10 TIPS WILL HELP YOU AVOID EMR LIABILITY EXPOSURE
By: Texas Medical Liability Trust
(TMLT is the only health care liability claim trust created and endorsed by the Texas Medical Association.)
As you adopt new technology in your practice such as the electronic medical record (EMR), be sure to identify and resolve new liability exposures that arise. Texas Medical Liability Trust (TMLT) offers these 10 tips for avoiding documentation pitfalls related to electronic medical records. For more information about each tip, read “Potential Pitfalls: Risk management for the EMR” (PDF) on the TMLT Web site.
- Implement a strict policy regarding passwords and security.
- Ensure patient encounter records are locked.
- Be aware that templates can import old or inaccurate information.
Complaints that Lead to Malpractice Claims
“MY CALF HURTS” or “I HAVE SOME SWELLING IN MY CALF” COMPLAINTS: We are witnessing claims generated by innocuous phone calls for calf pain/swelling (with or without a procedure) that were caused by a DVT. A patient may call and say, “my calf is swollen, but I just had knee surgery”. Often, the patient is told by office staff to elevate the leg, ice it, and call if it gets worse. This process has not worked for many situations where the patients complaints were secondary to an undiagnosed DVT and they went on to experience a PE. The doctor and the corporation were both sued. READ MORE.
SIGNIFICANT BACK PAIN FOLLOWING EPIDURAL INJECTION
The majority of epidural abscesses are missed on initial evaluation and frequently end up in litigation. If your patient presents with significant back pain following epidural injection or any invasive procedure, or they have a history of drug abuse, don’t hesitate to get an MRI with gadolinium. If the pain remains unrelenting despite conservative management, a repeat MRI may show startling changes. READ MORE.