Risk Management


Diagnostic error: Types and causes

Digest-V26-N1-2016 ANNE 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 error has been estimated to range from...
SEMINARS:

Sep
10
Sat
all-day Midwest Ophthalmologic Symposium... @ Eric P. Newman Education Center
Midwest Ophthalmologic Symposium... @ Eric P. Newman Education Center
Sep 10 all-day
Midwest Ophthalmologic Symposium, St. Louis, Missouri on September 10, 2016 @ Eric P. Newman Education Center | St. Louis | Missouri | United States
The Midwest Ophthalmologic Symposium is planned for September 10, 2016. The website for the event: http://www.tri-stl.com/RRDF_Upcoming_Events.html Date: Saturday, September 10, 2016 Location: Eric P. Newman Education Center – 320 S Euclid Ave St. Louis,[...]
Sep
16
Fri
all-day Indiana Academy of Ophthalmology... @ 502 East Event & Conference Centre
Indiana Academy of Ophthalmology... @ 502 East Event & Conference Centre
Sep 16 all-day
Join us for the OMIC risk management session at the upcoming 2016 meeting of the Indiana Academy of Ophthalmology (IAO). Date: Friday, September 16, 2016 Time: Time to be announced Location: 502 East Event[...]
Sep
10
Sat
all-day Midwest Ophthalmologic Symposium... @ Eric P. Newman Education Center
Midwest Ophthalmologic Symposium... @ Eric P. Newman Education Center
Sep 10 all-day
Midwest Ophthalmologic Symposium, St. Louis, Missouri on September 10, 2016 @ Eric P. Newman Education Center | St. Louis | Missouri | United States
The Midwest Ophthalmologic Symposium is planned for September 10, 2016. The website for the event: http://www.tri-stl.com/RRDF_Upcoming_Events.html Date: Saturday, September 10, 2016 Location: Eric P. Newman Education Center – 320 S Euclid Ave St. Louis,[...]
Sep
16
Fri
all-day Indiana Academy of Ophthalmology... @ 502 East Event & Conference Centre
Indiana Academy of Ophthalmology... @ 502 East Event & Conference Centre
Sep 16 all-day
Join us for the OMIC risk management session at the upcoming 2016 meeting of the Indiana Academy of Ophthalmology (IAO). Date: Friday, September 16, 2016 Time: Time to be announced Location: 502 East Event[...]


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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