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April 19, 2024, Anesthesia and Analgesia
Anesthesia-Related Closed Claims in Free-Standing Ambulatory Surgery Centers
As higher acuity procedures continue to move from hospital-based operating rooms (HORs) to free-standing ambulatory surgery centers (ASCs), concerns for patient safety remain high. We conducted a contemporary, descriptive analysis of anesthesia-related liability closed claims from The Doctors Company to understand risks to patient safety in the free-standing ASC setting, compared to HORs.

February 02, 2021, Business Insurance
Improved Risk Management a Welcome Step Forward
David L. Feldman, MD, MBA, FACS, chief medical officer for The Doctors Company and for the TDC Group of companies, is among experts quoted and notes how telemedicine provides the increased ability to create accurate medical records as the physician-patient encounter occurs.

Professional Education
HIPAA Fundamentals 2024 Edition
This on-demand program provides an orientation to the basic requirements of the Health Insurance Portability and Accountability Act (HIPAA) and resources for valuable staff training. HIPAA gives patients many rights concerning their health information. This program provides timely information on the HIPAA Privacy, Security, and Breach Notification Rules, such as the type of information that is protected, who must comply with the rules, and how patient information can be used and disclosed.

TDC Group Supports Pediatric Cancer Research and Helps Seniors Stay H.O.M.E.
The employees of TDC Group—The Doctors Company, Healthcare Risk Advisors, TDC Specialty Underwriters, and Medical Advantage—consistently demonstrate their generosity to the causes they care most about. Many seek matching funds from the TDC Group Employee Gift Matching Program to double their donations to causes they care about.

Video Sep 04, 2018

What to Expect from Litigation: Dr. Gupta's Perspective
Adverse outcomes sometimes occur even when physicians follow the standard of care and do all they can for their patients. This video, the third in a series showcasing actual claims experiences, highlights the stress and worry that accompany a medical malpractice lawsuit. Emergency medicine physician Dr. Malkeet Gupta recounts how being sued for medical malpractice affected him.

Professional Education
Test Tracking and Referrals: Strategies for Advanced Practice Clinicians
Tracking of tests and consults is critically important in preventing diagnostic errors and preventing patient harm. The risk factors triggering an alleged malpractice claim were primarily related to the breakdown in clinical systems for test result management. Failures of systems often prevent providers from making timely and accurate diagnoses. Testing failures included test performance issues, misinterpretation of studies, receipt, and transmittal problems. Follow-up failures included lack of physician follow-up with the patient, referral management, inadequate provider to provider communication and patient noncompliance.

Nov 08, 1999
Billions for Defense: The Pervasive Nature of Defensive Medicine
Richard E. Anderson, MD, FACP, Chairman, Board of Governors, The Doctors Company
Physicians practice defensive medicine all the time—some acknowledge and accept it, while others believe it is untrue and unconscionable. The Doctors Company CEO and Chairman Richard E. Anderson, MD, FACP, examines the pervasive nature of defensive medicine in this article.

Mar 20, 2019
Study of Malpractice Claims Involving Children
Darrell Ranum, JD, CPHRM, Vice President, Patient Safety and Risk Management
The Doctors Company analyzed 1,215 claims filed on behalf of pediatric patients that closed from 2008 through 2017. The study is based on the claims filed against physicians in 52 specialties and subspecialties and includes an overview of the most common types of claims, expert insights into the specific elements that led to patient injury, and risk mitigation strategies.

Professional Education
Delayed Diagnosis of Sepsis (Claims Corner CME)
In reviewing closed malpractice claims, The Doctors Company has identified delayed diagnosis and treatment of sepsis as a serious problem that can result in significant morbidity and mortality. This article highlights the importance of timely recognition of symptoms that point to a diagnosis of sepsis, and the need for quick initiation of treatment. Factors contributing to the delayed diagnosis and treatment of sepsis are discussed, including clinical judgment errors such as failure to note the importance of significant clinical symptoms, failure to seriously consider sepsis as high on the differential diagnosis, failure to use a sepsis recognition tool as an adjunct to the exam, failure to order appropriate tests to rule out sepsis before assuming another diagnosis, and failure to admit the patient to the hospital for treatment.

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