TY  - BOOK
AU  - Goeschel, Chris
TI  - Evidence That Nurses Need to Participate in Diagnosis: Lessons From Malpractice Claims
SN  - 1549-8417
PY  - 2021///
KW  - *Clinical Competence
KW  - *Insurance Claim Review
KW  - *Malpractice
KW  - *Nursing Diagnosis
KW  - Clinical Competence
KW  - Humans
KW  - Logistic Models
KW  - Retrospective Studies
KW  - United States
KW  - Assistant Vice President
KW  - MedStar Institute for Quality and Safety
KW  - Journal Article
N1  - Available online through MWHC library: March 2005 - present
N2  - CONCLUSIONS: Nurses are held legally accountable for their role in diagnosis. Raising system-wide awareness of the critical role and responsibility of nurses in the diagnostic process and enhancing nurses' knowledge and skill to fulfill those responsibilities are essential to improving diagnosis. Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved; METHODS: We conducted a review of the Controlled Risk Insurance Company Strategies' repository of malpractice claims, which contain approximately 30% of United States claims. We analyzed the malpractice claims related to diagnosis (n = 139) and physiologic monitoring (n = 647) naming nurses as the primary responsible party from 2007 to 2016. We used logistic regression to determine the association of contributing factors to likelihood of death, indemnity, and expenses incurred; OBJECTIVES: There is a pressing need for nurses to contribute as equals to the diagnostic process. The purpose of this article is twofold: (a) to describe the contributing factors in diagnosis-related and failure-to-monitor malpractice claims in which nurses are named the primary responsible party and (b) to describe actions healthcare leaders can take to enhance the role of nurses in diagnosis; RESULTS: Diagnosis-related cases listing communication among providers as a contributing factor were associated with a significantly higher likelihood of death (odds ratio [OR] = 3.01, 95% confidence interval [CI] = 1.50-6.03). Physiologic monitoring cases listing communication among providers as a contributing factor were associated with significantly higher likelihood of death (OR = 2.21, 95% CI = 1.49-3.27), higher indemnity incurred (U.S.
UR  - https://dx.doi.org/10.1097/PTS.0000000000000621
ER  -