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A medical malpractice crisis was proclaimed in the 1970's in this country. Florida's answer to such an event is a state statute enacted in 1975 requiring risk management programs in health care organizations. In 1985, the state further required a certified risk manager to head up each of these programs. Archival research into medical malpractice litigation, health care costs, and the rationale behind such laws shows evidence to support the term crisis. The intent of this paper is to establish that a medical malpractice crisis existed before the enactment of the risk management legislation in 1985. Then, further establish that after the enactment of such legislation, the medical malpractice crisis has not been eliminated. Analysis of medical malpractice information, insurance cost, and a survey of certified risk managers suggests that the certification of individuals to manage a program of incident reporting as a preventive concept is too ill-defined to succeed. Legislation to control physician behavior or to prevent medical accidents is unlikely. The concept of risk management certification and legislation should focus on a set of standards to create a predictable baseline that would utilize occurrence trending, determining future risk probabilities of medical injury that might lead to litigation. The intent is to develop a teamwork approach to identification of physician and practice trends.

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The purpose of this study was to investigate the effectiveness of treatment in right hemisphere damaged subjects. The success or failure of this treatment is directly correlated to their ability to perform appropriate social skills. Two groups, control vs. experimental, were randomly selected, with each group consisting of 20 right hemisphere damaged subjects. It was hypothesized that the 20 subjects in the experimental group would show a significant improvement in naming the expressions and identifying same/different expressions on same/different faces after receiving treatment. Utilizing the exact same exam, both groups were tested before and after treatment within a two-week period. Based on statistical analysis, results indicated no significant difference between the control and experimental groups in response times or correctly naming the expression. Although the pre and post test difference between the two groups was insignificart, both groups showed improvement. The treatment group had a positive effect in identifying same/different expressions on same/different faces over the control group. The results of this study support experimental and clinical literature, which has indicated more difficulty with naming the express ion compared to identifying same/different express ions on same/different faces. These results suggest that right hemisphere damaged subjects will remain impaired ,n emotional perception. Further study to obtain more information regarding right hemisphere damaged subjects in actual social settings 1s recommended .