In an article on CBS8.com, Lorie Brown put together the video series called “COVID-19 Video Survival Guide for Nurses and Healthcare Practitioners” to provide tips for nurses on the front line of the coronavirus fight. [Read Full Article]
Leading San Diego RN Creates Free Video Series for Frontline Nurses
“Lorie Brown put together the video series to provide tips for nurses on the front line of the coronavirus fight. It features 18 experts who provide advice such as keeping up immunity, getting better sleep, practicing mindfulness and understanding nurses’ rights.” [Read Full Article]
Nurses stuck on suspension longer than expected
“Lorie Brown is both a nurse and attorney. She’s fighting for nurses who are currently suspended or on probation to return and aid in the fight against the novel coronavirus pandemic.” [Read Full Article]
Malpractice Claims are on the Rise with Electronic Health Records
According to The Doctor’s Company, a medical malpractice insurance company, more and more claims are being filed as a result of Electronic Health Records (EHR). Because of drop down menus and lack of alerts, patients are getting harmed.
In one example, a physician intended to order 15mg of Morphine. The drop-down menu gave him the choice of 15mg or 200mg. The physician mistakenly ordered the 200mg. The patient took the 200mg Morphine with Xanax and became somnolent and spent the night in the hospital.
There are numerous problems with copy and paste. In one case, a 38-year-old man presented to his PCP with symptoms of shortness of breath and dizziness. The man died 5 days later of pulmonary embolus, the Plaintiff’s Attorney was able to show that the physician copied and pasted his previous note into the visit just prior to his death. Not only is this information available in the audit trials to show everything which was done to the EHR, but the same exact vital signs were copied, and numerous spelling errors were noted in the previous note and copied with the same errors. The allegation was failure to properly assess this man. Had he been properly assessed; the physician would have been able to identify signs and symptoms of a pulmonary embolus.
Risk management strategies include:
- Do not copy and paste anything except patient’s past medical history if you are sure it is accurate.
- If your EHR auto populates information, ask that that feature be removed.
- Be extra careful in selecting items from a drop-down menu and make sure it is correct.
- Make sure you read and review prior medical records, so you have an accurate history.
- If you use a scribe, you are responsible for the entry so double check to make sure it is accurate.
- It is easy to save your charting for later and even do it at home but how do you remember the information? Remember attorneys can find out what time the patient’s visit was scheduled and what time the entry was made.
What do you do to avoid malpractice with EHR? I would love to hear your comments below.
Interview with Yolene Lofton, former nurse and founder of Nurse’s Court
Lorie Brown, R.N., M.N., J.D. interviews Yolene Lofton, former nurse and entrepreneur, about her problems when she had to appear before the Board of Nursing and advice to Nurses that may be going through similar problems. Also, the devastation that losing her nursing license caused and how she was able to find her way back and is now thriving with her businesses, Nurse’s Court and Nursing Events Management Production, LLC.
Nurse’s Court provides support and counseling for Nurses who have to appear before the Nursing Board. The website, www.NursesCourt.com, should be operational shortly.
Nursing Events Management Production, LLC which plans events for health care organizations such as job fairs, is currently planning a big event for 2020. 2020 Year of the Nurse and Midwife Worldwide Celebration with take place on April 30, 2020 in Miami, Florida. Tickets will go on sale in January, 2020 through TicketMaster or you can get information by emailing NursingEventsManagementPro@gmail.com.