The Medical Malpractice Survival Handbook Emergency Medicine Golden Rules

1. The Medical Malpractice
Survival Handbook
Emergency Medicine
Golden Rules

2. 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

3. 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

4. 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

5. 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

6. 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

7. Discharge documentation must be
specific and detailed
出院紀錄務必精確且詳細

8. 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

9. Maintain a team atmosphere
in the emergency department
維持良好的急診團隊氣氛

10. 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

11. Beware of the
dangers of
shift change
當心輪班交班的危險