Latest Colorectal Podcast Episodes
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Culture Helped, Hurt in this Dosage Error
MedMal Insider - February 28, 2017 10:00 - 7 minutes ★★★★★ - 21 ratingsIn this case, an 8-year-old girl experienced a tenfold dosing error of clotting factor, requiring admission and observation due to increased risk of stroke. It could be said that the culture at this hospital both contributed to the error, and contributed to a good response by staff.
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No Review of Test Result, and Girl Suffers Wrong Dx for Years
MedMal Insider - December 23, 2016 10:00 - 8 minutes ★★★★★ - 21 ratingsAn 8-year old girl was treated over three years for a condition she never had. Multiple providers missed a test result that showed she had celiac disease, so it went untreated and she suffered. The resulting lawsuit resulted in a settlement against two of her doctors. This case study not only re...
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Prucalopride and Functional Constipation
Techniques in Coloproctology's Podcast - November 24, 2016 18:49 - 26 minutesJon Lund, Co-Editor in Chief of Techniques in Coloproctology, Interviews Professor Robin Spiller about a review article entitled "Prucalopride, for functional constipation only?" from the July 2016 issue of the journal
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Missing an MI When Symptoms Didn't Match Diagnosis
MedMal Insider - September 01, 2016 09:00 - 7 minutes ★★★★★ - 21 ratingsA presumptive diagnosis during an office visit kept the doctor from broadening the differential to include a much more serious condition. Commentator Carla Ford, MD says, “These are the kinds of situations that our primary care providers and urgent care providers are faced with all the time.”
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Distraction, Poor Planning for OB Patient
MedMal Insider - August 04, 2016 15:29 ★★★★★ - 21 ratingsFetal bradycardia forced an emergency C-section, but the family claimed the care team should have been more prepared.
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Was This Primary Care Provider Too Rushed?
MedMal Insider - May 17, 2016 15:29 ★★★★★ - 21 ratingsProviders find extra challenges diagnosing stroke in the primary care office.
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Troubled Brew: Multiple Providers, Disjointed Care, Lost Kidney Function
MedMal Insider - February 02, 2016 10:00 - 9 minutes ★★★★★ - 21 ratingsIn this case, we see issues that can arise in care that takes place across multiple institutions and providers, especially when the patient is self-referring. This patient was left with seriously-impaired kidney function, and he alleged a delay in diagnosis. Joining us is Dr. Carla Ford, who revi...
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Spine Surgery: Someone Should Have Said 'Time Out'
MedMal Insider - September 04, 2015 16:51 ★★★★★ - 21 ratingsCase Study: Response to spine surgery complication injured the patient and relationships.
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Spine Surgery: Someone Should Have Said ‘Time Out’
MedMal Insider - September 02, 2015 09:00 - 9 minutes ★★★★★ - 21 ratingsThis review of a closed malpractice claim shows the risks when communication before, during, and after a surgical complication goes awry.
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Diagnostic Dropped Ball: Nobody Followed Up on Lung Nodule
MedMal Insider - May 07, 2015 09:00 - 8 minutes ★★★★★ - 21 ratingsAfter a referral visit to a pulmonologist to follow up on a worrisome CT, none of the three parties—the PCP, the patient, and the pulmonologist—ever addressed the issue of the lung nodule again. The patient saw her primary care doctor several times for check-ups and minor issues over the next se...
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Unfair But So What? Trial for MD After Patient Skips Screening
MedMal Insider - March 03, 2015 10:00 - 8 minutes ★★★★★ - 21 ratingsDuring an initial physical for a new 38-year-old female patient, the PCP noted a normal breast exam, and recommendations for a screening mammogram and colonoscopy due to family history of colon cancer. A mammogram was never done, although the patient returned to this physician practice a dozen ti...
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Asplenic Patient Disabled after Providers Overlooked Infection Risk
MedMal Insider - March 25, 2014 09:02 - 6 minutes ★★★★★ - 21 ratingsDespite multiple visits to her PCP, a 30-year-old woman without a spleen was never given prophylactic antibiotics or told the risks of a high fever. A mishandled telephone triage delayed her trip to the ER, and the resulting pneumococcal sepsis led to permanent disabilities and a $1 million-plus ...
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Missed Steps Delay Breast Diagnosis
MedMal Insider - October 31, 2013 09:00 - 10 minutes ★★★★★ - 21 ratingsEven though the patient identified a lump on her breast, it took more than a year to diagnose cancer. Family history-taking and proper imaging were lacking. CRICO interviews one of the authors of a Harvard breast care management algorithm, Michelle Specht, MD, to consider how following such a gui...
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A Missed MI Diagnosis and Death After Office Visit
MedMal Insider - July 25, 2013 09:00 - 9 minutes ★★★★★ - 21 ratingsAs in many missed MI cases, the primary care physician did not order an EKG. Thomas Sequist, MD, of Atrius Health, describes where some of these cases typically go wrong, and how using a Framingham Risk Score can help with the evaluation process in the office practice.
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Misread of Data Slowed Response, Hurt Patient
MedMal Insider - April 17, 2013 09:00 - 8 minutes ★★★★★ - 21 ratingsFetal heart rate tracings indicated earlier intervention after prolonged induction of labor. The obstetrician and nurse midwife were faulted for not working more closely together.
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Misread of Data Slowed Response, Hurts Patient
MedMal Insider - April 16, 2013 20:15 ★★★★★ - 21 ratingsA young woman presented to Labor and Delivery at 39.6 weeks with ruptured membranes and irregular contractions; a vaginal delivery was complicated by shoulder dystocia after prolonged induction of labor, resulting in a baby with low Apgars, respiratory distress, neonatal seizures, and permanent c...
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Patient Loses Finger after Medication Error in ER
MedMal Insider - February 25, 2013 10:00 - 10 minutes ★★★★★ - 21 ratingsMedication error in the ER was preventable. Culture and communication problems compounded an error that required several surgeries and amputation.
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Missed MI and a Failure to Connect the Dots
MedMal Insider - January 15, 2013 10:00 - 9 minutes ★★★★★ - 21 ratingsDr. Gordon Schiff discusses how to prevent a patient's heart attack, this practice would have needed better systems to monitor and identify chronic risk factors.
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Surgeon: 'I Blew It' Hospital: 'We Blew It'
MedMal Insider - October 23, 2012 16:40 - Video ★★★★★ - 21 ratingsA top surgeon mistakenly performed carpal tunnel instead of trigger release procedure after multiple interruptions and personnel shift changes in OR.
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Late Follow Up Miffed Patient in 1821 Ortho Case
MedMal Insider - September 17, 2012 09:00 - 9 minutes ★★★★★ - 21 ratingsNation's “first malpractice crisis” resulted in 1821, after a horse fell on a man and the surgeon waited a month to visit his patient to see if his attempted hip reduction worked.
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Midwife Didn't Seek OB Consult on Fetal Heart Rate
MedMal Insider - July 31, 2012 16:00 ★★★★★ - 21 ratingsLack of collaboration and poor documentation among the factors in large settlement with severely compromised infant.
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Midwife Didn’t Seek OB Consult on Fetal Heart Rate
MedMal Insider - July 31, 2012 09:00 - 9 minutes ★★★★★ - 21 ratingsLack of collaboration and poor documentation among the factors in large settlement with severely compromised infant.
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Bleed Recovery Good, But Disclosure Faulted
MedMal Insider - June 01, 2012 09:00 - 8 minutes ★★★★★ - 21 ratingsThe surgeon orchestrated a great recovery from a massive bleed that resulted in blindness, but the patient sued for answers.
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Test Delay Blamed in Woman's Colon Cancer Death
MedMal Insider - April 09, 2012 19:00 ★★★★★ - 21 ratingsThe patient was under 50 and lack of communication between the PCP and GI about a sigmoidoscopy order contributed to a diagnostic failure.
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Test Delay Blamed in Woman’s Death
MedMal Insider - April 09, 2012 09:00 - 7 minutes ★★★★★ - 21 ratingsThe patient was under 50 and lack of communication between the PCP and GI about a sigmoidoscopy order contributed to a diagnostic failure.
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Diagnostic Failures Prompt Referral Changes.
MedMal Insider - December 09, 2011 11:56 ★★★★★ - 21 ratingsArmed with its own malpractice data, a large group practice builds on an existing electronic record system to ensure that when its doctors order a referral, the referral actually takes place. (Audio file updated 03/22/2012)
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Retained Object: Reliance on Memory Harms Patient
MedMal Insider - June 16, 2011 09:00 - 8 minutes ★★★★★ - 21 ratingsThe surgeon postponed removing a catheter fragment, and then forgot about it.
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Retained Object: Reliance on Memory Harms Patient.
MedMal Insider - June 16, 2011 07:46 ★★★★★ - 21 ratingsThe surgeon postponed removing a catheter fragment, and then forgot about it.
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Lack of Empathy Triggers Suit Against Surgeon
MedMal Insider - February 03, 2011 10:00 - 10 minutes ★★★★★ - 21 ratingsThe patient and his wife felt that the surgeon was not forthcoming with an explanation of what happened and seemed indifferent to the impact on his patient, following conversion to an open procedure and large blood loss.
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Drug Error Reviewed by Non-Healthcare Methods
MedMal Insider - February 03, 2011 06:41 ★★★★★ - 21 ratingsA patient safety audience hears about how outside industry might fix a process breakdown before or after a wrong drug error.
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