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

HM Epstein hmepstein at GMAIL.COM
Sun Jul 3 22:30:43 UTC 2016


Michael, I'm glad to hear that it was an outlier. How easy is it to make an
entry stating that another doctor agrees with your diagnosis in the EMRs
where you are, now? Are there any safeguards?

hmepstein.com
@hmepstein <https://twitter.com/hmepstein>
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On Sun, Jul 3, 2016 at 5:47 PM, <Michael.H.Kanter at kp.org> wrote:

> 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
>
> THRIVE By Getting Regular Exercise
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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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> ------------------------------
>
> 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*
> <http://kcur.org/post/whistleblower-lawsuit-claims-misdiagnosis-cover-ku-hospital#stream/0>
>
>
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> *@hmepstein*
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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