FailSafe Program Protects Physicians, Patients

April 25, 2017

FailSafe LogoEmergency Service Partners-US Acute Care Solutions Southwest has incorporated the USACS FailSafe program into its risk management program. Physicians may have heard about this initiative in recent months, as several of our clinical leaders have already begun participating by taking calls. Now it is up to all of our physicians to begin utilizing the FailSafe on-call physicians during specific high-risk scenarios, as outlined below.

“In addition to minimizing our individual and collective malpractice risk, this system should provide you with an additional level of comfort and an additional trusted resource in certain cases,” said Dr. Sam Roberts, USACS Southwest’s chief medical officer and chair of the region’s Clinical Governance Board.

Those situations include:

  • Three Strikes (3rd visit for the same or similar complaint)
  • Testicular Torsion
  • Unusual Headache (atraumatic)
  • Female Abdominal Pain or Vaginal Bleeding
  • Fever in Infants 0-90 days
  • TIA
  • Asymptomatic Hypertension

The FailSafe policies are designed to reduce liability exposure and increase patient safety. They mandate that USACS physicians call a designated 24/7 on-call FailSafe consultant if the treating physician elects not to utilize our recommended management plans for one of these high-risk situations. The FailSafe policies have evolved over time according to the changes in practice standards and the risk management climate.

“I believe FailSafe will be helpful and beneficial to us and to our patients,” Roberts said.

Physicians should carefully read the policies to understand their responsibilities. A poster is being hung in each emergency department as a quick reference guide. Current FailSafe policies are also found on The Central Line under the Risk Management Community. If you have any questions, please contact Dr. Roberts ( your ED medical director for clarification.

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About Emergency Service PartnersFounded in 1988, Emergency Service Partners is a physician-owned practice management group specializing in hospital emergency departments (EDs), serving more than 35 EDs across Texas. In addition, ESP provides pulmonary, intensive care, sleep medicine, hospitalist, and ob/gyn hospitalist services in Central Texas. ESP owns and operates Five Star ER, a group of freestanding emergency centers in the Austin area. In January 2017, ESP became a founding partner of US Acute Care Solutions, the national leader in physician-owned emergency medicine, hospitalist and observation services, and now operates as USACS Southwest.