Original contributionMisdiagnosis of acute appendicitis: Common features discovered in cases after litigation☆
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2018, Journal of Emergency MedicineCitation Excerpt :Conversely, in evaluation of system breakdown in closed claims, certain key behaviors continue to be associated with malpractice claims. Aside from attempting to bring about tort reform legislation, providers should mitigate risk by being aware of these behaviors: clear patient communication, intelligent documentation, utilization of clinical practice guidelines, generalizable diagnoses, reassessment, understandable discharge instructions, and careful management of departures against medical advice (14–16,22,26–28,40–50). Patient communication is found to be more closely associated with legal risk than the nature or magnitude of adverse outcome (14).
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2017, Current Problems in Diagnostic RadiologyCitation Excerpt :In two-thirds of pediatric cases, including those related to appendicitis, the malpractice suit was not brought against any doctor singly (radiologists included), but was brought in a multiphysician suit.6 In 18% of these multiphysician cases, no particular physician was found to be culpable for a specific medical error, a side-effect of including multiple physicians in the medical record, regardless of their individual responsibility.6 The difficulty in proving culpability in these kinds of cases is evident from other studies of the trial record: most pediatric malpractice suits are settled out of court.
A prediction model to identify patients without a concerning intraabdominal diagnosis
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Presented at the Society for Academic Emergency Medicine National Meeting, Washington, DC, May, 1991.