Author: John McKiggan

Supreme Court of Canada Denies Leave to Appeal in Informed Consent Case

by John McKiggan

Persistent Problems

Between 1994 and 2000, Ms. Klein Tatner consulted several doctors to determine the cause of a variety of neurological symptoms. specialists to try to determine the cause of various symptoms she had. On May 15, 2000, she was diagnosed with tethered cord syndrome, a rare congenital condition.

On May 26, 2000 Dr. Mohr performed surgery on the plaintiff and some of the risks associated with the surgery materialized.

Patient Safety: Sleep Deprived Doctors Making Mistakes

by John McKiggan

Dangers of Deprivation

The Canadian Medical Association Journal has published an editorial that suggests that sleep deprivation in doctors is endangering patient safety.

According to the authors of the editorial, Drs. Noni MacDonald, Paul Hébert, Ken Flegel and Matthew Stanbrook: “The problem may only be getting worse…”

Patient Safety: 10 Tips to Prevent Diagnostic Errors

by John McKiggan

A diagnostic error, or misdiagnosis, happens when a doctor (or other health care professional) reaches an incorrect conclusion about what is wrong with you.

In Canada up to 7.5% of patients experience some form of diagnostic error.

Why Diagnostic Errors Happen

Patient Safety Website Up and Running

by John McKiggan

The Canadian Patient Safety Institute, a non-profit organization, has created a new website designed to provide the public and health care providers with patient safety information from around the world.

The website is located at www.patientsafetyinstitute.ca

The goal of the website is to provide access to safety advisories, alerts and other resources as well as to allow users to share information to help enhance patient care and protection.

Quebec Orders Hospitals to Disclose Medical Errors

by John McKiggan

Quebec became the first province in Canada to require hospitals to publicly disclose medical errors. Quebec’s Department of Health and Social Services has announced a new registry that will collect standardized data from 275 hospitals across the province.

The system will document all reported medical errors including:

1. Patient falls;
2. Supply problems; and
3. Medical record errors.

Doctors Trying to Protect Reputations by Limiting Patients Speech

by John McKiggan

Doctors are still doing everything they can to prevent patients from posting negative comments on doctor ratings websites like Rate MDs.

I have discussed how some doctors in the United States require patients to sign a contract agreeing not to post negative comments about the doctor online before the doctor will agree to treat the patient: Doctors Forcing Patients to Sign Gag Orders.

One doctor sued her own patient for posting a negative review of the care provided by the doctor:Doctor Sues to Silence Patient .

“Respectable Minority” Principle a Trap for Malpractice Victims – Cleveland v. Whelan

by John McKiggan

First Hurdle

The first thing a medical malpractice victim needs to prove in order to win their case is to establish the “standard of care”.

The Supreme Court of Canada stated that:
“A doctor’s behaviour must be assessed in light of the conduct of other ordinary specialists, who possess a reasonable amount of knowledge, competence and skill expected of professionals in Canada, in that field. A specialist such as the respondent, who holds himself out as possessing a special degree of skill and knowledge, must exercise the degree of skill of an average specialist in his field.”
That well known quote from the Supreme Court of Canada’s decision in Ter Neuzen v. Korn is referred to in every single medical malpractice trial.

New “Superbug” Making Hospital Rounds

by John McKiggan

The recent series of C-Difficile infections in Cape Breton hospitals has brought some media attention to the problem of Hospital Acquired Infections.

I was doing some research on a case and came across information of a new antibiotic resistant “Superbug” that is being found in hospitals.

Carbapenem-Resistant Klebsiella pneumonia or CRKP is an antibiotic-resistant organism that can cause infections in health care settings like hospitals and nursing homes. The bacteria is often associated with pneumonia, bloodstream infections, wound or surgical site infections, and meningitis.