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10/06/2020 Leonard A. Levy, DPM, MPH
Minimizing Risk of Medical Malpractice Liability Related to COVID-19 Pandemic
The horrors of the COVID-19 pandemic and its implications on medical practice have led attorneys Megan La Suer and Rob Portman publish an article for Dermatology World (August 2020, www.aad.org/dw/monthly/2020/may/employment- related-legal-considerations-covid-19)on legal issues and malpractice implications that should be considered by physicians in their clinical practice.
These healthcare attorneys recommend that practices should draft and implement policies and procedures addressing extra precautions that need to be taken to prevent the spread of COVID-19 and otherwise mitigate liability risk. Employees should be required to review and acknowledge that they have seen and will comply with such policies to ensure the practice’s plans are consistently implemented.
In addition, practices should implement additional informed consent procedures and documentation reflecting the risks of COVID-19 spread. COVID-19 policies, procedures, and informed consent documents should consider the following: • Screen patients for symptoms of COVID-19 including temperature checks, recent international travel, knowledge of potential exposure events. • Ensure patients have room to socially distance, require wearing a mask in the office, limit number of individuals patients can bring into the office, use telemedicine when possible. • Discuss risks of becoming infected during appointment and treatment process, including obtaining consent from patients indicating their understanding and acceptance of risks of contracting COVID-19 during a visit. • Obtaining acknowledgement from patients that they may have to be rescheduled for elective care if they are exhibiting symptom of COVID- 19, traveled abroad, or were subject to a known exposure. • Ensure practice has established plan for thorough cleaning/disinfection between visits. • Routinely scan employees for symptoms of COVID-19 including temperature check and, if symptomatic, require testing and being quarantined. • Ensure employees wear protective equipment at all times when engaging with patients. • Notify patients of practice policies and safeguards to minimize infection prior to visit. • Consult with state/local health department to ensure proper consent information is used. • Contact malpractice insurance carrier (i.e., Is specific informed consent form required?).
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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