Effectiveness of a Medicolegal Lecture on Risk-Reduction Medical Record Documentation by Pediatric Residents

Abstract

Objective. To determine the effectiveness of a medicolegal lecture on risk-reduction documentation by residents in a pediatric emergency department. Design/Methods. Pediatric residents at an academic children’s hospital were offered a 1-hour lecture on reducing medicolegal risks. Residents in attendance made up the intervention group (IG) and nonattendants were the control group (CG). The primary outcome was risk-reduction documentation (RRD) using patients with chief complaints of abdominal pain, extremity fractures, and lacerations with potential foreign body. Results. For abdominal pain patients, RRD by IG improved 6.1% compared with 15.1% for the CG. For fracture patients, RRD by IG improved 20% compared with 26.5% decrease by CG. For laceration patients, RRD by IG decreased 20.8% compared with 30.6% decrease by CG. Although none reached statistical significance, the postintervention IG rates were greater. Conclusions. We showed a trend toward improvement in the rate of risk-reduction medical record documentation.

Keywords

medicolegal education risk management risk-reduction documentation resident curriculum

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References

American Academy of Pediatrics. AAP Survey of Fellows, #69. Elk Grove Village, IL: American Academy of Pediatrics; 2008.

McAbee

Deitschel

Berger

; Committee on Medical Liability and Risk Management, American Academy of Pediatrics. Pediatric medicolegal education in the 21st century. Pediatrics. 2006;117:1790-1792.

American Academy of Pediatrics Committee on Medical Liability and Risk Management. Policy statement—Professional Liability Insurance and medicolegal education for pediatric residents and fellows. Pediatrics. 2011;128:624-629.

Kachalia

Studdert

. Professional liability issues in graduate medical education. JAMA. 2004;292:1051-1056.

Bailey

. Resident liability in medical malpractice. Ann Emerg Med. 2013;61:114-117.

McAbee

Donn

Mendelson

McDonnell

Gonzalez

Ake

. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122;e1282-e1286.

Koslow

Nordlund

. With the chart as my witness. ACEP News. June 2012.

Selbst

Friedman

Singh

. Epidemiology and etiology of malpractice lawsuits involving children in US emergency departments and urgent care centers. Pediatr Emerg Care. 2005;21:165-169.

American Academy of Pediatrics Committee on Medical Liability and Risk Management, Donn

McAbee

, eds. Medicolegal Issues in Pediatrics. 7th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2012.

10.

Roy

Chen

Santucci

. What do pediatric residents know about malpractice? Pediatr Emerg Care. 2011;27:586-590.

11.

Tanner

. Talking to learn: why biology students should be talking in classrooms and how to make it happen. CBE Life Sci Educ. 2009;8:89-94.

12.

Garrison

Kanuka

. Blended learning: uncovering its transformative potential in higher education. Internet Higher Educ. 2004;7:95-105.

13.

Chumley-Jones

Dobbie

Alford

. Web-based learning: sound educational method or hype? A review of the evaluation literature. Acad Med. 2002;77(10 suppl):S86-S93.

14.

Mangalmurti

Lindsey Murtagh

Mello

. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363:2060-2067.

15.

Victoroff

Drury

Campagna

Morrato

. Impact of electronic health records on malpractice claims in a sample of physician offices in Colorado: a retrospective cohort study. J Gen Intern Med. 2013;28:637-644.