study examines hospitalist malpractice claims by floyd arthur (ppt)
TRANSCRIPT
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Study Examines Hospitalist Malpractice Claims
By Floyd Arthur
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On the front lines of acute care medicine, hospitalists work under circumstances that are
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far from ideal. Not only are they directly responsible for multiple patients with complex
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medical needs, they are often forced to accept patient loads that they identify as unsafe.
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Hospitalist Malpractice Claims
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According to a 2013 survey of 890 hospitalists published in JAMA Internal Medicine, 40
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percent of hospitalists report carrying an unsafe patient load at least once a month. Over
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35 percent report unsafe patient loads more than once a week. According to the doctors
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themselves, this leads to communication failures and diagnostic and treatment errors
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that often result in significant harm.
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Allegations In Hospitalist Malpractice Claims
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Hospitalists are not sued more often than physicians in any other speciality. However,
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malpractice claims against hospitalists often involve serious injuries or death. In an
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attempt to identify practice patterns that result in the most serious patient injuries, The
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Doctors Company analyzed medical malpractice claims against its 2,100 member
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hospitalists that closed between 2007 and 2014. All claims, regardless of outcome, were
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included in the analysis. A total of 464 claims were reviewed.
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A review panel of physician experts examined the claims and categorized them based on
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the nature of the allegations. Seventy-eight percent fell into three categories: diagnostic
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errors (36 percent); treatment errors (31 percent); and medication-related errors (11 percent.)
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The remaining categories were improper performance, such as improperly placed
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central venous catheters, (5 percent); delay in treatment (3 percent); and failure to
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monitor patient status (3 percent).
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Factors Contributing to Hospitalist Malpractice Claims
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Multiple factors were identified as contributing to the majority of hospitalist malpractice
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claims.. Seventy-four percent of these were in three main categories: patient
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assessment, provider communication and therapeutic interventions.
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Patient Assessment
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Thirty-five percent of the diagnostic and treatment errors identified in the study were
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due to inadequate patient assessment, including:
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* Failure to establish a differential diagnosis
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* Failure or delay in ordering diagnostic tests
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* Failure to consider available information (e.g. lab values, observations, signs and symptoms)
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Example 1: A 20-year old female was admitted through the ER with a history of fever,
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chills and pain radiating from her back to her right side. A chest X-ray showed a right
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lower lobe infiltrate; her oxygen saturation was 86 to 89 percent, and blood work
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revealed elevated D-dimers.
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The hospitalist put the patient on IV antibiotics for a diagnosis of pneumonia and
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ordered pulmonary and infectious disease consults. Later, the patient became
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disoriented and complained of increasing shortness of breath. She died soon afterwards.
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The cause of death was a pulmonary embolus.
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The hospitalist’s failure to consider the elevated D-dimers, include PE in the differential
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diagnosis and order further diagnostic tests were identified as factors that contributed to her death.
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Provider Communication
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Breakdowns in communication between nursing staff, consulting physicians and the
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hospitalist were identified as a factor in 23 percent of medical malpractice claims. These
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included nurses failing to notify the responsible hospitalist of important clinical findings
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and physicians failing to note findings mentioned in the patient’s chart.
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Example 2: A 49 year-old male was admitted through the ER with chest and back pain,
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headache, and numbness and tingling in his lower extremities. On admission the blood
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pressure in his right arm was 154/53; it was 117/56 on the left. The nurse failed to
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document this discrepancy in the medical record or bring it to the attention of the
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hospitalist. The patient was discharged and subsequently collapsed and died at home.
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The cause of death was mediastinal hemorrhage due to an aortic dissection.
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The lack of communication between the nursing staff and the hospitalist were identified
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as critical factors in the patient’s death.
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Therapeutic Interventions
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In 16 percent of the malpractice claims reviewed, the hospitalist’s choice of therapy was
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identified as a factor in a patient’s injury or death. This category included improper
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selection of appropriate therapy; failure to order appropriate medications; ordering
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inappropriate medications; and ordering no medication at all. Breakdowns in
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communication between providers, patients and families and nursing staff were also a
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factor in several of these claims.
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Example 3: A 75 year-old female was admitted to the hospital with a diagnosis of
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pneumonia and uncontrolled Type 2 diabetes. The hospitalist treated her pneumonia
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appropriately and placed her on a sliding-scale of regular insulin and Lantus. Two days
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later, as the patient’s pneumonia was improving, a second hospitalist took over her care.
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He changed her insulin to twice daily Humalog, after which she experienced several episodes of
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hypoglycemia. The patient subsequently arrested and died. Her last blood glucose was 15 mg/dL.
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The panel identified the failure of the nursing staff to adequately communicate the patient’s
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repeated episodes of hypoglycemia to the hospitalist as well as the hospitalist’s decision to
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change her insulin without consulting an endocrinologist as factors in the patient’s death.
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Advice for Hospitalists: Strategies for Managing Risk
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In its assessment of the above findings, the physician panel identified “weaknesses in
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the systems and processes used by members of the healthcare team” as a major
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contributor to preventable errors that result in significant patient harm. These
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undoubtedly include staffing shortages, unpredictable patient census, and unwieldy
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electronic health records that make important clinical information difficult to find.
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Nonetheless, the study reveals some areas where physicians can improve patient
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management and mitigate the risks inherent in the hospitalist’s role. Some
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recommendations from the panel include:
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* Order diagnostic tests promptly and involve other specialties early when the differential
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includes diagnoses that have the potential to result in serious harm.
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* Build rapport with patients early in their hospital stay.
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* Understand that the hospitalist’s role is to integrate and coordinate patient care.
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* Remain accessible to nursing staff and consulting services throughout the patient’s hospital stay.
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* Review all documentation carefully and question information that is unclear.
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* Be cognizant of emerging pathology, especially when the differential includes a number of similar diagnoses.
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