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...
Hospitals must obtain written consent for pelvic and similar exams.
Centers for Medicare & Medicaid Services (CMS) recently announced new guidance for hospitals informed consent guidelines. Based on increasing concerns about the absence of informed patient consent prior to allowing practitioners or supervised medical, advanced practice provider, or other applicable students to perform training- and education-related examinations outside the medically necessary procedure (such as breast, pelvic, prostate, and rectal examinations), particularly on anesthetized patients, we are reinforcing hospitals’ informed consent obligations. CMS requires hospitals to first obtain and document informed consent from patients before performing sensitive examinations in all circumstances. Informed consent includes the right to refuse consent for sensitive...
Bill Limiting Minor Medical Consent and Privacy Passed by Idaho Legislature
The “Parental Rights in Medical Decision-Making” Act was delivered to Governor Little on March 15, 2024. In the absence of a veto, it will go into effect on July 1, 2024 as an emergency provision. Minors (of specified ages) in Idaho have long held the right to consent to certain types of medical care, including certain types of behavioral health care, substance abuse disorder treatment, family planning, and some communicable diseases including sexually transmitted infections (STIs). As an extension of this right to consent to care, minors also had a right to confidentiality of information pertaining to care and treatment...
A 33-year-old woman went to the Emergency Department (ED) for abdominal pain and intermittent rectal bleeding. The attending physician ordered a colonoscopy, but it was never completed. The patient was diagnosed with colon cancer two years after her initial ED visit, and she passed away within a year. No one will ever know if having that initial follow-up would have changed her outcome, but an earlier diagnosis might have offered a better chance for survival. Preventing patients from falling through the cracks in the system is a constant challenge, and some health care organizations have turned to ambulatory safety nets...