Effective Management of Test Results Improves Patient’s Safety

by John McKiggan

A major study conducted by the Canadian Medical Protective Association (CMPA) has identified ten key areas that can help improve patient safety.

Diagnostic testing is a critical part of modern medical care. Conducting appropriate tests in a timely fashion and reporting results of testing is key to ensuring appropriate diagnosis and treatment.

Miscommunication a Risk to Patients

Standard of Care for Nursing Students in Nova Scotia medical malpractice claims – McIntosh v. Isaac Walton Killam-Grace Health Centre

by John McKiggan

Justice Muise of the Supreme Court of Nova Scotia recently released his reasons in McIntosh v. Isaac Walton Killam – Grace Health Centre.

The Facts

Ms. McIntoshs’ baby was delivered at the IWK by C-section after a period of pushing in an attempt to deliver vaginally. Ten days after the delivery she became aware of pain in her left hip. She had not had any prior problems with her hip before her delivery.

Farmer Receives 1.5 Million Dollars for Emergency Room Negligence – Forsberg v. Naidoo

by John McKiggan

Misdiagnosis Leads to Amputation

A recent ruling from the Court of Queen’s Bench in Alberta confirms that prompt diagnosis can mean the difference between life and death (or in this case, life and limb).

Alberta farmer Wayne Forsberg has been awarded 1.5 million dollars in compensation as a result of medical negligence on the part of emergency room physician Dr. Dadi Naidoo.

Court of Appeal Overturns Award to Brain Injured Baby – Ediger v. Johnston

by John McKiggan

The British Columbia Court of Appeal released its reasons last week in the case of Ediger v. Johnston.

The Facts

Cassidy Ediger suffered an acute and severe hypoxia-ischemic encephalopathy (HIE) about 20 minutes before her birth. Her injury was caused by a compression of her umbilical cord which cut off oxygen from the placenta to her brain. The asphyxia caused a deceleration in her fetal heart rate which lasted until Cassidy was delivered by emergency caesarean section.

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 .