Whistleblower Lawsuit Claims Misdiagnosis, Cover-Up At KU Hospital | KCUR

Michael.H.Kanter at KP.ORG Michael.H.Kanter at KP.ORG
Sun Jul 3 21:47:24 UTC 2016


i am familiar with a similar case about 35 years ago (obviously before EMR 
though) in which a biopsy was over read and then the larger resection also 
overread by the same pathologist.. This did not appear to be deliberate 
though.  At the time I thought it was a crazy outlier case and have not 
seen anything similar since.


Michael Kanter, M.D., CPPS
Regional Medical Director of Quality & Clinical Analysis
Southern California Permanente Medical Group
(626) 405-5722 (tie line 8+335)

Executive Vice President,
Chief Quality Officer,
The Permanente Federation

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From:   HM Epstein <hmepstein at GMAIL.COM>
To:     IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Date:   07/03/2016 01:39 PM
Subject:        [IMPROVEDX] Whistleblower Lawsuit Claims Misdiagnosis, 
Cover-Up At KU Hospital | KCUR



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attachments or click on links if you do not recognize the sender.

Please read the following summary and I'd appreciate the group's feedback. 


The former chair of pathology at KU Hospital filed a whistleblower lawsuit 
against his current hospital claiming the current head of pathology 
misdiagnosed a patient with a lethal form of cancer, surgeons removed an 
unidentified organ, the lab discovered that the removed organ was 
essentially cancer-free, and then that the pre-surgery sample was also 
free of cancer, covered it up and never told the patient who still thinks 
they have to be on guard against a lethal form of cancer. 

The paragraph I would like your opinion on is deep in the article:

"In September, Tilzer informed KU Hospital’s chief medical officer and 
risk management officer that the hospital needed to conduct a “root cause 
analysis” of the mistake to make sure it wouldn’t happen again. The chief 
medical officer responded that the original diagnosis was correct because 
two other pathologists signed the report. But Tilzer says the two other 
pathologists did not agree with the original diagnosis, “and the chair 
simply wrote their names in the electronic medical record.”"

First, is it easy for one doctor to fake the signatures of other doctors 
in the EMR without being discovered? And while the accused pathologist 
finally admitted her error, it appears the hospital hasn't done so nor had 
the patient been notified. Therefore no root cause analysis has been done. 


So, is this a crazy outlier situation or is it a common occurrence?

Thank you. 

Best,
Helene

http://kcur.org/post/whistleblower-lawsuit-claims-misdiagnosis-cover-ku-hospital#stream/0


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