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Failure to Perform Sterilization Leads to Unwanted Pregnancy, Litigation
This case presents lessons about consent, notice, and records issues as well as interesting aspects of damages for this rather unique malpractice action. This case is a twist on consent and notice whereby the patient wanted a procedure, requested it, paid for it, and believed she received it. -
Allegations of Failure to Diagnose Resulting in Toddler’s Death Sufficient for Malpractice
This case reveals a common theme in medical malpractice actions: the critical importance of expert witnesses and testimony. As often is the case, both sides presented testimony from expert witnesses — qualified physicians who would support the actions taken by the respective side in the prosecution or defense of the litigation.
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Many ED Malpractice Claims Are Rooted in Poor Communication
Most ED patients are, at some point, handed off to other providers — admitting physicians, the ICU team, on-call consultants, or primary care physicians. Good communication is crucial in the ED. -
Improve Handoffs with Patient Care Partners
Quality patient handoffs are crucial to patient safety. They can be improved by expanding the scope of a handoff to include discharge. Hospitals can proactively ensure every patient is discharged with someone who is prepared to help the patient recover at home, or prepared to find others who can and will. -
Hospitals Underreport to NPDB, Creating Doubt
The Department of Justice recently announced a large healthcare system in the Northwest agreed to pay more than $22 million to settle allegations that two former spine surgeons falsified or exaggerated patient diagnoses and performed unnecessary surgeries. The case is the latest to show how problematic physicians often are not reported to the National Practitioner Data Bank. -
Improve Patient Safety with Employee Rewards, Celebrations
Active engagement with employees can help improve patient safety. Build a culture of safety by showing employees how much their contributions matter. -
Nurse’s Criminal Conviction Could Chill Safety Investigations
A former nurse was recently found guilty of negligent homicide related to a medication error. She admitted to overriding a safeguard before administering the wrong medication to a patient. The case may negatively affect safety investigations.
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Participant Distress Is Concern for IRBs Reviewing Child Maltreatment Studies
Surveys measuring prevalence of child maltreatment are important knowledge, but IRBs might overestimate the risk to participants.
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Conflict Common Between ICU Clinicians
Ethicists often are seen as a neutral party. Their review of a situation can help provide space to reflect on how the conflict arose.
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Consult Services Should Address Racism and Bias
Hospitals are addressing health equity and combatting racism in all areas, including ethics. Members of an ethics consult service can develop recommendations for consultants to help address health equity and promote anti-racism, both in care of individual patients and in institutional policy.