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Deleted and Forgotten Text Messages Used to Impeach Testimony*

May 19, 2023

Some electronic health record (EHR) systems do not offer integrated texting apps, which can lead to the use of texting apps that require a separate process to transfer texts to the patient record. Unfortunately, text messages frequently do not find their way into the record.

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Filed under: Digital Health, Case Study, Physician, Patient Care, Documentation, culture of safety

Strategies for Reducing Distracted Practice Risks of Texting in Healthcare

May 19, 2023

Text messaging often serves as a distraction. And distractions, in general, increase the risk of patient injury.1 Whether work related or personal, texting generally involves cognitive, visual, and manual tasks. Like phone calls; pages; alarms; and colleague, patient, and patient family requests, text messaging increases the already immense amount of information received and processed during patient care.2

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Filed under: Digital Health, Best Practices, Physician, Patient Care, culture of safety

Compromising Statements in Text Messages Complicated Defense of a Malpractice Claim

May 19, 2023

Texting can blur traditional patient-physician boundaries. The loosening of social inhibitions in the online environment often allows people to behave differently than they would in person, a phenomenon known as the online disinhibition effect.

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Filed under: Digital Health, Patient Communication, Informed Consent, Case Study, Physician, Patient Care, Documentation

Opioid Prescribing for Chronic Pain: Case Studies and Best Practices

April 27, 2023

More than 68,000 Americans died of opioid-involved overdose in 2020—a 37.6 percent increase over 2019, and the largest yearly increase in opioid-involved overdose deaths in two decades.1,* A total of 16,416 (23.9 percent) of those deaths involved prescription opioids.1 Approximately 21 to 29 percent of patients prescribed opioids for chronic pain misuse them,2 and between 8 and 12 percent of patients prescribed opioids for chronic pain will develop an opioid use disorder (OUD).2 It’s no surprise, then, that overdose death involving opioids is referred to as “a public health emergency” and an epidemic.3,4

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Filed under: Pain Management, Best Practices, Practice Manager, Physician, Opioids, Patient Care, Medication Management, Claims Rx

Manage Challenging Patients to Reduce Physician Burnout

April 1, 2023

Alone or in combination, various patient, physician, and healthcare environment issues can contribute to patients being perceived as difficult. And, since physician burnout can both increase the incidence of challenging patient encounters1 as well as result from these encounters,2 reducing physician burnout stressors and reducing the factors contributing to physician-perceived difficult encounters could help mitigate both.

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Filed under: Best Practices, Practice Manager, Physician, Physician Burnout, Professional Wellness



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