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January 31, 2025, PSQH: The Podcast
PSQH: The Podcast Episode 122 – The Growing Role of Advanced Practice Clinicians
Laura Kline, MBA, CPCU, Senior Vice President of Business Development for The Doctors Company and TDC Group, discusses how nurse practitioners and physician assistants are taking on greater responsibility in primary care delivery. These expanded roles offer opportunities for all members of the healthcare delivery team to operate at the top of their licenses.

Professional Education
Preventing Errors in Preoperative Clearance (Claims Corner)
Primary care providers (PCPs) routinely manage complex elderly patients with multiple comorbidities who require elective surgery. Errors can occur when providers are rushed, there is a lack of effective interoffice communication, and the patient has a low health literacy. Communication and care coordination issues are commonly noted among PCPs and consulting specialists. The Doctors Company has analyzed closed claims where PCPs have been held responsible for failures in surgical mismanagement, specifically preop clearance. This program will highlight the contributing factors identified in malpractice claims involving medical clearance and provide practice strategies for reducing liability risk.

Professional Education
Missed Medical History Leads to Adverse Outcome (Claims Corner)
The Doctors Company has identified patient assessment issues and communication failure between providers as key contributors to malpractice claims. This dental case study describes how inadequate patient history taking and poor communication can lead to an adverse patient outcome. The lessons learned in this course are applicable to all healthcare professionals.

Professional Education
Failure to Diagnose Congenital Asplenia Results in Tragic Patient Outcome (Claims Corner CME)
Referral process system failures can contribute to delayed diagnosis of serious conditions which can lead to severe consequences for patients. Problems can arise when referral is needed but is not initiated properly or timely, when the specialist does not ensure their recommendations are fully and clearly communicated back to the referring clinician, when the referring clinician does not understand or act on the specialist’s recommendations, or when the referring office fails to track their open referrals to ensure they have received all consultation reports. This program will examine a malpractice case involving all the above referral-related deficiencies, leading to a catastrophic result for the patient and significant liability for the involved clinicians. Risk management strategies will be provided for any practice to improve the referral process and to prevent similar tragedies from occurring.

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