JAMA study finds remote monitoring in e-ICUs reduced mortality

A study published last week by the Journal of the American Medical Association shows that patients in the ICU of UMass Memorial Medical Center had significantly reduced mortality rate (8.6% as compared to 10.7%) when they were monitored by a remote “eICU.” While there have been many studies conducted on eICUs previously, this is the first one to show a significant improvement in patient outcome.

For physicians, does using a smartphone increase your exposure to malpractice claims?



Dr. McMenamin, who was a practicing emergency physician before turning his sights to the practice of law discusses when a physician-patient relationship is considered to form. 

A good rule is that a general discussion of a topic, even if erroneous, is unlikely to be actionable. The more the discussion is patient-specific, however, the greater the likelihood that a relationship will be deemed to exist, and so the greater the likelihood that a duty will be found. 

Based on the telephone cases, if the doctor knows the patient’s name, or has access to his old records, or has examined the patient, or is paid a fee, the probability increases that a duty will arise.