Risk Management


Diagnostic error: Types and causes

Digest V26 N1 2016 coverANNE M. MENKE, RN, PhD, OMIC Risk Manager In September 2014, the ophthalmologists who compose OMIC’s Claims Committee noticed an increase in OMIC malpractice cases alleging diagnostic error and asked risk management staff to explore the reasons behind this apparent trend. We looked at OMIC claims that were resolved over the seven-year period from 2008 to 2014 and presented this data at the OMIC Forum at the 2015 AAO annual meeting in Las Vegas. Many of our policyholders were not able to attend the Forum, so we are pleased to share this information from the “OMIC study” in the Digest. The prevalence of diagnostic...
SEMINARS:

Jun
2
Thu
all-day ASOPRS 2016 Meeting in Ojai, Cal... @ Ojai Valley Inn & Spa
ASOPRS 2016 Meeting in Ojai, Cal... @ Ojai Valley Inn & Spa
Jun 2 – Jun 5 all-day
ASOPRS 2016 Meeting in Ojai, California, June 2-5, 2016 @ Ojai Valley Inn & Spa | Ojai | California | United States
The 2016 ASOPRS meeting is planned for June 2-5, 2016 at the Ojai Valley Inn & Spa in Ojai, California. Date of OMIC presentation: Sunday, June 5, 2016 Time: TBA Location: Ojai Valley[...]
Jun
3
Fri
all-day VSEPS 2016 in Colonial Williamsb... @ Williamsburg Lodge
VSEPS 2016 in Colonial Williamsb... @ Williamsburg Lodge
Jun 3 – Jun 4 all-day
Join us on Friday and Saturday, June 3-4, 2016 in Williamsburg, Virginia, at the annual Virginia Society of Eye Physicians and Surgeons (VSEPS) meeting. Date of OMIC session: Saturday, June 4, 2016 Time: 1:30[...]
Jun
2
Thu
all-day ASOPRS 2016 Meeting in Ojai, Cal... @ Ojai Valley Inn & Spa
ASOPRS 2016 Meeting in Ojai, Cal... @ Ojai Valley Inn & Spa
Jun 2 – Jun 5 all-day
ASOPRS 2016 Meeting in Ojai, California, June 2-5, 2016 @ Ojai Valley Inn & Spa | Ojai | California | United States
The 2016 ASOPRS meeting is planned for June 2-5, 2016 at the Ojai Valley Inn & Spa in Ojai, California. Date of OMIC presentation: Sunday, June 5, 2016 Time: TBA Location: Ojai Valley[...]
Jun
3
Fri
all-day VSEPS 2016 in Colonial Williamsb... @ Williamsburg Lodge
VSEPS 2016 in Colonial Williamsb... @ Williamsburg Lodge
Jun 3 – Jun 4 all-day
Join us on Friday and Saturday, June 3-4, 2016 in Williamsburg, Virginia, at the annual Virginia Society of Eye Physicians and Surgeons (VSEPS) meeting. Date of OMIC session: Saturday, June 4, 2016 Time: 1:30[...]


CASE STUDY:

Acanthamoeba infection difficult to confirm

RYAN BUCSI, OMIC Senior Litigation Analyst

Allegation

Failure to diagnose and treat acanthamoeba infection resulting in enucleation.

Disposition

Settled on behalf of two OMIC-insured physicians and an insured entity for $70,000 each.

Summary

An OMIC-insured general ophthalmologist initially examined the patient for dendrite-appearing lesions on the left eye. The patient had been on Acyclovir and Viroptic, antiviral medications,...

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What can physicians do to improve diagnostic accuracy?

ANNE M. MENKE, RN, PhD, OMIC Risk Manager When we presented the data from our study of diagnostic error at the 2015 OMIC Forum, we asked the ophthalmologists in the audience to vote on what factor contributed the most to diagnostic errors. The choices were: atypical presentations (patient factors), physician’s cognitive process (physician factors), failure to follow up on test results (system issues), or poor communication among healthcare providers (system issues). Most ophthalmologists voted for the two types of system issues. However, when we analyzed factors in claims...





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