Print Defensive Medicine

8/18/2019 Print Defensive Medicine

1/15

EFENSIVE

ME ICINE


2/15

PHYSICIAN’S REACTION TOMALPRACTICE:

Partial or

complete

abandonment ofmedical practice

Practice of

DEFENSIVE

MEDICINE

ProfessionalLiabilityProphylaxis

MedicalMalpracticeLiabilityInsurance


3/15

PARTIAL or COMPLETE ABANDONMENT ofPARTIAL or COMPLETE ABANDONMENT of

MEDICAL PRACTICEMEDICAL PRACTICE

After arduous years ofAfter arduous years ofmedia! eduatio"# $ismedia! eduatio"# $is

%$a"tom fear of a suit%$a"tom fear of a suitor t$e distressi"&or t$e distressi"&e'%erie"e of (ei"&e'%erie"e of (ei"&i")o!)ed i" ai")o!)ed i" a

ma!%ratie !iti&atio"ma!%ratie !iti&atio"may ma*e a %$ysiia"may ma*e a %$ysiia"forsa*e t$e )oatio" offorsa*e t$e )oatio" ofsa)i"& !i)es+sa)i"& !i)es+


4/15

PRACTICE O,PRACTICE O,

DE,ENSI-E MEDICINEDE,ENSI-E MEDICINE

INDS!negativenegative

positivepositive


5/15

NE.ATI-ENE.ATI-E


T$e %$ysiia" a)oids%erformi"& $a/ardous

%roedures su$ as:(rai" sur&ery# o%e"0$eart#

s%i"a! sur&ery#radiatio" t$era%y#

a"er sur&ery# et1

"#est Interest $ule%


6/15

POSITI-EPOSITI-E


P$ysiia" %erformsP$ysiia" %erforms

additio"a! m&mt1additio"a! m&mt1

%roedures to%roedures to

a)oid !ia(i!ity2a)oid !ia(i!ity2

Hos%ita!i/atio" of aHos%ita!i/atio" of a

%atie"t for a%atie"t for a

%roedure 3$i$ is%roedure 3$i$ is

usua!!y do"e i" t$eusua!!y do"e i" t$e!i"is!i"is

Co"su!tatio"s toCo"su!tatio"s to

o"4rm dia&"ostio"4rm dia&"ostior t$era%eutior t$era%euti

%ro%osa!%ro%osa! Additio"a! D' testsAdditio"a! D' tests

&VE$'$E('MEN'&VE$'$E('MEN'


7/15

&VE$'$E('MEN'!

A%%!iatio" of amedia! ma"a&eme"t

more t$a" t$at 3$i$is t$e dema"d of t$eoasio"# t$ea%%!iatio" of a

dia&"osti ortreatme"t %roedure3it$out o"ei)a(!ei"diatio"1

C&N'IN)I'* &F C($E(F'E$!

0 t$e si&"s a"d

sym%toms $a)edisa%%eared#

0 3$e" ma'imum re%aira"d re$a(i!itatio"$a)e (ee" a$ie)ed#

or0 3$e" t$e (est %ossi(!e

ure $as (ee"attai"ed1


8/15

5INDS O, O-ERTREATMENT5INDS O, O-ERTREATMENT

▪QUALITATIVE QUALITATIVE

▪QUANTITATIVE QUANTITATIVE


9/15

6ua!itati)e O)ertreatme"t

T$e a%%!iatio" of t$era%euti%roedure or su%%orti)e de)iesordi"ari!y %resri(ed o"!y to mu$

more serious o"ditio"s or for i"7uryor disease di8ere"t from t$e o"e3$i$ su$ treatme"t is direted1

E':%erformi"& CS to a "orma! %re&"a"ya%%!iatio" of ast 3it$ "o 7usti4atio"o"4"eme"t for a mi"or ai!me"t


10/15

6ua"titati)e O)ertreatme"t

)n+usti,ed procedures

E':e'essi)e !a(oratory tests

more '0raysfre9ue"t )isits!o"&er treatme"ti"disrimi"ate %resri%tio"s


11/15

E,,ECTS of O-ERTREATMENT:E,,ECTS of O-ERTREATMENT:

unnecessaryunnecessary

,nancial losses,nancial losses

to patient to patient

unnecessaryunnecessary

,nancial losses,nancial losses

to patient to patient

ris-s of physicalris-s of physical

and emotionaland emotional

harm to patientharm to patient

ris-s of physicalris-s of physical

and emotionaland emotional

harm to patientharm to patient

there may bethere may be

symptoms actuallysymptoms actuallyresultin. fromresultin. from

o/ertreatmento/ertreatment

itself itself

there may bethere may be

symptoms actuallysymptoms actually

resultin. fromresultin. from

o/ertreatmento/ertreatment

itself itself

possible in+urypossible in+ury

to patient thatto patient thatmay ser/e asmay ser/e as

catalyst to acatalyst to a

malpractice suitmalpractice suit

possible in+urypossible in+ury

to patient thatto patient thatmay ser/e asmay ser/e as

catalyst to acatalyst to a

malpractice suitmalpractice suit


12/15

LIABILITY PROPHYLAIS:LIABILITY PROPHYLAIS:

• More ari"& a"dmore *"o3!ed&e of!e&a! duties

• A)oida"e ofdestruti)eritiisms of t$e3or*s of ot$er

%$ysiia"s• 5ee%i"& a" ;idea!<

media! reord

A)oida"e ofA)oida"e of

admitti"& t$i"&sadmitti"& t$i"&s

t$at mi&$t (et$at mi&$t (eo"strued aso"strued as

admissio" of fau!tadmissio" of fau!t


13/15

Ad)ie %atie"t ofAd)ie %atie"t of

a"y i"te"deda"y i"te"ded

a(se"e a"da(se"e a"dreomme"d a"reomme"d a"

a)ai!a(!e a"da)ai!a(!e a"d

9ua!i4ed su(stitute9ua!i4ed su(stitute

More tat a"dMore tat a"da)oida"e ofa)oida"e of

o)ero%timistio)ero%timisti

%ro&"ostiatio"%ro&"ostiatio"

A!3ays seure a"A!3ays seure a" ;i"formed o"se"t


14/15

Secure le.alSecure le.al

ad/ice 0henad/ice 0henso re1uiredso re1uired

No e'%erime"tatio"No e'%erime"tatio"

3it$out e'%!iit3it$out e'%!iit

o"se"to"se"t No a(a"do"me"t ofNo a(a"do"me"t of

%atie"t%atie"t A!3ays &i)e &e"era!A!3ays &i)e &e"era!

i"strutio"si"strutio"s

="dersta"di"& i" t$e="dersta"di"& i" t$ematter of feesmatter of fees


15/15

MEDICAL MALPRACTICELIABILITY INS=RANCE

LI(#ILI'*C&N'$(C'INS)$(NCE

Indemnity orFull Coverage

Insurer can only beliable for the fullamount of coveragein the policy

Print Defensive Medicine

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