A Missed MI Diagnosis and Death After Office Visit
As in many missed MI cases, the primary care physician did not order an EKG. Thomas Sequist, MD,...
09:05
Podcasts de medicolegal
Misread of Data Slowed Response, Hurts Patient
A young woman presented to Labor and Delivery at 39.6 weeks with ruptured membranes and irregular...
08:21
Patient Loses Finger after Medication Error in ER
Medication error in the ER was preventable. Culture and communication problems compounded an...
10:04
Missed MI and a Failure to Connect the Dots
Fragmented primary care in a large group practice that only treated the patient’s acute problems...
09:05
Late Follow Up Miffed Patient in 1821 Ortho Case
Nation's "first malpractice crisis" resulted in 1821, after a horse fell on a man and the surgeon...
09:10
Bleed Recovery Good, But Disclosure Faulted
The surgeon orchestrated a great recovery from a massive bleed that resulted in blindness, but...
07:32
Test Delay Blamed in Woman's Colon Cancer Death
The patient was under 50 and lack of communication between the PCP and GI about a sigmoidoscopy...
07:40
Diagnostic Failures Prompt Referral Changes.
Armed with its own malpractice data, a large group practice builds on an existing electronic...
09:40
Retained Object: Reliance on Memory Harms Patient.
The surgeon postponed removing a catheter fragment, and then forgot about it.
08:30
Lack of Empathy Triggers Suit Against Surgeon
The patient and his wife felt that the surgeon was not forthcoming with an explanation of what...
10:24
Drug Error Reviewed by Non-Healthcare Methods
A patient safety audience hears about how outside industry might fix a process breakdown before...
11:03
Long Surgery, Consent Faulted in Blindness: Closed Case Abstract
A young patient didn't know about blindness risk before 12-hour, two-stage broken back surgery.
08:46
Vague Talk Between OB and RN Caused Delay: Closed Case Abstract
In this case, quicker identification of a compromised fetus required more precise EFM discussion,...
09:57
Atypical Pain-Missed MI in ED: Closed Case Abstract
In this case, the patient presentation was 'atypical,' and the language and cultural divide...
08:38
When to Seek a Consult: Closed Claim Abstract
In this case, the patient and physician start out very optimistic, and experience increasing...
09:02
Accuracy at Issue in New MA Disclosure Law
Disclosure and apology after an adverse event is encouraged a lot, protected a little, and...
07:35
Happy? MDs Rate Selves, Share Secrets
An online Medscape poll reveals which specialty has the most and least happy members, and CRICO...
06:58
Lucian Leape Grades the Patient Safety Movement (Part 2)
(Part 2 of 2) The “Father of Patient Safety” reflects on the impact of the patient safety...
10:16
Lucian Leape Grades the Patient Safety Movement (Part 1)
(Part 1 of 2) The “Father of Patient Safety” reflects on the impact of the patient safety...
09:28
Helping MDs Manage Prostate Care
A consent discussion with patients leads the PSA testing advice in a Harvard-generated tool to...
09:15
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