Positive tests

Vic Nicholls nichollsvi2 at GMAIL.COM
Mon Mar 9 21:37:09 UTC 2015


You might be surprised. Malpractice depends on the patient/provider
relationship more than anything.

I had one doctor get quite the offense because I had already figured out
the test results by the time he sent me something. {{ego}}. We parted
ways. Must have been me having more medical references than he did.

I have another who when I gave my medical reading list, and told him if
I'm worried I'll let you know, has left me alone. (Smart doctor)  :)

I have another that alerts me and then asks for a diagnosis. (Teaching
doctor ROFL LOL)  :)

I have a medical scientist who gives me results, writes a few things and
talks about nutrition.  (the AOA type).

On 3/9/2015 12:26 PM, Phillip Benton wrote:
> Failure to communicate (or to apprecciate and then act upon) test
> results is a common issue in adverse medical events with significant
> patient injury. Medical malpractice actions often result and the
> providers are most often held liable. Taking the time to (1) be
> certain that test results are received and acknowleged (or repeated if
> they significantly do not fit the clinical picture), and (2) that the
> information is timely transmitted to other caregivers who need to
> know, and (3) anxious patients also receive notice of the results and
> have the opportunity to ask "what now?", will avoid litigation and
> enhance your practice's reputation.
>
> Well worth the time and effort, especially since electronic
> communication today is so easy and is virtually free. Any competent
> practice consultant can show you how.
>
> P.G. Benton, MD, JD
> Adjunct Professor, Emory Law School
> Atlanta, GA
>
>
> -----Original Message-----
> From: Hoffer, Edward P.,M.D.,M.D. <EHOFFER at MGH.HARVARD.EDU>
> To: IMPROVEDX <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Sent: Mon, Mar 9, 2015 11:41 am
> Subject: Re: [IMPROVEDX] Positive tests
>
> I would respectfully disagree. I tell my patients that while MOST of
> the time, no news = good news, in a small percentage of situations, no
> news = the test got lost, the report was misfiled, the specimen was
> never received, etc. I doubt many doctors intentionally do not tell
> patients about abnormal findings, I do believe that a test that never
> gets reported is easy to lose sight of.  So, closed loop = better. It
> is not much effort to write “good news” on a report and mail a copy to
> the patient if you do not have a portal.
> Ed
> Edward P Hoffer MD
> *From:*Mark H Ebell [mailto:ebell at UGA.EDU <mailto:ebell at UGA.EDU?>]
> *Sent:* Sunday, March 08, 2015 10:53 PM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> *Subject:* Re: [IMPROVEDX] Positive tests
> While in an ideal world, that makes sense, in a busy primary care
> practice in the non-academic setting, communicating every negative
> result would impose a large cost on the practice. Someone has to call
> or mail or email every patient for every test ever ordered. I don’t
> think that’s realistic. Not that it wouldn’t be valuable, but in the
> real world it probably makes more sense to be selective in
> communicating negative findings, focusing on critical results (you
> don’t have cancer, your cath was normal, etc).
> Best,
> Mark
>> Mark H. Ebell MD, MS
> Professor of Epidemiology
> University of Georgia
> Editor, /Essential Evidence/
> Deputy Editor, /American Family Physician/
> ebell at uga.edu <mailto:ebell at uga.edu>
> *From: *<Pauker>, Stephen
> *Reply-To: *Society to Improve Diagnosis in Medicine, "Pauker, Stephen"
> *Date: *Sunday, March 8, 2015 at 8:10 PM
> *To: *"IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>"
> *Subject: *Re: [IMPROVEDX] Positive tests
> In my experience and writings , negative or normal test results can be
> quite important in making a diagnosis, so not communicating them to
> the patient can be withholding key information. All results positive
> or negative should be communicated. Further withholding them can
> sometimes lead to repeating the test
>
> Steve
>
>
>
> Sent with Good (www.good.com <http://www.good.com>)
>
>
> -----Original Message-----
> *From: *Robert Bell [rmsbell at ESEDONA.NET <mailto:rmsbell at ESEDONA.NET>]
> *Sent: *Sunday, March 08, 2015 01:33 PM Eastern Standard Time
> *To: *IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> *Subject: *[IMPROVEDX] Positive tests
>
>
> Many doctor's offices only call or mention to patients positive test
> results that have been undertaken (particularly lab tests). Is that a
> good thing and does it in any way impact diagnosis?
>
> Also, what are the effects of the new electronic portals on diagnosis.
> It is a big change in medicine.
>
> Rob Bell
>
> Sent from my iPad
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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