Video
The RAP Process was a Gift
Jul 01, 2015
Duration: 57 seconds
Pat Folcarelli, Director of Patient Safety at Beth Israel Deaconess Medical Center, talks about the opportunity the RAP provided for tapping into feedback from colleagues to impact changes.
Episodes
Recent Episodes from the MedMal Insider Series
Bad Finger, Good Documentation
Podcast
Dec 01
A patient sued her hand surgeon, claiming the surgical approach increased the chance that their finger wouldn’t fully heal from a prior fracture. The defense leaned on contemporaneous clinical notes and documentation of the consent process to achieve a defense verdict.
A Pending Test at Discharge and a Return with Sepsis
Podcast
Jul 22
A 68-year-old male was admitted to the hospital after falling on ice and feeling short of breath. Two days after discharge, the patient arrived by ambulance at another hospital in septic shock. The patient filed a claim against the hospital, alleging that the failure to communicate a critical lab result required readmission and several weeks of follow-up treatment.
Play Episode
Jul 22
Med Error Leads to Change in L&D Policy
Podcast
May 14
A 30-year-old woman experiencing her first pregnancy, presented to the Labor and Delivery unit. She was given the wrong drug and required an emergent C-section. The “five rights” of medication administration focuses on individual factors and not necessarily on system flaws. Many organizations are also promoting just culture, which encourages reporting near-misses and patient safety events, and focuses on psychological safety and promoting a non-punitive reporting culture.
Play Episode
May 14
Incidental Lung Nodule Overlooked, No Follow-up, Fatal Cancer Advances
Podcast
Dec 30
A patient was imaged for abdominal pain, but the radiologist saw and reported an incidental finding of a nodule on the lower lung that was not pursued or revealed to the patient for 2 years. The cancer had metastasized, and the patient died from lung cancer 18 months later.
Play Episode
Dec 30