Risk Management Tools & Resources


Keep It Simple: Using Plain Language to Support Patient-Centered Care

A significant hurdle in patient-centered care is effective communication throughout the care process. If patients do not understand their diagnoses, test results, recommended treatment plans, and follow-up instructions, they cannot fully participate in their care.

A common barrier to effective communication is poor health literacy. Research shows that only a small percentage of adults have proficient health literacy skills, and most adults have difficulty using the everyday health information that is routinely available in healthcare facilities.1 These statistics are significant because people who have low health literacy are at increased risk for poor outcomes, higher rates of emergency department visits and hospitalization, and death.2 Patients who have limited health literacy also might feel ashamed about their lack of knowledge, and they may "mask these difficulties in order to maintain dignity."3

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Inadequate Informed Consent Process for Orthopaedic Surgery Complicates Malpractice Defense

Residents performing surgeries and procedures under the supervision of experienced physicians is an integral component of the medical educational process. At the same time, disclosing to patients which providers will be involved in their care is an essential component of the informed consent process, which recognizes patients' rights to make informed decisions about their care.

In this case, the patient was a 66-year-old male with a long history of arthritic and orthopaedic problems in his right knee. His medical history included one arthroscopy and one high tibial osteotomy. Continued evaluation of the knee resulted in the recommendation that he have a total knee replacement, to which he consented. The patient was aware that a resident would be assisting in his surgery. In actuality, though, an orthopaedic resident (Dr. A) performed the procedure with an attending surgeon (Dr. B) assisting.

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The Five Essential Elements of a Violence Prevention Program

Violence is a significant concern and an unfortunate reality in healthcare. Incidents of serious workplace violence (those requiring days off for the injured worker to recuperate) are about four times more common in healthcare than in private industry.1 Violence can occur in any geographic location and any type of facility, and it can come from a variety of sources, including patients, visitors, healthcare providers, and staff members.

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Accountability for Informed Consent in Healthcare: Considering Shinal v. Toms

Issues related to informed consent are a persistent area of concern in healthcare and a source of liability exposure. MedPro Group malpractice claims data show that more than one-fourth (27 percent) of all communication-related malpractice claims involve allegations associated with informed consent.1 Of these allegations, the majority are related to inadequate consent processes and failure to manage patient expectations.

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The Fundamental Elements of Informed Consent

Informed consent is a legal and ethical principle that supports disclosing important information to patients so they can understand proposed treatments and fully participate in their care. The basis of informed consent rests on the principle of autonomy, which recognizes an individual's right to make decisions regarding his/her healthcare.

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Opioid Prescribing: Navigating Through a Crisis

Opioid addiction is arguably one of the most significant public health crises in the United States over the past few decades. Increases in opioid prescribing and consumption in the late 1990s and first decade of the 2000s fueled an epidemic of overdoses, a national heroin crisis, and a rise in deaths from synthetic opioids.1

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15 Essential Risk Management Strategies for General Surgeons

General surgeons face various risks in day-to-day practice. Adverse outcomes related to surgical treatment, diagnosis, and medical treatment can result from a variety of factors, including issues with technical competency, clinical judgment, communication, documentation, and more. The following list offers 15 essential strategies to help general surgeons mitigate risks and enhance patient safety.

  1. Participate in ongoing performance improvement opportunities to enhance technical surgical skills and ensure competency (e.g., mentoring, continuing education, and ongoing practice performance evaluation).
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Lurking Beneath the Surface: Bias in Pain Management

Bias in healthcare is a persistent issue, both at an institutional level and among individuals. The downstream effect of this problem is evident in negative outcomes and health disparities for various populations. In particular, issues of bias have been noted in research focusing on variances in pain management. Studies have shown that:

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