Managing Risk in the ED


Key Chapter Points

ED physicians ranked 5th in frequency of malpractice claims. ED headache is not a diagnosis commonly associated with litigation. The “difficult patient” encounter usually occurs because of a combination of patient, healthcare provider, and situational factors. Be the BOSS when dealing with patients making unreasonable demands bysetting Boundaries, utilizing multiple treatment Options, Scripting responses to common patient concerns, and treating patients with Sincere concern and respect. Most errors in diagnosis in the ED stem from errors in thought processes during decision making rather than lack of knowledge. Physicians must understand the laws of their state and make sure that their diagnostic approach and approach to informed consent complies with state laws.


Analgesic overuse headache Context errors Drug seeking Informed consent Litigation Malpractice Metacognition 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of PittsburghPittsburghUSA
  2. 2.Dean Health SystemsMadisonUSA

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