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Thepiaa.org

Emerging Risk in
American Medical
Professional Liability
Richard E. Anderson, M.D.
Chairman and Chief Executive OfficerThe Doctors Company, Napa, California
• Risk creation industry• Massive change in American health care – 50% bigger than Microsoft and twice as – Overall tort tax about $865 billion per year 2. Fosamax and Other Bisphosphonates Litigation Group Roundtable
3. Expert Witness (Daubert) Litigation Group Roundtable
5. Pain Pumps - Chondrolysis Litigation Group
6. Vaccine Litigation Group Meeting
7. Embolization Devices (Cyanoacrylates) Litigation Group Meeting
Bisphenol - A/Phthalates Proposed Litigation Group 12. Liquor Liability Litigation Group Roundtable 13. Toxic Mold Litigation Group Roundtable 14. Inadequate Security Litigation Group 15. Motorcycles Proposed Litigation Group 16. Workers' Compensation and Workplace Injury Luncheon and Meeting 17. Heparin Litigation Group
18. Complex Regional Pain Symdrome (RSD) Litigation Group Meeting
19. Selective Serotonin Reuptake Inhibitors (Anti-Depressants) Litigation Group Roundtable
20. Avandia Litigation Group Roundtable
21. Heart Devices Litigation Group Meeting
22. Digitek Proposed Litigation Group Meeting
23. Fentanyl Litigation Group Roundtable 24. Benzene/Leukemia Litigation Group Roundtable 25. Construction Defects-Property Damages (Residential and Commercial) Litigation Group Roundtable 26. Kugel Mesh Litigation Group Roundtable
27. Laser Eye Surgery Malpractice Litigation Bring Your Files Forum and Roundtable
28. Seroquel and other Anti-Psychotic Drugs Litigation Group Roundtable
29. Birth Trauma Litigation Group Meeting
30. Human Bone & Tissue Recovered from Cadavers Litigation Group
31. Electric Blankets and Heating Pads Litigation Group Roundtable 32. Gastric Bypass Litigation Group
34. Nursing Homes Litigation Group Bring Your Files Forum and Roundtable
35. Burn Injury, Crane & Aerial Lift Injury Litigation Groups Bring Your Files Forum, Roundtable
and Elections
36. Child Sex Abuse Litigation Group Roundtable 37. Chiropractic Malpractice Proposed Litigation Group
38. Gas Fire & Explosions Litigation Group 39. Schools: Violence, Misconduct, and Safety Litigation Group 40. Traumatic Brain Injuries Litigation Executive Committee
42. Orthopedic Implant Litigation Group Roundtable
43. AMO Complete Moisture Plus Eye Care Solution Litigation Meeting
44. Bad Faith Insurance Litigation Group Roundtable 45. Medical Negligence Information Exchange Litigation Group
47. Lawn Mower Litigation Bring Your Files Forum and Roundtable 48. Traumatic Brain Injuries Litigation Group
49. Railroad/Highway Crossing & Derailment Litigation Group and Railroad Law Section Joint Meeting and 50. Construction Site Accidents Litigation Group Meeting 51. Ortho Evra Litigation Group
52. Hormone Therapy Litigation Group Meeting
53. Gadolinium Litigation Group Meeting
54. Trasylol Litigation Group Roundtable
55. Telemarketing, Spam, or Junk Fax Litigation Group 56. Levaquin Litigation Group
57. Propulsid Litigation Group Roundtable
58. Nuva Ring Proposed Litigation Group
59. Electronic Discovery Litigation Group Roundtable 60. Pharmacy Liability Litigation Group Roundtable
62. Vioxx/Bextra (and other Cox-2 NSAIDs) Litigation Group
63. Breast Cancer Litigation Group Roundtable
64. Chantix Proposed Litigation Group
65. Bausch & Lomb Contact Lens Solution Litigation Group Meeting
66. Taser Litigation Group Bring Your Files Forum and Roundtable • Holy Grail/Sword of Damocles• Transitions• Outages/data loss• Privacy/unauthorized access• Software standard of care• “Alert fatigue”• Because we can, must we?• E-discovery – Accepted in 20 other states and D.C.
– Allows recovery if physician's action reduces – Diagnosis and treatment of data, not • Licensing issues• 24/7 availability?• Local, national, or international • JCAHO• Patient Safety and Quality Improvement – Patchwork legislative enabling legislation– Infinitely variable local and institutional further, doctors practice faster, looser, and – Non-system becomes ever more incoherent • Unfunded mandates• Moral and ethical concerns clash with • Behind every scientist pushing back the limits of knowledge and the possibilities medical discovery, there is a plaintiff’s • Abortion• Wrongful life• Contraception – Adequate defense more difficult– Bad faith specter enhanced • Regime change in U.S.
• Increased regulatory pressure • Risk aversion• Societal rather than personal • New areas of health care litigation grow • Market dynamics make this worse• Cultural expectations represent a risk

Source: http://thepiaa.org/docs/INT/Tools_Resources/Anderson_2008.pdf

themgo.com

Using Second-Generation Antidepressants to Treat Depressive Disorders: A Clinical Practice Guideline from the American College of Physicians Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD; Thomas D. Denberg, MD, PhD; Mary Ann Forciea, MD; and Douglas K. Owens, MD, MS, for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians* Description: The American College of Ph

Jkmc vol 2 no 2 iss4 cs55 book.indb

Journal of Kathmandu Medical College, Vol. 2, No. 2, Issue 4, Apr.-Jun., 2013Sanjaya Mani Dixit, Lecturer, Department of Pharmacology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal Abstract Background: AL

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