Annals of EM Malpractice Editorial

Keel Coleman keelcoleman at GMAIL.COM
Thu Feb 15 16:08:52 UTC 2018

Long time reader, first time poster.
Attached find an editorial from Annals of Emergency Medicine regarding a
study of malpractice claims.

*The editorial reviews the current literature looking for three things:*
*1. Are their practice patterns or decisions by EM providers that are
associated with increased likelihood of being named in a suit? *
 Answer: No. None that we can find.

*2. Are there identifiers for EM providers that are associate with
likelihood of being named in a suit?*
Answer: Yes. Time in practice (number of years), and number of pts seen.

3. *What other avenues might we study to further understand patterns of
malpractice litigation?*
Answer: Look at your local patient-plaintiff attorney relationships.

Given these answers, what can be done to first protect patients from the
wages of defensive medicine, and deranged decision making driven by the
fear of of litigation?

Second, what can be done to support physicians who will certainly find
themselves in the crosshairs of litigation despite doing 'the right thing'
every day?

Third, as the study of indemnity claims moves to focus on local variability
of malpractice environments, how do we maintain objectivity and best
practices when a care space becomes adversarial by virtue of its location?

Thank you.
Keel Coleman DO, MBA, FACEP

Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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