Medical-Legal Considerations Involved in the Transport of Critically Ill Patients

Youngberg, Barbara J.

doi:10.1016/s0749-0704(18)30237-9

Cited by 6 publications

(2 citation statements)

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“…Because of this wide-range of liability, EMS risk management must focus on those areas with the most frequent litigation. 9 This study sug-gests those areas of concern should be: 1) ambulance collisions; 2) arrival delay; 3) inadequate patient assessment and treatment; 4) transport delay; and 5) no transport.…”

confidence: 79%

“…2 " 4 Methods to reduce these risks then could be developed and implemented. 9 " 10 The purpose of this study was to identify the EMS incidents that led to litigation in a sample of liability cases that were closed by verdict or settlement since the last study was concluded in 1987. In addition, factors such as plaintiff and defendant characteristics, plaintiff injury, and case outcome also were examined.…”

Section: Introductionmentioning

confidence: 99%

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Emergency Medical Services Liability Litigation in the United States: 1987 to 1992

Morgan

Wainscott

Knowles

1994

Prehosp. Disaster med.

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Introduction:Although emergency medical services (EMS) liability litigation is a concern of many prehospital health care providers, there have been no studies of these legal cases nationwide and no local case studies since 1987.Methods:A retrospective case series was obtained from a computerized database of trial court cases filed against EMS agencies nation-wide. All legal cases that met the inclusion criteria were included in the study sample. These cases must have involved either ambulance collisions (AC) or patient care (PC) incidents, and they must have been closed between 1987 and 1992.Results:There were 76 cases that met the inclusion criteria. Half of these cases involved an AC, and the other cases alleged negligence of a PC encounter. Thirty (78.9%) of the plaintiffs in the AC cases were other motorists, and 35 (92.1%) of the plaintiffs in the PC cases were EMS patients. Almost half of the cases named an individual (usually an emergency medical technician or paramedic) as a codefendant. Thirty-one (40.8%) of the cases were closed without any payment to the plaintiff. There were five cases with plaintiffs' awards or settlements greater than [US] $1 million. Most (71.0%) ofthe ACs occurred in an intersection or when one vehicle rear-ended another vehicle. The most common negligence allegations in the PC cases were arrival delay, inadequate assessment, inadequate treatment, patient transport delay, and no patient transport.Conclusion:Risk management for EMS requires specific knowledge of the common sources of EMS liability litigation. This sample of recent legal cases provides the common allegations of negligence. Recommendations to decrease the legal risk of EMS agencies and prehospital providers are suggested.

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confidence: 79%

Section: Introductionmentioning

confidence: 99%

Emergency Medical Services Liability Litigation in the United States: 1987 to 1992

Morgan

Wainscott

Knowles

1994

Prehosp. Disaster med.

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Pediatric Transport Medicine

Wheeler

Poss

2008

Resuscitation and Stabilization of the Critically Ill Child

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Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

Perry¹

2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Specialty care for preterm and critically ill infants has evolved over many years. Neonatal intensive care nurseries were developed, and physicians and nurses learned how to provide intensive care for these infants. Neonatal and maternal (in utero) transport to tertiary centers became common in regionalized systems of care to facilitate the specialized care of high-risk neonates when childbirth occurred in settings without specialized personnel or equipment. Annually, nearly 70,000 neonatal transports occur in the United States. Although specialty care helps reduce rates of neonatal mortality, racial disparities and disparities between urban and rural areas exist. The purpose of this article is to review the progress achieved in neonatal and maternal transport over the past 50 years. The knowledge developed can be used to improve the care provided to women, their fetuses, and infants.

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Medical-Legal Considerations Involved in the Transport of Critically Ill Patients

Cited by 6 publications

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Emergency Medical Services Liability Litigation in the United States: 1987 to 1992

Emergency Medical Services Liability Litigation in the United States: 1987 to 1992

Pediatric Transport Medicine

Fifty Years of Progress in Neonatal and Maternal Transport for Specialty Care

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