Despite several evaluations in the ED and PCP office, the cause of pulmonary symptoms eluded...
10:23
Podcasts de risk management
Repeat ED Visits, Delayed Diagnosis, Lost Ovary
A case where a sign-out checklist or documentation of an order may have prevented the patient's...
09:35
No Screen, Then Colon CA: Closed Claim Abstract
An office practice lacked systems to screen every patient over 50.
08:49
Five Hours to Deliver Twin B: Closed Claim Abstract
Even though the cause of a brain hemorrhage was difficult to prove, the case was settled because...
10:14
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
Communication Miscues: Closed Claim Abstract
A lesion noted in a radiologist report was not followed before the patient died from metastatic...
08:51
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
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
Patient Status Changes "Trigger" Call to MD
Strong indicators that telling nurses when to call the doctor to the bedside reduce bad outcomes.
07:02
Trying to Manage Outpatient Risks
As more and more health care is provided in the ambulatory setting, the data from malpractice...
09:40
Part 3: Author Jerome Groopman, MD Discusses How Doctors Think
Part 3 of an address by best-selling author and Harvard Professor of Medicine Jerome Groopman to...
11:13
Part 2: Author Jerome Groopman, MD Discusses How Doctors Think
Best-selling author and Harvard Professor of Medicine Jerome Groopman speaks to a patient safety...
08:54
Part 1: Author Jerome Groopman, MD Discusses How Doctors Think
Best-selling author and Harvard Professor of Medicine Jerome Groopman speaks to a patient safety...
11:26
Best Practice: Making Sure You See Test Results
The idea is how do you take that big wedge of paper and divide it to the appropriate provider and...
03:22
Expanding Executive Walk Rounds to Ambulatory Sites
A technique for using senior hospital executives to improve patient safety is proving so...
08:57
What Not to Do After An Adverse Event
When a patient has an adverse medical event, it may or may not be the result of a medical error....
06:00
Missing Info Hinders Primary Care
Research indicates primary care physicians often lack vital clinical information about patients...
09:06
In this episode, Ricardo talks about one of the most effective forms for displaying graphical...
04:00
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