HOME >> MEDICINE >> NEWS
Fear of lawsuits affects emergency physicians' heart care decisions

Emergency physicians who have the greatest fear of malpractice suits are more likely than their colleagues to admit and order tests for patients with chest pain or other heart symptoms, even if those patients are at low risk for actual problems, according to a study led by a University of Iowa researcher.

These findings were based on surveys of 33 emergency doctors who participated in a prospective study of 1,134 patients at two teaching hospitals. The results appear in the July 13 online issue of the Annals of Emergency Medicine.

Nearly seven million Americans seek emergency care for heart-related symptoms each year, and nearly half of these individuals are hospitalized or admitted for further evaluation. However, most of these patients are subsequently shown not to have acute coronary syndromes such as unstable angina or heart attack.

Given the vast number of patients involved, these findings have implications for understanding how the practice of "defensive medicine" may increase the cost of health care, said the study's lead investigator, David Katz, M.D., associate professor of internal medicine in the UI Roy J. and Lucille A. Carver College of Medicine.

"The fear of malpractice accounts for a significant portion of the variability in what doctors do in the emergency room," said Katz, who also is a staff physician and researcher with the Department of Veterans Affairs Iowa City Health Care System.

Katz said the UI-led study was unique in focusing on a single clinical scenario and in examining documented physicians' decisions, instead of just asking physicians to report how concern over lawsuits affects what they do.

Through a survey of the emergency physicians, the researchers used a "malpractice fear scale" to rank the doctors into high-, medium- and low-fear groups. Then, by analyzing patient records, the team determined that physicians with the greatest fear of malpractice were less likely to discharge low-risk pa
'"/>

Contact: Becky Soglin
becky-soglin@uiowa.edu
319-335-6660
University of Iowa
13-Jul-2005


Page: 1 2 3

Related medicine news :

1. Obesity lawsuits lessons learned from tobacco litigation
2. Practice of defensive medicine widespread among physicians in specialties at high risk of lawsuits
3. Prevalence of concussion effects linked to pot of gold lawsuits, researcher says
4. Threats to hope -- Desperation affects reasoning about product information
5. New survey uncovers how insomnia affects job performance and safety
6. Sleep restriction affects childrens speech
7. Born to lose: How birth weight affects adult health and success
8. Conception date affects babys future academic achievement
9. Sleep quantity affects morning testosterone levels in older men
10. Position of car indicator lights affects safety -- designers should take note
11. American Journal of Lifestyle Medicine from SAGE explores how lifestyle affects heart disease

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/11/2019)... ... , ... Autopsies don’t lie. They report the causes of death as ... harms the heart. It increases risks of heart attack and death. Autopsies ... damage occurs. , An August 1, 2019 article in U.S. News ...
(Date:9/11/2019)... , ... September 10, 2019 , ... ... the team. Dr. Hesano is an understanding, caring and highly skilled Obstetrician/Gynecologist. ... obstetrical medicine. Dr. Hesano strives to ensure that each visit is comfortable, patient-focused, ...
(Date:9/9/2019)... ... September 09, 2019 , ... ST Engineering ... International will integrate the iDirect iQ 200 Board and the latest Evolution® software ... for first responders. The iQ 200 Board will enable the HARRIER solution to ...
(Date:9/9/2019)... ... September 09, 2019 , ... On ... organization-wide policy focusing on a diabetes-language movement (#LanguageMatters) to include oral and written ... non-judgmental, free from stigma, respectful and inclusive, empowering, and person-centered (to include care ...
(Date:9/8/2019)... ... 2019 , ... The reviews from patients of ABM Medical Clinic who have ... and pain free fat loss system, has patients booking their sessions and recommending this ... uses state of the art technology incorporating radio frequency and heat to rid the ...
Breaking Medicine News(10 mins):
(Date:9/11/2019)... ... September 11, 2019 , ... HOLLOWAY AMERICA, a leading manufacturer ... beverage to pharma and chemical, recently announced it will showcase its problem-solving vessels and ... , HOLLOWAY AMERICA’s first stop will be at ISPE San Diego’s 27th Life ...
(Date:9/11/2019)... ... 2019 , ... Pivot Point Consulting is excited to announce ... Partnerships team. Maris brings two decades of experience with Cerner—leading both sales ... as a Technical Implementation Leader representing the Technical Engagement Leader community. , Pivot ...
(Date:9/9/2019)... , ... September 09, 2019 , ... ... Shoreline Periodontics & Dental Implants host the latest course in their Synergy Study ... Mystic, CT and features guest speaker Dr. Peter Barndt. Synergy Study Club brings ...
Breaking Medicine Technology:
Cached News: