When it comes to smart practices regardingmedical malpractice liability,the president of the AMA has a lot tosay. As both a physician and an attorney,Dr. Donald J. Palmisano has a unique understandingof medical and legal issues, and haspromised to lead the charge on medicalliability reform for the AMA.
He was a founding member of a physicianprofessional liability insurance company,where he reviewed over 3000 claims andwas responsible for approving attorney submissions tomedical review panels. He also played a key role in thepassage of the Louisiana Medical Malpractice Act of1975, helping to implement state reforms that cappedmedical liability damages.
Dr. Palmisano has long advocated several riskmanagement tips, which he calls the "Big A and 25C's." "These tips are not theoretical," he says. "Eachrepresents a list of physicians, who are like the ancientmariner nowâ€”sadder but wiser." The following is asummary of his advice:
The "Big A," Anticipateâ€”Anticipate what could gowrong with therapy or an operation. Be sure that thepatient is informed and be prepared for any complication.Avoid surprises.
The "25 C's"
Copyright 1993, 1995, 2003 Donald J. Palmisano, MD, JD