Pulmonary embolism and malpractice claims
| Autor: | H H Davis, S. Fink, Tapan K. Chaudhuri |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Deep vein Decision Making Sudden death Medical Records Death Sudden Recurrence Risk Factors Malpractice Cause of Death medicine Humans cardiovascular diseases Referral and Consultation Cause of death Aged Aged 80 and over Venous Thrombosis Risk Management business.industry Heparin General surgery Medical record Second opinion Anticoagulants General Medicine Middle Aged medicine.disease Pulmonary embolism Surgery Venous thrombosis medicine.anatomical_structure Female business Pulmonary Embolism |
| Zdroj: | Southern medical journal. 91(12) |
| ISSN: | 0038-4348 |
| Popis: | Background Deep venous thrombosis (DVT) with pulmonary embolization (PE) often occurs as an unexpected event with fatal consequences. This provides a setting for malpractice claims. Methods We reviewed 160 consecutive malpractice claims submitted by attorneys for medical expert review during the 11-year period ending in 1997. Seven cases involved DVT with PE. Results Alleged failure to anticipate and reduce the chance of PE was the basis for six of the claims. All six patients were at risk for lower extremity DVT, and one had a history of DVT 6 months earlier. The PE was manifested by sudden death in three cases. The seventh case represented a complication of heparin therapy for PE. Conclusions We conclude that risk management for PE should focus primarily on DVT. Physicians should perform and document an examination for DVT whenever there is a history of lower extremity stasis or it is likely to occur. They should also consider documenting a concurring second opinion when making anticoagulant-related decisions. |
| Databáze: | OpenAIRE |
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