Minimum coverage allowed in your state of residence. Under state law, a patient may pursue a civil claim against physicians or other health care providers, called medical liability or medical malpractice, if the health care provider causes injury or death to the patient through a negligent act or omission (Malloy, 2015). In North Carolina, The Nurse Practitioner has different risks and premiums. The recommendations are to obtain as much coverage as the provider can afford, but no less than one million (Krauss, 2004). Some employers will carry the liability insurance but they strongly recommend obtaining one 's own policy for additional coverage. For family practitioners with no obstetric practice: a 115-percent increase to $9,000 per …show more content…
Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence. (3) When charting documenting everything, and practice by the standard of care. (4) Never attempt to alter the medical records. (5) Do not diagnose or prescribe over the phone, and be prepared to apologize. Better communication and trust are the keys to avoid litigation (Malloy, …show more content…
The two basic types of malpractice insurance are claims-made and occurrence-made. Claims-made insurance guards you from malpractice claim only if the company that insured the practitioner at the time of the alleged occurrence is the same company at the time the claim is filed in court. In other words, it only covers the practitioner while the policy is in effect. If the practitioner acquires a claims policy, he needs to make sure he also acquires tail coverage which is an extended reported period after the primary insurance is cancelled or terminated. With occurrence-made insurance, the insurance coverage will be seamless, regardless of job or location changes (Malloy,
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Overall, incomplete documentation and delinquent medical records cause inaccurate reimbursement and results in inaccurate gross revenue to the hospital. It can have a negative impact on the hospital budgeting and financial planning process for the hospital. It is for this purpose that every healthcare institution should be purposeful on reviewing the accuracy and completeness in clinical documentation, no matter the cost. Even though, for most physicians, most of their time is focused on the actual care of the patient and there is little to no time to devote to extensive documentation, it is imperative to understand patient care includes both the one-to-one attention and the documentation of said treatment.
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
The projected goals and outcomes of this project are to increase quality of report, increase patient safety and increase patient satisfaction. Introduction This paper proposes to outline the impact of a standardized bedside reporting system that involves the patient as opposed to the age-old report method conducted at the nurse’s station between only nurses. Evaluation of this impact includes quality
(Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh. It proves to the case manager’s credibility.
- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.
Results showed that geographic factors were the strongest determinants of scope of practice; physician-related factors, availability of health care resources to the main practice setting, and practice organization factors were weaker determinants.(13) Erika Ringdahl, MD, John E. Delzell, Jr., MD, MSPH, and Robin L. Kruse, PhD (2006) a study in the University of Missouri, Columbia, to measure how practice patterns are changing. All graduates of the residency were surveyed in 1998, 2001, and 2004, asking about practice patterns. Results showed fewer graduates care for patients in the hospital (71.3%, 1998; 56.5%, 2004), practice obstetrics (40.7%, 1998; 23.2%, 2004), or provide primary care for their patients in the emergency department (25.9%, 1998; 13.0%, 2004). They concluded that there was a decline in the proportion of graduates of this family medicine residency program performing procedures, obstetrics, intensive care unit care, or hospital
For instance, a physician might argue that the injuries were not the result of their medical care and that their care followed their medical professional standards. Alongside challenging the element of negligence, physicians might try to prove that the injuries the plaintiff endured were a result of their own negligence ("Defenses to Medical Malpractice", n.d.). For example, the injuries a patient receives can occur if they do not inform their physician their entire medical history. As a result, they can be prescribed medications or treatments that can cause adverse reactions or injury. This is especially true in instances where physicians may try unconventional forms of treatment to care for their
A causation link between the current tort system and medical malpractice premiums has yet to be proven. Insurance premiums for physicians may be high, but this is not because of the current tort system. Professor Tom Baker wrote an entire book debunking the myths behind tort reform and addressed insurance premiums in great detail. Baker found that increased malpractice premiums had little or nothing to do with the alleged explosion of tort litigation and were instead just another component of the tort reform myth. For example, Baker notes that malpractice premiums are cyclical in nature and that "The sharp spikes in malpractice premiums in the 1970s, the 1980s, and the early 2000s are the result of financial trends and competitive behavior in the insurance industry, not sudden changes in the litigation environment."
Health Care Law: Tort Case Study Carolann Stanek University of Mary Health Care Law: Tort Case Study A sample case study reviewed substandard care that was delivered to Ms. Gardner after having sustained an accident and brought to Bay Hospital for treatment. Dr. Dick, a second-year pediatric resident, was on that day in the ED and provided care for Ms. Gadner. Dr. Moon, is the chief of staff and oversees the credentialing of all physicians at Bay Hospital.
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
Medical Malpractice and Tort Reform Medical malpractice involves negligent care by a physician. The physician has either done or has not done something (neglect) to make a medical situation worse. A patient may come in with what seems to be something that isn’t serious, but it turns out to be worse because all that could have been done was not done. Medical malpractice in some states results in a cap in damages. The elements of this cause of action according to Zachary Matzo are “duty, breach, causation, and damages” (Matzo, 2015).
Some of the ways people get mistreated is things like misdiagnosis, unnecessary surgeries, premature discharge, not ordering the correct tests or not acting upon tests presented, not following up, wrong dosage or medication, leaving things inside the body after surgery, incorrect care in hospitals resulting in bedsores, persistent pain, or pressure ulcers (medicalnewstoday.com). Any of these or more can cause someone to want compensation, however some people don’t gain the money they deserve thanks to the fact that they either don’t have the money to go to court, wait too long, or don’t realize till it’s too late and the statute of limitations is up. Other times when they are brave enough making it to court they need a testimony from a medical personnel, however, they can’t find someone to testify (abpla.org). Usually most people don’t end up making it to court on the grounds that lawyers are expensive and the legal system can take a while, on the other hand, when a malpractice lawsuit is awarded there’s a great deal of money that the hospital’s insurance or the doctor’s insurance has to pay, the payment could be anywhere from hundreds to millions of
Negligence is when a nurse who is fully capable of caring does not care in the way a reasonably prudent nurse would, and as a result the