass LF

    更新日期:2003-09-01 00:00:00

  • Steady antibiotic release from biodegradable beads in the pleural cavity: an in vitro and in vivo study.

    abstract:BACKGROUND:Inadequate localized drug concentrations and systemic adverse effects are among the concerns when regional infections are treated with systemic antibiotics. We designed and fabricated a poly(D,L)-lactide-co-glycolide (PLGA)-based biodegradable drug delivery system and evaluated the release of antibiotics bot...


    pub_type: 杂志文章


    authors: Liu KS,Liu SJ,Chen HY,Huang YK,Peng YJ,Wu RC,Ueng SW

    更新日期:2012-05-01 00:00:00

  • Increased risk of childhood asthma from antibiotic use in early life.

    abstract:BACKGROUND:To address the major methodological issues of reverse causation and selection bias in epidemiologic studies of antibiotic use in early life and the development of asthma, we undertook a cohort study of this association in a complete population of children. METHODS:Using the health-care and prescription data...


    pub_type: 杂志文章


    authors: Kozyrskyj AL,Ernst P,Becker AB

    更新日期:2007-06-01 00:00:00

  • Increased levels of outdoor air pollutants are associated with reduced bronchodilation in children with asthma.

    abstract:BACKGROUND:Increased outdoor air pollution levels are associated with more frequent use of rescue inhalers in subjects with asthma. However, it is unknown whether this phenomenon is explained by an air pollution-mediated increase in respiratory symptom severity or whether air pollutants decrease the efficacy of short-a...


    pub_type: 杂志文章


    authors: Hernández-Cadena L,Holguin F,Barraza-Villarreal A,Del Río-Navarro BE,Sienra-Monge JJ,Romieu I

    更新日期:2009-12-01 00:00:00

  • Enhanced responses to aerosolized bronchodilator therapy in asthma using respiratory maneuvers.

    abstract::To determine if respiratory maneuvers may enhance the response to inhaled bronchodilator drugs, we evaluated the bronchodilator responses when isoproterenol was: inhaled as a bolus high (80 percent VC) compared to low (20 percent VC) lung volumes, and inhaled as a single 800 microgram dose compared to four 200 microgr...


    pub_type: 杂志文章


    authors: Riley DJ,Liu RT,Edelman NH

    更新日期:1979-11-01 00:00:00

  • An unusual case of left upper lobe pulmonary edema.

    abstract::This is a report of an unusual case of left, predominantly upper lobe, pulmonary edema secondary to paravalvular mitral regurgitation (MR) complicating mitral valve replacement. Transesophageal echocardiography proved helpful in making the diagnosis of MR and suggesting the mechanism of the pulmonary edema. ...


    pub_type: 杂志文章


    authors: Rice J,Roth SL,Rossoff LJ

    更新日期:1998-07-01 00:00:00

  • Comparison of maximal midexpiratory flow rate and forced expiratory flow at 50% of vital capacity in children.

    abstract:BACKGROUND:The mid-portion of the maximal expiratory flow-volume (MEFV) curve is often described by values of the mean forced expired flow as lung volume decreases from 75% to 25% of vital capacity (ie, forced expiratory flow, midexpiratory phase [FEF(25-75)]). It is common practice to report also forced expired flow a...


    pub_type: 杂志文章


    authors: Bar-Yishay E,Amirav I,Goldberg S

    更新日期:2003-03-01 00:00:00

  • Closure of a ventricular septal defect through the aortic valve: a note of caution regarding resultant narrowing of the aortic valve annulus.

    abstract::Closure of ventricular septal defects through the aortic valve annulus has been described for a variety of cardiac anomalies. This technique is most appropriate when simultaneous aortic valve replacement is anticipated. A continuous suture through the patch material may produce a purse-string effect upon the aortic va...


    pub_type: 杂志文章


    authors: Stewart S

    更新日期:1976-08-01 00:00:00

  • Phospholipid biosynthesis: the activity of phosphatidic acid phosphohydrolase in the developing lung and amnionic fluid.

    abstract::The presented data suggest that PAPase may, indeed, be important in the biosynthesis of lung phospholipids. The observed increase in the specific activity of rabbit lung precedes the "surge" of phosphatidylcholine concentration and surfactant biosynthesis by at least 24 hours. In human amnionic fluid, PAPase specific ...


    pub_type: 杂志文章


    authors: Johnston JM,Schultz M,Jimenez JM,MacDonald PC

    更新日期:1975-02-01 00:00:00

  • Integrated electronic display model for teaching bronchoscopy.

    abstract::The integrated electronic display model for teaching bronchoscopic technique has been most helpful in guiding the student-bronchoscopist, especially in the early stages of reorientation in both the procedure for insertion and the practice of identification of the individual segmental orifice. The display board is elec...


    pub_type: 杂志文章


    authors: Cunanan OS,Mazza JE

    更新日期:1977-09-01 00:00:00

  • A rapid tuberculosis screening program for new mothers who have had no prenatal care.

    abstract::We developed a Rapid Tuberculosis Screening Program for use in women who have not had prenatal care. All patients who presented for delivery without a documented tuberculin skin test (TBN-ST) were given a symptom questionnaire. Those who had a positive response to any of the questions received a chest roentgenogram to...


    pub_type: 杂志文章


    authors: Metersky ML,Catanzaro A

    更新日期:1993-02-01 00:00:00

  • Peak airway pressure: why the fuss?

    abstract::The preponderance of evidence indicates that high airway pressure is not by itself injurious to the lung. Rather, overdistention of the lung appears to be the fundamental mechanism underlying VALI. The physician must bear in mind the factors (ie, flow-resistive pressure losses, respiratory muscle activity, and abnorma...


    pub_type: 杂志文章,评审


    authors: Manning HL

    更新日期:1994-01-01 00:00:00

  • Complications of general anesthesia for Nd:YAG laser resection of endobronchial tumors.

    abstract::We studied the incidence and mechanisms of cardiovascular complications and postoperative respiratory insufficiency associated with GA and Nd:YAG laser endobronchial tumor resection. The records of 73 patients undergoing 87 procedures were reviewed. Preoperative status, anesthetic methods and perioperative complicatio...


    pub_type: 杂志文章


    authors: Hanowell LH,Martin WR,Savelle JE,Foppiano LE

    更新日期:1991-01-01 00:00:00

  • Hospitalizations for pulmonary reactions following nitrofurantoin use.

    abstract::Acute pulmonary illness compatible with previously described nitrofurantoin toxicity and requiring hospitalization occurred three times among 16,101 first courses of therapy with nitrofurantoin. One case of fatal pulmonary fibrosis was ascribed to long-term use of nitrofurantoin among 742 observed recipients of ten or...


    pub_type: 杂志文章


    authors: Jick SS,Jick H,Walker AM,Hunter JR

    更新日期:1989-09-01 00:00:00

  • Radiographic fibrosis score predicts survival in hypersensitivity pneumonitis.

    abstract:BACKGROUND:It is unknown if the radiographic fibrosis score predicts mortality in persistent hypersensitivity pneumonitis (HP) and if survival is similar to that observed in idiopathic pulmonary fibrosis (IPF) when adjusting for the extent of radiographic fibrosis. METHODS:We reviewed records from 177 patients with HP...


    pub_type: 杂志文章


    authors: Mooney JJ,Elicker BM,Urbania TH,Agarwal MR,Ryerson CJ,Nguyen MLT,Woodruff PG,Jones KD,Collard HR,King TE Jr,Koth LL

    更新日期:2013-08-01 00:00:00

  • Pathologic and radiologic differences between idiopathic and collagen vascular disease-related usual interstitial pneumonia.

    abstract:BACKGROUND:Patients with usual interstitial pneumonia (UIP) associated with collagen vascular disease (CVD) have been reported to have a better prognosis than those with idiopathic pulmonary fibrosis with a UIP pattern (IPF/UIP) seen on histology. The aim of this study was to evaluate the pathologic and radiologic diff...


    pub_type: 杂志文章


    authors: Song JW,Do KH,Kim MY,Jang SJ,Colby TV,Kim DS

    更新日期:2009-07-01 00:00:00

  • How Health-Care Organizations Implement Shared Decision-making When It Is Required for Reimbursement: The Case of Lung Cancer Screening.

    abstract:BACKGROUND:The Centers for Medicare and Medicaid Services stipulate shared decision-making (SDM) counseling as a prerequisite to lung cancer screening (LCS) reimbursement, despite well-known challenges implementing SDM in practice. RESEARCH QUESTION:How have health-care organizations implemented SDM for LCS? STUDY DE...


    pub_type: 杂志文章


    authors: Alishahi Tabriz A,Neslund-Dudas C,Turner K,Rivera MP,Reuland DS,Elston Lafata J

    更新日期:2021-01-01 00:00:00

  • Severe obstructive sleep apnea in a patient with spinal muscle atrophy.

    abstract::Patients with spinal muscle atrophy (SMA) who survive to adulthood experience a slow, continuous loss of motor function but typically have a normal life expectancy. These patients, however, require vigilance on the part of their health-care providers to reverse treatable disorders to maintain a satisfactory quality of...


    pub_type: 杂志文章


    authors: Puruckherr M,Mehta JB,Girish MR,Byrd RP Jr,Roy TM

    更新日期:2004-11-01 00:00:00

  • Prolongation of ventricular depolarization. ECG manifestation of mexiletine toxicity.

    abstract::Mexiletine is a type 1B antiarrhythmic drug similar to lidocaine. Prolongation of ventricular depolarization has not been previously reported with the usual oral dosage of mexiletine. We describe a patient with renal failure and heart failure on low-dose oral therapy who developed mexiletine toxicity, which was manife...


    pub_type: 杂志文章


    authors: Nora MO,Chandrasekaran K,Hammill SC,Reeder GS

    更新日期:1989-04-01 00:00:00

  • Acute electrophysiologic effects of inhaled salbutamol in humans.

    abstract:STUDY OBJECTIVES:Although inhaled beta2-agonists are in widespread use, several reports question their potential arrhythmogenic effects. The purpose of this study was to evaluate the cardiac electrophysiologic effects of a single, regular dose of an inhaled beta2-agonist in humans. DESIGN:Prospective study. SETTING:T...


    pub_type: 杂志文章


    authors: Kallergis EM,Manios EG,Kanoupakis EM,Schiza SE,Mavrakis HE,Klapsinos NK,Vardas PE

    更新日期:2005-06-01 00:00:00

  • Double-orifice mitral valve with three papillary muscles.

    abstract::A case of double-orifice mitral valve in a 16-year-old Japanese boy is presented. Two-dimensional echocardiography, including transesophageal approach, showed two approximately equal orifices with three papillary muscles. Color Doppler echocardiography showed a mild mitral regurgitation from both orifices. No other ca...


    pub_type: 杂志文章,评审


    authors: Hashimoto H

    更新日期:1993-11-01 00:00:00

  • Color Doppler features of left ventricular pseudoaneurysm.

    abstract::A patient had left ventricular pseudoaneurysm after mitral valve replacement surgery. The diagnosis was made by color flow Doppler demonstration of systolic flow between the left ventricular chamber and an echo-free space posterior to the heart which was initially interpreted as localized pleural effusion. Color Doppl...


    pub_type: 杂志文章


    authors: Alam M,Rosman HS,Lewis JW,Brymer JF

    更新日期:1989-01-01 00:00:00

  • Organophosphate intoxication as a consequence of mouth-to-mouth breathing from an affected case.

    abstract::We report three cases of organophosphate (OP) poisoning. One patient was a 19-year-old woman who drank OP compounds in an attempt at suicide. The other two patients became intoxicated on the way to the hospital during mouth-to-mouth breathing. The first patient died in the emergency department, and the other two were ...


    pub_type: 杂志文章


    authors: Koksal N,Buyukbese MA,Guven A,Cetinkaya A,Hasanoglu HC

    更新日期:2002-08-01 00:00:00

  • Environmental tobacco smoke exposure during travel among adults with asthma.

    abstract:OBJECTIVES:In California, state law now prohibits smoking in most public places. We examined the prevalence and short-term health impact of environmental tobacco smoke (ETS) exposure during travel among adults with asthma. DESIGN, SETTING, AND PARTICIPANTS:A cohort of 374 nonsmoking adults with asthma recruited from a...


    pub_type: 杂志文章


    authors: Eisner MD,Blanc PD

    更新日期:2002-09-01 00:00:00

  • Yield of bronchoscopy for the diagnosis of tuberculosis in patients with human immunodeficiency virus infection.

    abstract::The efficacy of bronchoscopy for the diagnosis of tuberculosis in patients infected with human immunodeficiency virus (HIV) has not been systematically evaluated. We therefore compared the diagnostic yield of bronchoscopy in 67 HIV-infected and 45 non-HIV-infected patients with culture-proven pulmonary tuberculosis. I...


    pub_type: 杂志文章


    authors: Kennedy DJ,Lewis WP,Barnes PF

    更新日期:1992-10-01 00:00:00