Legal Nurse Consulting –
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Medical Standard of Care & How It Relates to Medical Malpractice Cases

Posted by Kathleen on June 8th, 2012


Medical malpractice case outcomes hinge on whether the standard of care was met or not. Below is an explanation about standard of care and what it means for a patient and for a medical malpractice suit.

The definition of Standard Care according to MedicineNet.com is, “the level at which the average, prudent provider in a given community would practice. It is how similarly qualified practitioners would have managed the patient’s care under the same or similar circumstances. The medical malpractice plaintiff attorney must establish the appropriate standard of care and demonstrate that the standard of care has been breached.”

It was famously described in Vaughn v. Menlove (1837) as whether the individual “proceed[ed] with such reasonable caution as a prudent man would have exercised under such circumstances.”

Essentially no matter how you word it, the standard of care is a medical treatment guideline in which you can measure all medical professionals and care against. The standard of care is important because this is the measure that is used when determining whether a medical or healthcare professional is liable for medical malpractice.

Medical malpractice suits are brought upon healthcare professionals when errors occur.   When there are breaches in the standard of care, most often these lead to errors in treatment and are cause for harm, injury or death and a lawsuit.  Errors can range from not documenting important medical histories, prescription errors, surgical errors and even prevention errors.

The standard of care changes all the time due to new medical practices, news, technologies and outcomes of medical malpractice and product liability cases.  It’s difficult at best for an attorney to stay up to date with the standards of care and suggested that they should hire a professional to help them decipher the standards while they concentrate on the legalities of the case.

LNC’s are experts when it comes to the standard of care. Having the expert eye of a Legal Nurse Consultant review the medical report will allow for easy determination of whether a breach has occurred and if your case has merit. 

 

 

MD’s & Nurses are Mandated to Disclose Medical Errors at Time of Occurrence

Posted by Kathleen on June 4th, 2012


State law usually enacts mandatory reporting systems. These systems are put in place to make sure that certain medical and surgical errors are properly reported.  Most mandates require reporting of specific errors like adverse events causing patients harm or unanticipated outcomes.

Mandates are there for protection of the patient. It’s important for the error to be reported at the time of occurrence as it can potentially prevent the same errors from happening in the future and improve patient care standards.

However, not all physicians and nurses are required to report errors such as near misses, errors that are intercepted before harm occurs or errors that did not cause harm.  But, that does not mean that these errors are any less important to report, than those that do cause harm. Voluntary reports can be imperative for creating safety initiatives that will improve overall care and may reveal hidden dangers that other physicians and nurse may be able to avoid in the future.

Physicians and nurses are faced with four major deterrents to reporting errors; fear of career threatening disciplinary action, fear of punishment and embarrassment, variations in how errors are defined and what should and shouldn’t be reported and the fear that error reports are difficult to fill out and rarely get feedback to improve systems.

 According to an article/report from the U.S. Department of Health & Human Services by AHRQ, “Several factors are necessary to increase error reporting: having leadership committed to patient safety; eliminating a punitive culture and institutionalizing a culture of safety; increasing reporting of near misses; providing timely feedback and follow up actions and improvements to avert future errors; and having a multidisciplinary approach to reporting.”

It’s very important to provide a system that encourages health care providers to not only fill out the mandatory error reports but also all errors that could lead to an improved quality of care.  Without these reports health care providers are doomed to keep repeating the mistakes of the past and their peers. 

Related Articles & Resources:
Patient Safety and Medical Errors Report     

Physicians Want to Learn from Medical Mistakes but Say Current Error-Reporting Systems are Inadequate

 

Top 10 reasons Why a Plaintiff Attorney Needs to Hire a LNC

Posted by Kathleen on May 21st, 2012


When a plaintiff attorney hires a LNC he or she is essentially bridging the gap between the medical world and the legal world. A LNC helps you (the attorney) become more familiar with the medical aspects of your case. Here are 10 Reasons Hiring a LNC is pertinent to a winning outcome.

  1. Does your Case Have Merit? A LNC reviews the case for merit – this saves you money and time by not investing in a case that either has no merit or is simply a weak case that doesn’t substantiate a lawsuit.
  2. Jury Simple Language: It’s better for an experienced expert witness to explain complicated issues so the jury understands them.  Attorney’s may stumble, explain it incorrectly or incompletely.  By hiring a Legal Nurse Consultant, you are hiring someone who has been trained to explain medical situations to patients and therefore can explain the medical aspects of the case to your jury.
  3. Medical Record Analysis: A LNC analyzes medical records so that you don’t miss anything.  As they say, “the Devil is in the details”, by hiring a Legal Nurse Consultant you have an expert at your disposal to help you with the information found between the lines of a medical record. A LNC will also help you determine the significance of those findings.
  4. Organized Presentation: LNC’s summarize and organize medical records for the attorney so they have quick reference to what they need during the case and can focus on argument.   By helping you determine time lines and organizing the information in a fashion that makes the case easier and quicker to present, you can focus on your argument and easily substantiate the evidence via quick reference.
  5. Whose Involved? For a trained medical professional it’s easier to determine who played a vital role in the case by sifting through the medical records.  This allows for you, the attorney to know who is involved in the particular case and who to bring in for questions and witness support.
  6. Are The Medical Records Complete? Often a case can hinge on whether the medical records are complete or not.  A LNC can help you determine if there is missing information, such as entries that should have been made, or incomplete medical records.
  7. What is the Standard of Care? In legal terms, the level at which the average, prudent provider in a given community would practice. It is how similarly qualified practitioners would have managed the patient’s care under the same or similar circumstances. The medical malpractice plaintiff must establish the appropriate standard of care and demonstrate that the standard of care has been breached. A LNC is very aware of proper standards of care and can help you determine if these standards were met or not.
  8. More Bang for Your Buck: In most cases hiring a LNC is far less expensive than hiring an MD.  But, more importantly, a LNC will walk side by side with you through the entire process of the case.  An MD is often very busy and cannot give the type of service that a LNC can provide. 
  9. Help Finding Expert Witnesses: A LNC already on-board knows all the intricacies of the case, thus is postured to locate the perfect-fit expert for the case. Identifying expert witnesses lends strength to a case giving the attorney a better chance to win. Finding an expert witness can also be very time consuming, as you have to conduct interviews and know the right questions to ask.  A LNC is the perfect person for the job.
  10. Save you Money! A legal nurse consultant in general is less expensive than hiring an MD, provides more help for your case, and helps you to determine if you have a case in the first place. Check out my recent blog post, 7 Ways a Legal Nurse Consultant Will Save an Attorney Money for more information.

 

Why Hire a Legal Nurse Consultant? LNC vs. MD

Posted by aisha saidi on May 7th, 2012


So, why should you hire a Legal Nurse Consultant rather than an MD?Boat

Before we dive into why you should hire a legal nurse consultant, let’s review exactly what a LNC provides for the attorney.  A LNC provides an attorney with many things, but most importantly MD’s and LNC’s are hired to provide medical expertise on medically related legal cases.  It takes a trained healthcare professional to help an attorney win their case.

Any attorney who practices personal injury law, elder law, toxic torts, malpractice or worker’s compensation cases needs to hire a medical expert at some point to help them interpret their case via medical records review and more. 

Physicians are used as medical experts on cases often, so why should you hire a Legal Nurse Consultant when you have a doctor that could assist you?

 Here are just a few reasons…

 A Legal Nurse Consultant:

  • Screens case for merit
  • Identifies the Standard of Care
  • Thoroughly Reviews the medical record
  • Determines whether there was a breach in standard of care leading to causation and damage issues
  • Find expert witnesses
  • Conducts client interviews
  • Conducts research and summarizes medical literature so it’s easily understandable
  • Provides a timeline of medical events and correlates them to the allegations
  • Educates attorneys regarding medical facts relevant to the case
  • Walks with the attorney side by side through the entire lifetime of the case providing expert opinion where needed
  • Is available 24/7

 Aside from the above it’s to the attorney’s advantage to hire a Legal Nurse Consultants over a physician for the following reasons:

  • LNC’s are less expensive
  • Legal Nurse consultants provide more
  • An MD won’t always (if ever) provide a chronology or timeline of events with causation – it’s too time consuming
  • Legal Nurse Consultants, as nurses, are well versed in a multitude of skills including standard of care as it pertains to all aspects of healthcare, ie. Nursing practices, bedside care, medications, ancillary departments, lab work and medical charting and recording
  • A Legal Nurse Consultant can act as a liaison between the attorney and the physician
  • And, lastly a Legal Nurse Consultant usually has many contacts that they rely on for insights and specialties, such as other nurses, physicians etc.

So, now the real question is, “why wouldn’t you hire a LNC over a MD?”  The answer is really simple.  A LNC should always be your first choice when preparing for a case.  If a time ever arises where you need multiple sources of input a Legal Nurse Consultant can help you connect with the right people for the case. 

 

7 Ways Legal Nurse Consultants Save Attorneys Money

Posted by Kathleen on April 8th, 2012


BoatThe key to winning a case begins with the selection process. You as the Attorney are trying to get the client the settlement that they deserve. So, how can hiring an LNC help you save money?  Well for one, by helping you win your case.  Below are 7 ways a LNC can help you win your case, and save you from making costly oversights and mistakes.

  1. Early Assessment of Case Merit:  Is this particular medical case worth pursuing? This is a question all attorneys ask and it’s always worth putting a little research in upfront rather than losing dollars later.  A lot of money can be lost pursuing cases that really have no merit.  A Legal Nurse Consultant can help attorneys decipher whether a case has merit from the very beginning, by screening medical related legal cases for merit and eliminating non meritorious lawsuits.  A careful screening process will save time and effort.
  2. MD vs. LNC: Many attorneys automatically hire an MD to be the medical expert on their medical malpractice, personal injury and wrongful death cases.  Often the education and working experience of a nurse is equally valuable and possibly more appropriate to the evaluation of patient care, policy, and procedure. The majority of medical records are actually written and created by nurses – making the choice of hiring a LNC an obvious one.  Wouldn’t you rather hire the person that has the most experience with the document itself?  A LNC is totally devoted to your case vs. an MD who is tied first to the restraints of their own medical practice. This provides the attorney with an expert that can get the job done promptly and efficiently for a more reasonable fee than an MD.
  3. More Time in the Bank: By hiring a LNC you save valuable time trying to decipher key medical information in your case.  A LNC will organize the material so that it’s easy to consume.  This can save you hours in the long run leaving you time to concentrate more on strategy and legal issues than trying to figure out a medical document.
  4. Organization: Attorneys have stated in the past that it has taken them hours upon end to go through bills, notes, summaries etc. And, voluminous computerized medical records, now standard, are an attorney-nightmare. When you hire a Legal Nurse Consultant they will provide you with a streamlined view of your case, smoothing out any bumps in the road.  Thorough analysis and organization of the medical aspects of the case allows for the attorney to zero in on the precise issues needed to further the case.
  5. Expert Witness:  A Legal Nurse Consultant can serve as an expert witness or take the time to find the best expert witnesses for your case.  A LNC already on-board knows all the intricacies of the case, thus is postured to locate the perfect-fit expert for the case. Identifying expert witnesses lends strength to a case giving the attorney a better chance to win.
  6. Hidden Jewels:  A LNC very often finds more to your case.  A LNC knows the standard of care and they are equipped to understand medical records and jargon far better than you.  This allows for better discovery.  A LNC just may find more to your case than the plaintiff or attorney knew about to begin with.  Leading to more opportunities for client compensation and more money for the attorney.
  7. Winning: Win your cases.  There is no better way to make money than to win your settlements and save time. By hiring a LNC you are ensuring that your case has the best chance of winning via proper steps, organization and information.