Misinterpretation of CT Scan Delays Stroke Diagnosis
This case study was put together by our partners at CRICO and was written by Katherine Zigmont, Clinical Program Specialist Description A misinterpretation of a stat CT scan result and a lack of communication between providers delays an unresponsive woman’s stroke diagnosis. Clinical Events A 54-year-old female was brought to the emergency department (ED) in the late afternoon after being found unresponsive at work. The ED provider noted that the patient presented as lethargic, stuporous, and aphasic. A stat CT scan was performed, which the radiologist read as negative for a stroke. In the evening, the family asked for a...
MPL Defense Verdict Bolstered by Appropriate Consent Process
This case study was put together by our partners at CRICO and was written by Margaret Janes, Senior Program Director Patient Safety and Education Description Discussion with the patient about risks, benefits, and alternatives of a procedure helped in defense of a known surgical complication. Key Lessons Informed consent is a conversation with the patient that covers both what the patient may think is important and what the physician thinks is important Documentation in the medical record of discussions with the patient, beyond the informed consent form, will help support care provided in the event of an unexpected outcome Managing...
A number of new laws impacting the practice of medicine in Idaho have been enacted. MIEC encourages Idaho physicians to engage in the legislative process through organizations such as the Idaho Medical Association and the Idaho Coalition for Safe Healthcare. All new laws are effective July 1, 2024 unless noted otherwise. CONSENT Minor Consent: As previously reported, the Parental Rights in Medical Decision-Making Act largely eradicated an unemancipated minor’s authority to consent to medical care, as well as their right to confidentiality of that care. It also gives parents a private right of action against physicians if their right...
Defense Verdict After Patient Challenged Surgical Outcome
This case study was put together by our partners at CRICO and was written by Jennifer Vuu Sanchez, Program Director Description A 42-year-old female dissatisfied with post-surgical outcomes for chronic pelvic pain sued her gynecologist. Key Lessons Patients will sue even if there is no malpractice because of unexpected outcomes, anger, dissatisfaction, or lack of understanding of what occurred. Appropriate provider-patient communication helps manage expectations and complications. Provide emotional support for clinicians named in a malpractice lawsuit or claim. Clinical Sequence April 3: A 42-year-old female with a history of chronic pelvic pain (CPP) presented to her gynecologist with complaints...
Life-altering Misunderstanding During Shift Change
This case study was put together by our partners at CRICO and was written By Kristin O'Reilly, Program Director at CRICO. Description A patient brought to the ED with a subdural hematoma suffered a life-altering injury in the aftermath of a misunderstanding about a blood bank order during a shift change. Key Lesson Structured handoff tools can prevent the loss of key clinical information across shifts. Clinical Sequence An 80-year-old male with a history of atrial fibrillation (on Coumadin) presented to the Emergency Department (ED) after falling and hitting his head. Upon exam, the patient had no neurologic deficits or...