In this episode of Rapid Risk Review, host Brad Byrne and risk management professional Joanne Simmons discuss the complexities and risks associated with ketamine therapy. They explore the importance of understanding FDA approvals, provider qualifications, emergency preparedness, patient screening, and thorough documentation. The conversation emphasizes the need for a well-structured clinical team and the critical nature of evaluating patients before administering ketamine therapy, particularly for treatment-resistant conditions.

Takeaways

• Ketamine therapy is growing in popularity but carries significant risks.
• Only esketamine is FDA approved for certain mental health conditions.
• Provider qualifications must match the complexity of ketamine therapy.
• Emergency preparedness is essential for safe ketamine administration.
• Patients should not have access to ketamine outside clinical settings.
• Thorough patient evaluation is crucial before treatment.
• Documentation of informed consent and treatment history is necessary.
• Supervision of multiple sites remotely is not acceptable.
• Ketamine therapy should be a last resort for treatment-resistant cases.
• Clear communication about risks and alternatives is vital.

Keywords

ketamine therapy, healthcare risks, FDA approval, provider qualifications, emergency preparedness, patient screening, treatment documentation, mental health, chronic pain, depression

In this episode, guest Dr. Gita Pensa discusses the significant impact of medical malpractice litigation stress on healthcare providers. She explores the psychological and physical effects of litigation stress, the cultural stigma surrounding it, and the changing public perception of physicians, especially post-pandemic. The conversation highlights the increasing burnout among healthcare providers and emphasizes the need for advocacy and collective action to address these challenges. Dr. Pensa shares her personal experiences and insights on how physicians can navigate the complexities of litigation while maintaining their well-being and advocating for systemic change in healthcare.

Keywords

medical malpractice, litigation stress, physician wellbeing,burnout, patient safety, healthcare advocacy, emotional health, public perception, medical liability, physician support

In this episode, healthcare risk management professionals Bradley Byrne and Jennifer Freeden discuss the pervasive issue of misinformation in healthcare. They explore the unique risks posed to healthcare professionals and patients, the erosion of trust in patient-provider relationships, and practical strategies for addressing misinformation. Thediscussion highlights the importance of clear communication, understanding patient perspectives, and fostering trust to mitigate the impact of misinformation in healthcare settings.

  Keywords

misinformation, disinformation, healthcare, patient trust, risk management, communication strategies, social media, medical misinformation, patient-provider relationship, healthcare practices, misinformation strategies

Takeaways

• Misinformation includes both unintentional and intentional false information.
• The COVID-19 pandemic has exacerbated the spread of misinformation.
• Social media is a primary source of health information for many patients.
• Misinformation can erode the patient-provider relationship.
• Practices need to prepare staff for conversations about misinformation.
• Physicians should approach misinformation academically and without defensiveness.
• Building trust with patients is crucial in addressing misinformation.
• Proactive measures can help mitigate the impact of misinformation.
• Evidence-based resources should be made available to patients.
• Misinformation is likely to remain a significant issue in healthcare.

In this episode of ProAssurance's Rapid Risk Review podcast, host Lesley Lopez Viner discusses key legislative issues impacting healthcare with Clayton Stewart, Chief Lobbyist for the Texas Medical Association, the largest state medical association in the country. They explore federal advocacy issues, pressing challenges in medicine, recent legislative successes in Texas, and the importance of physician involvement in advocacy efforts nationwide. The conversation highlights the importance of effective communication with legislators and the significance of engaging in the political process to protect the interests of both physicians and patients.

Keywords

healthcare legislation, physician advocacy, Medicarepayments, Texas Medical Association, public health, tort reform, prior authorization, women's health, legislative wins, healthcare policy

In this episode of Rapid Risk Review, risk management professionals Michele Crum and Tracy Valentine join host Brad Byrne to discuss the critical concept of safety culture in healthcare. They explore the importance of open communication, leadership engagement, and staff empowerment in fostering a culture of safety. The conversation explores real-world examples, the role of leadership in shaping a safety culture, and practical strategies for implementation. The episode highlights the importance of transparency and accountability, as well as the significance of evaluating the effectiveness of safety culture initiatives.Takeaways

• A culture of safety empowers staff to report concerns.
• Open communication is essential for improving processes.
• Leadership plays a crucial role in shaping safety culture.
• Celebrating near misses can lead to better outcomes.
• Transparency with patients builds trust and safety.
• A strong safety culture enhances staff morale and reduces turnover.
• Training and onboarding should emphasize safety culture expectations.
• Regular feedback from leadership encourages reporting.
• Measuring success includes tracking event reports and outcomes.
• Creating a positive narrative around reporting can improve engagement.

Keywords

safety culture, healthcare, risk management, leadership, patient safety, communication, transparency, accountability, empowerment, healthcare outcomes

In this episode, guests Laura Ekery and Michele Crum join host Lesley Lopez Viner to discuss the critical topic of disclosure following adverse events in healthcare. They explore the definition of disclosure, its importance in maintaining trust between healthcare providers and patients, and the key principles that guide effective communication. The conversation underscores the importance of transparency, the role of apologies, and the necessity of accurate documentation. The panel also addresses common questions that arise in the wake of an adverse outcome and provides resources for healthcare providers to navigate these challenging conversations.

Takeaways

• Disclosure involves conversations about unanticipated outcomes.
• Patients need facts to make informed decisions.
• Open communication builds trust and can prevent lawsuits.
• Apologies should be approached carefully to avoid liability.
• Preparation is key for effective disclosure conversations.
• Documenting the disclosure process is crucial for legal protection.
• Understanding patient emotions is essential during disclosure.
• Disclosure can lead to immediate resolution of issues.
• Healthcare providers should consult legal advice before disclosure.
• Transparency in healthcare is increasingly important.




Keywords

medical liability, risk management, patient safety, disclosure, adverse events, healthcare communication, apology laws, documentation, patient trust, healthcare transparency

In this episode of Rapid Risk Review, host Brad Byrne, along with colleagues Mallory Earley and Kelly Riedl, delve into the complexities of informed refusal in healthcare. They discuss the importance of informed consent, the ethical implications of patient autonomy, and the necessity of thorough documentation when patients refuse care. The conversation emphasizes the need for healthcare professionals to navigate these situations with clarity, compassion, and compliance, ensuring that patients are fully informed of the risks and consequences of their decisions.Takeaways

• Informed refusal is a critical aspect of patient care.
• Patients have the right to refuse treatment if they understand the risks.
• The informed consent process is essential before discussing refusal.
• Documentation of refusal is crucial for legal protection.
• Patient-centered care involves shared decision-making.
• Healthcare professionals must respect patient autonomy.
• Understanding a patient's capacity for decision-making is vital.
• Communication is key when addressing patient refusals.
• Ethical principles guide the handling of refusal cases.
• Refusal of care should not lead to termination of the patient relationship.

Keywords

informed refusal, patient care, medical ethics, risk management, consent process, healthcare decisions, patient autonomy, documentation, shared decision-making, refusal of treatment

In this episode of ProAssurance’s Rapid Risk Review podcast, guests Joanne Simmons, Lanette Williams, and Carrie Ermshar discuss the critical role of setting realistic expectations with residents and their families in senior care communities. They emphasize that clear communication and transparency are essential for reducing risk, building trust, and improving care outcomes. The conversation explores key risk management areas—including falls, skin breakdown, and medication management—while underscoring the importance of ongoing family education and engagement. The episode also offers strategies for repairing relationships after miscommunication and highlights the value of consistent quality control in care practices.

Keywords:

senior care, risk management, communication, expectations, family engagement, falls prevention, medication management, trust building, care outcomes, healthcare risks

Takeaways:

• Setting realistic expectations is crucial for effective risk management.
• Open communication fosters trust and improves care outcomes.
• Clear expectations can significantly reduce the likelihood of claims.
• Initial care plan meetings are key opportunities to build trust.
• Educating families on fall prevention policies is essential.
• Skin breakdown is a sensitive issue that requires careful communication.
• Medication reconciliation is a high-risk area that needs clear protocols.
• Daily communications with families are critical for engagement.
• Authenticity and transparency are vital in addressing concerns.
• Setting expectations leads to better partnerships with families.

This episode of Pro Assurance's Rapid Risk Review Podcast delves into the nuances of curbside consults. Risk management professionals Bradley Byrne and Joanne Simmons discuss the benefits and risks associated with these informal consultations between healthcare professionals. They explore the importance of understanding the limitations of curbside consults, the common risks involved, and how physicians can protect themselves during these interactions. The conversation also highlights the role of healthcare organizations in managing curbside consults.

Takeaways:

• Curbside consults are informal consultations between healthcare professionals.
• They can streamline patient care but come with risks.
• Understanding limitations is crucial for physicians.
• Miscommunication can lead to significant risks.
• Lack of documentation creates legal gray areas.
• Healthcare organizations should establish clear policies.
• Physicians must clarify the intent of consultations.
• Always err on the side of caution in ambiguous situations.
• Document appropriately when in doubt.
• Setting boundaries in communication is essential.

Keywords: curbside consults, healthcare, risk management, informal consultations, patient care, physician communication, medical advice, liability, patient safety, healthcare policies

This episode covers the critical issue of workplace violence in healthcare, emphasizing the importance of training, proactive de-escalation techniques, and understanding patient stressors. Claude Howard Jr. shares insights from his extensive experience in law enforcement and healthcare, highlighting strategies for engaging with patients and collaborating with security and law enforcement to create a safer environment for healthcare workers and patients.

Additional Resources:

https://riskmanagement.proassurance.com/bundles#workplace

Takeaways:

• No healthcare worker should feel that part of their job is to be assaulted.
• Proactive de-escalation training is essential for all staff.
• Understanding patient stressors can help in de-escalation.
• Active listening is key to creating a safer environment.
• Consistent engagement with patients reduces feelings of isolation.
• Involving security early can prevent escalation of situations.
• Collaboration with law enforcement is crucial for safety plans.
• Most incidents of workplace violence do not involve weapons.
• Building rapport with patients can lead to better outcomes.
• Listening to patients helps identify the root of their distress.

Keywords:

workplace violence, healthcare, training, de-escalation, patient engagement, law enforcement, security, mental health, safety, healthcare workers