The Medical Malpractice Survival Handbook

Emergency MedicineGolden Rules

Detailed history and physical examination will prevent allegations of substandard care

詳細的病史和理學檢查可以免除法庭上標準醫療照護的陳訴和辯解

Nurse–physician discrepancies must be addressed in the medical record

醫護間不一致的處置 務必在病歷上紀錄其理由

Risk factor analysis may help the physician in diagnosing the underlying medical illness

危險因子分析有助於醫師做出正確的臨床診斷

Repeating of patient’s abnormal vital signs is critical to avoid medical errors and to support the high-quality level of care provided

病患反覆出現生命徵象異常，必須嚴格的避免醫療錯誤，並提供高品質的醫療照護

Detailed documentation regarding the patient’s emergency department course, differential diagnosis, and treatment plan is essential in preventing medical malpractice.

詳細的紀錄病患的急診病程、鑑別診斷和治療計畫，是避免醫療疏失的根本

Discharge documentation must be specific and detailed

出院紀錄務必精確且詳細

Communication—making a good impression with the patient and his family is the key to avoid disgruntled patients and prevent medical malpractice

醫病溝通：和病患及家屬建立良好的印象是避免病患不滿和醫療糾紛的關鍵

Maintain a team atmospherein the emergency department

維持良好的急診團隊氣氛

Honesty regarding medical mistakes or errors has been shown to decrease medical malpractice claims

誠實的面對醫療錯誤 可以減低醫療賠償的金額

Beware of the dangers of shift change

當心輪班交班的危險