MedMal Insider

0:13

No Note About Patient Refusal of Test Before Missed...

MedMal Insider ·

2026/06/04

A delay in following a patient’s right kidney mass was complicated by the patient’s refusal of a CT scan and the providers’ incomplete and conflicting documentation of patient education and testing recommendations.

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New Medmal Report: Documentation Matters a Lot

MedMal Insider ·

2025/05/13

In a review of Candello’s database of claims from malpractice insurers across the country, documentation failures emerged in one out of every five medical professional liability cases. They are also much more likely to close with a payment with higher than average dollar amounts.

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Battery in Toddler’s Nose Missed at First

MedMal Insider ·

2025/03/28

Parents alleged that a delayed diagnosis of a foreign body in their child’s nose caused preventable nosebleeds, nasal infection, nasal septal perforation, and the need for surgery. The malpractice claim named the pediatric group, two pediatricians, and a pediatric nurse practitioner, and was settled in the low range.

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Paying for Patient Safety: Solving an ROI Puzzle

MedMal Insider ·

2025/03/06

Investing in patient safety programs not only helps patients, but also prevents large payouts for hospitals. And we can measure it.

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Bad Finger, Good Documentation

MedMal Insider ·

2024/12/01

A patient sued her hand surgeon, claiming the surgical approach increased the chance that their finger wouldn’t fully heal from a prior fracture. The defense leaned on contemporaneous clinical notes and documentation of the consent process to achieve a defense verdict.

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7:55

Bad Finger Good Documentation

MedMal Insider ·

2024/11/30

A patient sued her hand surgeon, claiming the surgical approach increased the chance that their finger wouldn’t fully heal from a prior fracture. The defense leaned on contemporaneous clinical notes and documentation of the consent process to achieve a defense verdict.

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Teleradiology Leads Virtual Care Risk in New Study

MedMal Insider ·

2024/10/25

Researchers looking for malpractice risks with virtual visits were surprised to learn that teleradiology was leading the way in professional liability claims over the past 12 years. Virtual office visits didn’t show up in the malpractice claims data, but costs and severity associated with teleradiology claims were well above radiology claims with no telehealth component.

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New Study Finds Outpatient Adverse Events Common,...

MedMal Insider ·

2024/08/16

Some top-line conclusions are that outpatient harm was relatively common and often serious, with a call to action for intervention in outpatient errors. Drs. David Levine and David Bates of Brigham and Women’s Hospital and Harvard Medical School are joined by their co-author and CRICO Chief Medical Officer, Dr. Luke Sato, who leads our discussion.

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11:26

A Pending Test at Discharge and a Return with Sepsis

MedMal Insider ·

2024/07/22

A 68-year-old male was admitted to the hospital after falling on ice and feeling short of breath. Two days after discharge, the patient arrived by ambulance at another hospital in septic shock. The patient filed a claim against the hospital, alleging that the failure to communicate a critical lab result required readmission and several weeks of follow-up treatment.

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A Pending Test at Discharge and a Return with Sepsis

MedMal Insider ·

2024/07/22

A 68-year-old male was admitted to the hospital after falling on ice and feeling short of breath. Two days after discharge, the patient arrived by ambulance at another hospital in septic shock. The patient filed a claim against the hospital, alleging that the failure to communicate a critical lab result required readmission and several weeks of follow-up treatment.

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Taking the Pulse of a Clinician’s Interpersonal Skills

MedMal Insider ·

2024/05/29

Several Harvard-affiliated medical institutions are piloting a program to provide personalized feedback to physicians about the effect of their behavior and interactions on others. More than 675 individuals have gone through the Rapid Pulse 360 evaluations as of Spring 2024. Can it have an impact on employment practices claims or provider-to-provider communication factors? And can follow-up one-to-one coaching help?

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Med Error Leads to Change in L&D Policy

MedMal Insider ·

2024/05/14

A 30-year-old woman experiencing her first pregnancy, presented to the Labor and Delivery unit. She was given the wrong drug and required an emergent C-section. The “five rights” of medication administration focuses on individual factors and not necessarily on system flaws. Many organizations are also promoting just culture, which encourages reporting near-misses and patient safety events, and focuses on psychological safety and promoting a non-punitive reporting culture.

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Bringing AI Into Medicine and Keeping It Safe

MedMal Insider ·

2024/04/17

As artificial intelligence, or AI, takes off in the public sphere, what about medicine? The health care industry has been using some form of AI for decades, yet very recent advancements are upping the ante. This episode of Safety Net presents excerpts from a recent talk to malpractice attorneys by health care AI expert, Dr. Steven Horng, MD, MMSC, of Beth Israel Deaconess Medical Center and Harvard Medical School.

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A Net to Catch Patients at Risk of Falling Through...

MedMal Insider ·

2024/02/14

The Harvard teaching hospitals and their affiliated institutions have banded together to tackle one of the most difficult and deadly challenges that face all health care providers: clinical tests and specialty referrals that are lost to follow-up. Anecdotal evidence already shows patients who were rescued by the Ambulatory Safety Net project. Navigators are convincing patients to follow through, and results are being flagged.

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12:53

Incidental Lung Nodule Overlooked, No Follow-up,...

MedMal Insider ·

2023/12/30

A patient was imaged for abdominal pain, but the radiologist saw and reported an incidental finding of a nodule on the lower lung that was not pursued or revealed to the patient for 2 years. The cancer had metastasized, and the patient died from lung cancer 18 months later.

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Alert on Surgical Items Left Behind in Patients

MedMal Insider ·

2023/12/30

In late 2023, the Academic Medical Center Patient Safety Organization issued an advisory noting a spike in reports of retained surgical items. A retained surgical item is patient safety lingo for when the surgical team leaves something like a sponge or a tool inside the patient after surgery. These events may lead to serious harm, such as sepsis, prolonged hospitalization, the need for subsequent surgery, or death.

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Incidental Lung Nodule Overlooked, No Follow-up,...

MedMal Insider ·

2023/12/30

A patient was imaged for abdominal pain, but the radiologist saw and reported an incidental finding of a nodule on the lower lung that was not pursued or revealed to the patient for 2 years. The cancer had metastasized, and the patient died from lung cancer 18 months later.

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Higher Malpractice Risk with Advanced Practice...

MedMal Insider ·

2023/11/29

The topline data from Candello claims analysis do not show an increase in malpractice corresponding to the increased use of APPs. In fact, the claims rate may be declining, adjusting for practice population increases.

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9:51

Overdose or Poor Documentation?

MedMal Insider ·

2023/10/17

The patient’s family alleged that improper management of the patient under anesthesia resulted in cardiorespiratory arrest, permanent brain damage, and a persistent vegetative state. While the cause of the patient’s cardiac arrest is uncertain, the CRNA failed to note which medications and doses were administered during the procedure, and the case was settled for more than $1 million.

en-us

Overdose or Poor Documentation?

MedMal Insider ·

2023/10/17

The patient’s family alleged that improper management of the patient under anesthesia resulted in cardiorespiratory arrest, permanent brain damage, and a persistent vegetative state. While the cause of the patient’s cardiac arrest is uncertain, the CRNA failed to note which medications and doses were administered during the procedure, and the case was settled for more than $1 million.

en-us

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