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Patient Safety and Liability Risks Associated with Texting in Healthcare: Case Studies and Best Practices

May 19, 2023

Text messaging has changed the way we communicate with each other. Like most people, healthcare team members use their mobile devices at work,1,2,3 and texting about patients is common.4 Texting with patients and other members of the healthcare team has risks and benefits.

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Filed under: Digital Health, Patient Communication, Article, Practice Manager, Physician, Patient Care, Documentation, culture of safety

Contradictory Text Messages Contributed to Patient Misinterpretation of Care Instructions

May 19, 2023

Texting presents unique communication challenges. The brevity and casual nature of text communication that makes it convenient can also make it inappropriate in a healthcare setting. One key to using text messaging in healthcare is to know when an in-person or telephone conversation is necessary. Telephone conversations allow for important information to be exchanged with greater ease, and a more natural opportunity for questions and responses.

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

Poor Documentation of Text Messages Complicated Defense of a Malpractice Claim

May 19, 2023

Text messaging can provide quick, efficient communication between physicians and patients. In malpractice litigation, it can also prove physician attentiveness and responsiveness. However, text messages can complicate the defense of a malpractice claim, particularly if they are not integrated into the patient record. Consider how documentation issues unnecessarily complicated the defense in the following case.

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

Poor Patient Activation Leads to Claim of Negligent Disease Management

November 13, 2018

Patient activation has a significant effect on a patient’s management of chronic disease.1 Various studies indicate that promoting discussion and problem solving to help chronic disease patients make informed self-management choices on an ongoing basis increases activation and improves outcomes.2

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Filed under: Patient Relationship, Patient Communication, Case Study, Physician
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