how often are ER docs sued?

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Speaking of Greg Henry and in a completely non-compensated plug, give his monthly audio series "Risk Management Monthly" a listen. It's done by the same guys as EM Abstracts and EMRAP and, IMHO, is very interesting and educational about medicolegal issues.

Take care,
Jeff
 
Be careful what you wish for. About 80% of cases are settled in favor of doctors - and that is with general public juries. A professional level panel might find that fault that was not uncovered by the scumbag and not handed cleanly to the general jury. (Greg Henry may have been the one that pointed this out last year or so.)
I've been told that 80% too, but if the total number of cases dropped by two thirds or more, would it matter if the rate was 50%?
 
I've been told that 80% too, but if the total number of cases dropped by two thirds or more, would it matter if the rate was 50%?

The number of cases should be number of patients where a diagnosis was missed or who suffered negligence where there was harm to the patient.

What percentage of actual cases meet this standard?

If there's no harm AND inappropriate medicine then there should be no case.
 
The number of cases should be number of patients where a diagnosis was missed or who suffered negligence where there was harm to the patient.

What percentage of actual cases meet this standard?

If there's no harm AND inappropriate medicine then there should be no case.

in a perfect world, yup! I guess that whole standard is supposed to be balanced by the fact that cases are won in both directions that shouldn't be. Just sucks to be on the losing end of that balance.
 
The number of cases should be number of patients where a diagnosis was missed or who suffered negligence where there was harm to the patient.

What percentage of actual cases meet this standard?

If there's no harm AND inappropriate medicine then there should be no case.

Isn't that the current standard for conviction?
Duty to the patient.
Dereliction of that duty which directly leads to damages.

The problem is that you can try and sue for anything. And with those obnoxious commercials from "Stanley the Douchebag Hammer" promising money. So while there's a large percentage of cases thrown out, and a large percentage of cases decided in favor of the physicians, there are tons more cases settled out of court, and tons of accusations just fishing for money.

The fact is most patients don't have clue if they received good care or not. And good care doesn't matter. Patients sue because they're pissed off about something, whether it's a bad outcome (most likely) or because you weren't nice enough to them when you were busy saving their life.

Trust no one and document well. That's all you can do.

An attorney friend of mine pointed out that people might sue less if their continuing medical costs, either the result of an error or just because of chance, were guaranteed by some entity and they didn't have to worry about expenses. There may be some truth to that, but every other country who promises universal care has a much less litigenous population, and their courts are not as easily abused as ours. They actually protect their docs.
 
...There may be some truth to that, but every other country who promises universal care has a much less litigenous population, and their courts are not as easily abused as ours. They actually protect their docs.
In GB the loser pays, so there is more risk for 'the little guy.' The fear in the US is that the poor will not have the finances to pursue a valid case.
 
I just got a summons for a case I had way back as a 2nd year resident. What's funny (tho I aint laughing) is that I presented this case as a resident to sort of brag about how well I handled it...now I'm getting sued for it.

Anyone know from experience what effect having been in training at the time of a case has on the outcomes of suits?
 
Anyone know from experience what effect having been in training at the time of a case has on the outcomes of suits?

No, but my thoughts are with you. Good luck as you deal with this.

May it be over quickly with as little pain as is possible.

Take care,
Jeff
 
I just got a summons for a case I had way back as a 2nd year resident. What's funny (tho I aint laughing) is that I presented this case as a resident to sort of brag about how well I handled it...now I'm getting sued for it.

Anyone know from experience what effect having been in training at the time of a case has on the outcomes of suits?

i would have to think your attending would be held responsible, not you. my thoughts are with you as well
 
To echo "it's never who you thought it would be"...

that's exactly what a colleague (who is the single best in the group of 60 docs) told me - it's never the person you think has "the license to kill" or the patient that you fret over - it is a patient that seemed normal, and one of the docs you think is competent, and one where the chart appears nice and tidy.
 
I completely agree with Apollyon. When a case starts going sideways, usually you can realize it and take corrective action. It's the patient that never crossed your radar as a problem that gets you.
 
Wilco - good luck with everything. Hope it all turns out to be nothing.
 
Thanks all. I wont discuss the case here, but after review I think everything was completely within the standard of care - hopefully that is clear to others who review the chart.

Now, the filing of the suit, which occurred a week after the statute of limitations was up (I guess they can get away with that BS!), that's a different story.
 
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