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MedMal Insider

CRICO

Podcast for MedMal Insider

science & medicine medicine

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10:17

Woman Dies from Post-op Stroke When Anticoagulant Not...

MedMal Insider ·

2020/12/17

Restarting heparin was not in the post-op instructions. In a lawsuit naming four physicians, the patient's estate alleged negligent failure to restart anticoagulation, resulting in a stroke and ultimately, her death. The case was settled for more than a million.

en-us

7:56

Young Patient, Flawed Test, Fatal Delay in Colon CA...

MedMal Insider ·

2020/10/08

Despite multiple visits to her PCP with similar complaints over years, this young patient did not get a timely diagnosis of colon cancer and died. Dr. Carla Ford looks at the testing, communication among providers, and some diagnostic insights for the next patient.

en-us

14:06

“What Else Might This Be?” Might Have Saved PE Patient

MedMal Insider ·

2020/07/20

A fatal PE misdiagnosis may have gone wrong from the very beginning. With analysis based on closed claims in the Harvard medical system, urgent care specialist Jonathan Einbinder explores ways an ordinary case with a tragic outcome might be prevented in the future.

en-us

9:16

A Forgotten Stent and Unclear Responsibility for...

MedMal Insider ·

2020/04/02

The patient sued his oncologist and the hospital, claiming they mismanaged his post-op recovery when a stent was left behind for a year, leading to complications that required additional surgery.

en-us

8:30

Nothing is “Routine” for an Anxious Patient or Family

MedMal Insider ·

2020/02/27

In this case, a pediatric practice struggled to satisfy the family of a boy after two years of appropriate primary care. What did they learn about communicating with patients and their families over routine medical matters?

en-us

11:07

Status Change Missed, Consultation Flawed, and the...

MedMal Insider ·

2019/12/23

In this case, communication between the primary provider and a phone consultant needed more clarity. And changes in the patient's status needed a stronger response, if a tragic outcome had any chance of being averted.

en-us

10:49

Radiology Didn’t Know Risk Status Before Patient...

MedMal Insider ·

2019/05/16

In this closed Harvard malpractice case, a patient fell during a radiology study because her risk status wasn't communicated from the unit effectively. It was not a typical fall—on the way to the bathroom alone. Hospitalist Adam Schaffer, MD, MPH, analyzes what went wrong and suggests some effective practices to prevent severe injury in places you don't expect, with eyes on the patient.

en-us

9:35

Fatal Misplaced Tube Casts Light on Supervision,...

MedMal Insider ·

2019/04/08

In this case, a 75-year-old female was admitted to the ICU with respiratory failure. A misplaced feeding tube led to her death. ICU intensivist Dr. Laura Myers discusses lessons from this case about supervision and assessing a provider's competence with a new procedure.

en-us

5:43

Doctors Lose Their Own Malpractice Case

MedMal Insider ·

2018/08/14

The defendant's role in a successful defense against a claim of malpractice is critical, but it isn't easy. Clinician have to be able to follow advice from lawyers, cope with their own emotions, which often include anger or fear, and project competence and likability to potential jurors. These things—none of which are taught in medical school—can be a challenge to a medical professional. Sometimes malpractice cases have to be settled because the defendant clinician cannot adapt to the legal

en-us

13:04

Part I: Harvard Joins IHI to Cut Referral Mistakes

MedMal Insider ·

2018/04/16

In any complex medical system, malpractice cases can arise from failures in the referral process. Typically these are situations in ambulatory care where the doctor recommends that a patient see a specialist, but it either doesn't happen or nobody acts on the result. A new tool from The Institute for Healthcare Improvement and CRICO helps guide doctors and practices to prevent these referral errors and the harm from resulting diagnostic failures.

en-us

10:01

Poor Communication of Doctor’s Orders Leads to...

MedMal Insider ·

2017/12/22

When a speech and swallowing evaluation showed the patient to be at risk for aspiration, the resident documented a plan that the patient be given nothing by mouth. But the NPO order was not entered into the system, a technician attempted to feed him, and he aspirated. This was not communicated to the attending. After transfer to the ICU, he succumbed to additional morbidities, including aspiration pneumonia.

en-us

9:48

ED, Stuck on Wrong Diagnosis, Blamed the Patient

MedMal Insider ·

2017/11/20

A 26-year-old male presented to the emergency department with burning chest pain. After two more visits within four days for the same complaint, he died at home from acute coronary thrombosis. Did the clinicians' frustration with the course of his condition lead them to blame the patient rather than reconsider their diagnosis?

en-us

11:16

NP Misses Fatal Illness on Phone with Patient’s Dad

MedMal Insider ·

2017/09/11

A father called his son's pediatrician's office on a winter week-end night and told the nurse practitioner that his nine-year-old had not felt well for three days. The nurse fixated on flu symptoms and told the father to push ginger ale. When the father checked on the boy 12 hours after the call, he had died from diabetic ketoacidosis and his diabetes mellitus was undiagnosed until autopsy.

en-us

12:39

For This Patient, Opioids for Pain Resulted in...

MedMal Insider ·

2017/08/01

The patient had a history of suicidality when her psychiatrist referred her to a sleep specialist. Three weeks after the second doctor increased her oxycodone dose to treat restless leg syndrome, the patient used the drug to kill herself.

en-us

7:21

Culture Helped, Hurt in this Dosage Error

MedMal Insider ·

2017/02/28

In this case, an 8-year-old girl experienced a tenfold dosing error of clotting factor, requiring admission and observation due to increased risk of stroke. It could be said that the culture at this hospital both contributed to the error, and contributed to a good response by staff.

en-us

8:52

No Review of Test Result, and Girl Suffers Wrong Dx...

MedMal Insider ·

2016/12/23

An 8-year old girl was treated over three years for a condition she never had. Multiple providers missed a test result that showed she had celiac disease, so it went untreated and she suffered. The resulting lawsuit resulted in a settlement against two of her doctors. This case study not only reviews the facts, but it also features suggestions from an expert reviewer on how to prevent similar mistakes managing test results.

en-us

7:00

Missing an MI When Symptoms Didn't Match Diagnosis

MedMal Insider ·

2016/09/01

A presumptive diagnosis during an office visit kept the doctor from broadening the differential to include a much more serious condition. Commentator Carla Ford, MD says, “These are the kinds of situations that our primary care providers and urgent care providers are faced with all the time.”

en-us

9:11

Troubled Brew: Multiple Providers, Disjointed Care,...

MedMal Insider ·

2016/02/02

In this case, we see issues that can arise in care that takes place across multiple institutions and providers, especially when the patient is self-referring. This patient was left with seriously-impaired kidney function, and he alleged a delay in diagnosis. Joining us is Dr. Carla Ford, who reviews medical malpractice claims for CRICO.

en-us

9:52

Spine Surgery: Someone Should Have Said ‘Time Out’

MedMal Insider ·

2015/09/02

This review of a closed malpractice claim shows the risks when communication before, during, and after a surgical complication goes awry.

en-us

8:49

Diagnostic Dropped Ball: Nobody Followed Up on Lung...

MedMal Insider ·

2015/05/07

After a referral visit to a pulmonologist to follow up on a worrisome CT, none of the three parties—the PCP, the patient, and the pulmonologist—ever addressed the issue of the lung nodule again. The patient saw her primary care doctor several times for check-ups and minor issues over the next several years. The patient never returned to see the pulmonologist, and was not explicitly told by either doctor that she might have cancer. Four years after her visit with the pulmonologist, the patient

en-us

94 results

MedMal Insider

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