About a year and half out of residency, had a few bad outcomes since working, mostly things that I had no control over. Mainly 2 patients which were discharged. One was a young pt that came in intoxicated and sobered up and had no real complaints, discharged, ended up having a head bleed, did okay otherwise.
I'm usually fairly middle of the pack in terms of amount of CTs and workup, but now I feel like I'm scanning anyone and everyone that comes in. I think most of the anxiety comes from missing something like that again, and risk of litigation or problems with re-credentialing by the medical staff.
(Side note, how often have you guys seen significant PEs in pepole with a normal dimer? Otherwise low/medium risk per Wells?)
Any advice on how to come back to practicing more reasonably after outcomes like these?
Especially for you minimalists out there, how do you prevent bad outcomes from affecting your practice? Or do you?
I'm usually fairly middle of the pack in terms of amount of CTs and workup, but now I feel like I'm scanning anyone and everyone that comes in. I think most of the anxiety comes from missing something like that again, and risk of litigation or problems with re-credentialing by the medical staff.
(Side note, how often have you guys seen significant PEs in pepole with a normal dimer? Otherwise low/medium risk per Wells?)
Any advice on how to come back to practicing more reasonably after outcomes like these?
Especially for you minimalists out there, how do you prevent bad outcomes from affecting your practice? Or do you?