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The Effect of Malpractice Reform on Emergency Department Care
Author(s) -
Daniel A. Waxman,
Michael D. Greenberg,
M. Susan Ridgely,
Arthur L. Kellermann,
Paul Heaton
Publication year - 2014
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmsa1313308
Subject(s) - malpractice , legislation , medicine , emergency department , standard of care , medical emergency , order (exchange) , defensive medicine , patient care , law , medical malpractice , nursing , business , political science , finance , surgery
Many believe that fear of malpractice lawsuits drives physicians to order otherwise unnecessary care and that legal reforms could reduce such wasteful spending. Emergency physicians practice in an information-poor, resource-rich environment that may lend itself to costly defensive practice. Three states, Texas (in 2003), Georgia (in 2005), and South Carolina (in 2005), enacted legislation that changed the malpractice standard for emergency care to gross negligence. We investigated whether these substantial reforms changed practice.

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