Crico Medical Malpractice High Risk Case Studies
- Autor: Vários
- Narrador: Vários
- Editora: Podcast
- Duração: 18:58:56
- Mais informações
Informações:
Sinopse
For more than 20 years, CRICO has analyzed claims and suits from the Harvard medical community to understand causes of error. We have learned that 67% of claims fall into four high risk areas: Diagnosis, Obstetrics, Surgery and Medication.
Episódios
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A Pending Test at Discharge and a Return with Sepsis
22/07/2024 Duração: 11minA 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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Med Error Leads to Change in L&D Policy
14/05/2024 Duração: 06minA 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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Incidental Lung Nodule Overlooked, No Follow-up, Fatal Cancer Advances
30/12/2023 Duração: 12minA 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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Overdose or Poor Documentation?
17/10/2023 Duração: 09minThe 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.
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Response to Charges of Discrimination can Help or Hurt a Hospital, Any Employer
11/07/2023 Duração: 13minWhen hospitals and medical practices face charges of discrimination from employees, the consequences can include litigation, large payments, morale problems, and less quality care for the patients they serve. How an employer responds can make all the difference in outcomes. Based on closed claims in the Harvard medical system, two cases illustrate that point. We interview Megan Kures, of Hamel, Marcin, Dunn, Reardon and Shea, who offers some principles to follow.
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Slow to Diagnose Endocarditis After Repeat Visits
04/04/2023 Duração: 11minOne thing that seemed to be missing in this particular evaluation was a formal differential diagnosis that may have been present in the physician’s brain, but wasn’t documented, and there’s no evidence that it was really thought about.
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Signs of Bias in Rejected Request for Accommodation
12/12/2022 Duração: 11h35minBoston Attorney Megan Kures explains how a hospital should respond to a request for accommodation. Tip: it shouldn't be a knee-jerk no, and be sure to involve HR from the start.
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Health Payment Reform Act: Rules to Protect Providers
27/09/2022 Duração: 07minAfter a state medical error disclosure and apology law went into effect in November 2012, health providers in Massachusetts have protections and rules to follow.
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Cardiac Event Mismanaged in ED
13/04/2022 Duração: 11minAn otherwise healthy 50-year-old woman presented to the Emergency Department with atypical chest pain. Discharge and death the next morning followed.
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Woman’s Stroke Progressed in ED without Intervention
16/11/2021 Duração: 09minThe patient needed to be evaluated by a stroke team and a neurologist promptly to decide whether any treatment was indicated or possible. Triage should be the same whether the ER was empty or overcapacity.
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Surgery Change Needed Better Consent
06/08/2021 Duração: 10minThe goal was to treat uncontrolled pain from tumors but the patient was left with unexpected hearing loss. The patient sued when she claimed the surgeon changed the side of the operation without consulting her. For ideas that might help prevent these negative outcomes, we talk with Douglas Smink, MD, MPH, an associate medical director for CRICO and the Chief of Surgery at Brigham and Women's Faulkner Hospital.
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Lack of Preparation, Safety Culture, Contributed to Loss of Baby
02/06/2021 Duração: 09minThis OB patient's risk factors were not adequately considered, and the team's failure to follow protocols and secure back-up contributed to a lawsuit and a settlement of over $1 million.
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Unclear Discharge Instructions, Patient Loses Foot
28/02/2021 Duração: 10minIn a lawsuit naming the Emergency Medicine physician and a nurse, the patient alleged that a dressing was applied too tightly, compromising the circulation and resulting in a gangrenous foot, requiring amputation. Despite an eventual defense verdict, some lessons show how to prevent this bad clinical result and a five-year legal ordeal.
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Woman Dies from Post-op Stroke When Anticoagulant Not Restarted
17/12/2020 Duração: 10minRestarting 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.
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Young Patient, Flawed Test, Fatal Delay in Colon CA Diagnosis
08/10/2020 Duração: 07minDespite 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.
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“What Else Might This Be?” Might Have Saved PE Patient
20/07/2020 Duração: 14minA 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.
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A Forgotten Stent and Unclear Responsibility for Follow Up
02/04/2020 Duração: 09minThe 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.
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Nothing is “Routine” for an Anxious Patient or Family
27/02/2020 Duração: 08minIn 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?
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Status Change Missed, Consultation Flawed, and the Patient Loses Baby
23/12/2019 Duração: 11minIn 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.
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Radiology Didn’t Know Risk Status Before Patient Fall, Head Injury
16/05/2019 Duração: 10minIn 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.