risk management podcasts

Bleed Recovery Good, But Disclosure Faulted

The surgeon orchestrated a great recovery from a massive bleed that resulted in blindness, but...

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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...

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Diagnostic Failures Prompt Referral Changes.

Armed with its own malpractice data, a large group practice builds on an existing electronic...

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Drug Error Reviewed by Non-Healthcare Methods

A patient safety audience hears about how outside industry might fix a process breakdown before...

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Removal of Infant’s Healthy Kidney

A five-month-old girl was referred to the emergency department for evaluation of intermittent...

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Sleep Apnea Patient Dies After Eye Surgery

Communication and documentation flaws compromised a case that featured allegations of poor...

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Multiple Providers Miss PE

Despite several evaluations in the ED and PCP office, the cause of pulmonary symptoms eluded...

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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...

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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...

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Atypical Pain-Missed MI in ED: Closed Case Abstract

In this case, the patient presentation was 'atypical,' and the language and cultural divide...

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Communication Miscues: Closed Claim Abstract

A lesion noted in a radiologist report was not followed before the patient died from metastatic...

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When to Seek a Consult: Closed Claim Abstract

In this case, the patient and physician start out very optimistic, and experience increasing...

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Accuracy at Issue in New MA Disclosure Law

Disclosure and apology after an adverse event is encouraged a lot, protected a little, and...

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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...

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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...

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Patient Status Changes "Trigger" Call to MD

Strong indicators that telling nurses when to call the doctor to the bedside reduce bad outcomes.

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Trying to Manage Outpatient Risks

As more and more health care is provided in the ambulatory setting, the data from malpractice...

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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...

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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...

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