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by Jim C. Goodwin, JD (With gratitude and acknowledgement to Brian J. Thomas, JD, Senior Claims Attorney & Director of Risk Management, Preferred Physicians Medical Risk Retention Group. www.ppmrrg.com)www.ppmrrg.com

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This Presentation Will Cover: Electronic Medical Records (EMR) Distractions in the O.R. Ambulatory Surgery and Pain Centers Top Ten Anesthesia Claims & Lawsuits

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Electronic Medical Records (EMR) Overview of how EMR systems typically work Recap of the good old days of documentary discovery How electronic data is typically converted into paper form Why litigation costs are increasing Illustrative litigation

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Distractions in the O.R. Administering anesthesia is surprisingly boringexcept when it isnt We have lots of shiny new toys now Surgeons love their iPods Operating Rooms now commonly have internet access Everyone is texting Robots now operate There are big screen TVs showing the surgery And everything is tracked Illustrative litigation

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(Resist the urge to snap that O.R. selfie)

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Ambulatory Surgery and Pain Centers Why more and more procedures are performed here Competing interests for patient populationsand supplies How ambulatory centers differ from hospitals, and how they are similar Illustrative litigation

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Top Ten Anesthesia Malpractice Claims (non-litigation) PPMs History 6/1987 to 12/2012

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Top Ten Anesthesia Malpractice Lawsuits PPMs History 6/1987 to 12/2012