The fear of malpractice lawsuits and costly awards for inaccurate diagnosis increases the costs for health insurance, malpractice insurance and tax payers (Woodward, 2010). As cited by Achar and Wu (2012), “an estimated 75 percent of physicians in lower-risk specialties will face a malpractice claim by age 65,” (p. 21). To protect ones’ self from being named in the litigation process, health care practitioners have initiated the practice of defensive medicine. Defense medicine is the prescribing of further diagnostic testing, maintaining copious documentation, second opinions, and scheduling of follow up appointments to monitor progress and disease progression (Shi & Singh, 2012). These additional tests are not only invasive and expensive, but also of questionable benefit; however, additional diagnostic test are ordered out of fear of misdiagnosis ad failure to treat (Woodward,
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HCM 500 Case study 1: EMR implementation and patient flow [Student XX] Southern New Hampshire University The proposed case study is based on the report and supporting statistical evidence of impacts observed in the case of Cincinnati Children’s Hospital Medical Center’s Emergency Department (CCHMC ED) in regards to patient flow metrics prior to/ during and after enterprise-wide EHR implementation initiative. The measures used to ascertain and assess the nature and degree of identified trends were analogous to the nationally instituted quality measures specific to ED settings: “timeliness, safety and efficiency standards, most directly reported as overall length of stay (LOS), door to doctor times and left without being seen” (Kennebeck
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