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Adolescent Consent and Privacy: Case Studies and Best Practices

June 25, 2020

Adolescent autonomy and privacy are affected by a tangled web of state and federal laws that clinicians are expected to know and abide by. As a rule, adolescent patients cannot give consent for their own medical treatment before they reach the legal age of majority, which, in most states, is 18. The circumstances in which adolescent patients can consent to their own medical treatment vary by state; however, most states have consent exceptions based on an adolescent’s legal status (e.g., married, emancipated) and select medical conditions (“sensitive medical conditions”).

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Filed under: Article, Patient Care

Can Curatives Kill? Reducing the Risk of Medication Error

May 11, 2020

An adverse drug event (ADE) is defined as “harm experienced by a patient as a result of exposure to a medication.”1 The Institute of Medicine says an ADE is “an injury resulting from a medical intervention.”2 Like any adverse event, occurrence of an ADE does not necessarily indicate an error or poor quality care. However, adverse drug events account for nearly 700,000 emergency department visits and 100,000 hospitalizations annually.1

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Filed under: Prescribing & Medication, Article, Practice Manager, Physician, Medication Errors, Patient Care

Managing Risk on the Business Side of Medicine: Case Studies and Best Practices

August 26, 2019

Running a medical practice involves making business decisions that can increase the risk of adverse patient outcomes, professional liability, and regulatory violations. Yet, the skills and training that support conscientious, excellent medical care do not always facilitate skilled business decision-making.1,2

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Filed under: Article, Practice Manager, Business of Medicine

Responding to Negative Physician Reviews

August 26, 2019

Physicians sometimes call NORCAL Group Risk Management department for advice after a patient has posted a negative review online. Some callers want confirmation that fighting back in court or online is appropriate, but these seemingly satisfying solutions can backfire.

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Filed under: Article, Practice Manager, Reputation Management

Granting Patient Refund Requests: Risks and Benefits

August 26, 2019

Issuing a refund or reimbursement to a dissatisfied patient may seem like a simple solution to a potentially complicated problem. However, there are many different issues to consider that may not be immediately apparent.

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Filed under: Article, Practice Manager, Business of Medicine

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