Risk Management Tools & Resources

 

CASE STUDY: Online Dispute Becomes Problematic for General Dentist

Dr. Miller, a general dentist, treated a male patient in his fifties for various dental issues. Although the treatments were successful, the patient was unhappy with Dr. Miller's office staff and the amount for which he was billed. The patient joined an online forum and began posting negative comments about Dr. Miller's billing policies, office staff, and efficacy of care.

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Social Media Might Be Informal, but Your Healthcare Practice's Policies Shouldn't Be

Without doubt, the ease, flexibility, and convenience of social media offer various opportunities to enhance the dissemination of health information and communication between patients and healthcare providers.

However, like any type of technology, social media can create safety and risk issues if it is not used responsibly. Additionally, because social media changes rapidly, standards and best practices are not always well-defined.

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CASE STUDY: Patient Authorizes Posting of Photo on Facebook, but Has Second Thoughts

Dr. Andrews, a board-certified plastic surgeon, performed a successful breast augmentation on a patient in her mid-thirties. Approximately 5 months after the procedure, the patient sent an email message to Dr. Andrews' practice expressing that she was extremely pleased with the results of the augmentation. In the message, she attached a picture of herself that highlighted the results of the surgery.

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Social Media and Patient Confidentiality: A Balancing Act

One of the most significant concerns related to the use of social media in healthcare is the requirement to maintain strict confidentiality of patients' protected health information (PHI). This obligation is addressed in federal law and governed by the U.S. Department of Health and Human Services (HHS) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

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Environmental Emergency Risk Assessment for Healthcare Practices

History has shown that natural disasters and other environmental crises can occur with limited warning and may necessitate a rapid emergency response. In the United States alone, 79 disasters were declared in 2015.

Although information about emergency preparedness and response in healthcare often focuses on hospitals, the ability to respond quickly and efficiently also is vital for healthcare practices.

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Essential Risk Management Strategies in General Surgery
  • Ensure that general surgeons' privileges are based on training, credentials, and competency.
  • Enhance technical surgical skills through ongoing performance improvement efforts, such as mentoring, proctoring, and continuing education.
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CASE STUDY: Improper Performance of Laparoscopic Cholecystectomy

A patient with right upper quadrant pain and gallstones consented to laparoscopic cholecystectomy. The informed consent documentation did not specifically include the risk of biliary injury.

In an attempt to avoid biliary structures, the surgeon initiated a dome dissection but converted to a base dissection upon visualizing inflammation and extensive adhesions at the surgical site.

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Inadequate Training: A Top Risk in Robotic Surgery

In both 2014 and 2015, the ECRI Institute listed robotic surgery complications due to insufficient training on its Top 10 Health Technology Hazards list. ECRI noted that robotic surgical systems (RSS) are being used more frequently and more broadly, without thorough consideration of surgical teams' training and proficiency.

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