0:00

And the next one will really drive the point.

0:03

Home is this patient with a 34-year-old with chest CT

0:09

radiologists at the end of the day issues a verbal report,

0:13

uh, to the clinician and tells essentially normal ct.

0:16

And then gone for the day following morning,

0:20

another radiologist comes to read,

0:23

to render the official reading on that case

0:26

and reads it as probably normal,

0:29

but there is a small anterior mediastinal soft tissue

0:31

density or mass likely thymus six months follow up.

0:36

How many times have we have? We, have we done that?

0:39

Seen that right. Uh, unfortunately

0:43

the radiologist does not communicate this

0:46

to the referring physician now who later claimed

0:50

that he had a verbal

0:51

of a normal chest CT from the radiology, uh, department.

0:56

Right. Which is totally legit.

0:59

In this case, two years later, the patient was diagnosed

1:02

as a large stage four malignant thoma and eventually died.

1:08

And the medical malpractice lawsuit was,

1:10

was against both the physicians, uh,

1:13

that were involved in the case, the, the one that who had,

1:16

who had given the verbal for missing the finding.

1:19

The second one who had picked up the finding

1:22

but never communicated the finding.

1:23

And of course, other physicians in the hospital were

1:26

also involved in this case.

1:27

So it's, it's vitally important that we have such type

1:31

of communications in place and

1:34

because we do not want miss something like this, so.

Case: Expert Witness - Communication Failure on Chest CT

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0:00

And the next one will really drive the point.

0:03

Home is this patient with a 34-year-old with chest CT

0:09

radiologists at the end of the day issues a verbal report,

0:13

uh, to the clinician and tells essentially normal ct.

0:16

And then gone for the day following morning,

0:20

another radiologist comes to read,

0:23

to render the official reading on that case

0:26

and reads it as probably normal,

0:29

but there is a small anterior mediastinal soft tissue

0:31

density or mass likely thymus six months follow up.

0:36

How many times have we have? We, have we done that?

0:39

Seen that right. Uh, unfortunately

0:43

the radiologist does not communicate this

0:46

to the referring physician now who later claimed

0:50

that he had a verbal

0:51

of a normal chest CT from the radiology, uh, department.

0:56

Right. Which is totally legit.

0:59

In this case, two years later, the patient was diagnosed

1:02

as a large stage four malignant thoma and eventually died.

1:08

And the medical malpractice lawsuit was,

1:10

was against both the physicians, uh,

1:13

that were involved in the case, the, the one that who had,

1:16

who had given the verbal for missing the finding.

1:19

The second one who had picked up the finding

1:22

but never communicated the finding.

1:23

And of course, other physicians in the hospital were

1:26

also involved in this case.

1:27

So it's, it's vitally important that we have such type

1:31

of communications in place and

1:34

because we do not want miss something like this, so.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Majid Aziz Khan, MD, MBBS

Director, Non-Vascular Spine Intervention

Johns Hopkins University

Mahla Radmard, MD

Postdoctoral Research Fellow

Johns Hopkins University School of Medicine

Kelly P. Yousem, JD

Plaintiff’s Attorney

Lesson

Expert Witness Best Practices - Radiologist's Perspective

Lesson

Expert Witness Best Practices - Lawyer's Perspective

Lesson

Expert Witness Case Review - Introduction

Lesson

Expert Witness Case Review - Detection Misses

Lesson

Expert Witness Case Review - Communication Errors

Lesson

Expert Witness Case Review - Interventional Radiology

Lesson

Impact of Malpractice Litigation and Liability Considerations

Lesson

Expert Witness Case Review - Conclusion

Case: Expert Witness - Communication Failure on Chest CT