Mutual Matters

Bill Kanich, MD

Recent Posts

Coordination of Care: Keep Patient Info from Falling through Cracks

Posted by Bill Kanich, MD on Jun 8, 2017 1:00:00 PM

Accurate information about a patient’s past history is vital for decision making in every physician-patient interaction. In addition, proper documentation is essential for care that may be provided in the future by yourself or other physicians. Coordination of care is as much of a patient safety challenge as making an accurate diagnosis or ordering the appropriate treatment. The path of care from the initial complaint to completion of treatment is far from seamless. Sometimes it can be full of obstacles – such as the potential to misunderstand or not see important information, including details that could pose serious risks for the patient. Many medical liability cases involve poorly coordinated care that results in harm to a patient.

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Topics: Patient Safety, Healthcare Industry

Specialty Focus: Obstetrics and Gynecology

Posted by Bill Kanich, MD on Jun 2, 2017 4:16:59 PM

Case #1

A 28-year-old G1 P0 female presents in active labor after an uncomplicated pregnancy. She progressed adequately in labor, getting an epidural at 6cm dilatation. After delivery of the fetal head, the head partially withdraws back into the birth canal (turtle head) and this was immediately noted. A modified McRoberts’ maneuver was done with suprapubic pressure without success.

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Topics: Patient Safety

5 Tips for Physician Recruiting

Posted by Bill Kanich, MD on May 18, 2017 12:27:00 PM

Physician recruiting is a fact of life for any practice. Whether it’s replacing a retiring solo practitioner, adding an employee physician to a three-person partnership, or adding additional manpower to a large, multi-specialty clinic, physician recruitment is inevitable and the financial stakes are high. 

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Topics: Hospital Management, Healthcare Industry, Practice Management

Essential Medical Skill Can Change Physician Behavior and Improve Patient Outcomes

Posted by Bill Kanich, MD on Apr 27, 2017 1:49:32 PM

A recent Emergency Medical Journal article[1] examined the relationship between empathy and litigation. The authors enrolled two groups of patients into a randomized, double-blind controlled trial. The subjects watched simulated discharge discussions between physicians and standardized patients; half of the videos differed only by the inclusion of two brief empathy statements. These verbalizations included: 1) a reflection on the patients' concerns about their symptoms, and 2) a reflection on their health awareness.

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Topics: Patient Safety

FDA Boxed Warning Required for Fluoroquinolones

Posted by Bill Kanich, MD on Apr 14, 2017 1:30:00 PM

On May 12, 2016, the FDA released an announcement advising that the serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with acute sinusitis, acute bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options.

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Topics: Patient Safety

Physicians Prone to Medical Liability Claims

Posted by Bill Kanich, MD on Apr 6, 2017 1:00:00 PM

NEJM Study shows 1% of physicians accounted for one-third of all paid claims

A study in the January 2016 New England Journal of Medicine[1] analyzed paid medical liability claims, (an indemnity payment made to an injured party), and the physician’s name was reported to the National Practitioner Data Bank (NPDB) to determine if the characteristics of claim-prone physicians could be identified.

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Topics: Patient Safety, Healthcare Industry

The Opioid Epidemic: It’s Still a Problem

Posted by Bill Kanich, MD on Mar 16, 2017 4:34:42 PM

An Overview of Guidelines and Resources Available

Drug overdoses are the No. 1 cause of accidental deaths in the U.S., surpassing deaths by motor vehicle accidents. Many drug overdose deaths involve prescription medications, predominantly opioids. Even greater by orders of magnitude are those patients and their families affected by opioid dependence and addiction.

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Topics: Patient Safety

Accessing and Amending Medical Records

Posted by Bill Kanich, MD on Mar 9, 2017 3:27:31 PM

 Case Study #1

During an exam, Mr. Smith admits to his doctor that he used alcohol heavily in the past. The doctor notes this in the patient’s progress note. Subsequently, Mr. Smith applies for life insurance and learns that he is denied on the basis of the doctor’s note. Mr. Smith is upset and contacts his doctor to request an amendment of his medical record.

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Topics: Healthcare Industry, Practice Management

Top Ten Hard to Diagnose Diseases

Posted by Bill Kanich, MD on Feb 23, 2017 12:15:00 PM

Failure to diagnose and delay in diagnosis are some of the most common allegations of medical liability claims that we see at MagMutual. There are several known disease processes that are notoriously difficult to diagnose either because they mimic other, milder disease processes or their presentation leads the practitioner away from the correct diagnosis. Frequently this delay or misdiagnosis can lead to devastating consequences.

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Topics: Patient Safety

Claims Lesson: Closing the Loop, Communication and Tracking Errors

Posted by Bill Kanich, MD on Feb 16, 2017 12:30:00 PM

Claims Lesson

A 29-year-old male was seen at Best Health Clinic, a family medicine clinic, for the first time by Dr. Smith in April 2009. The patient’s main problem was bronchitis, which was evaluated and treated appropriately. The patient also mentioned a new mole on his right arm and he was set up for a biopsy in May 2009. The biopsy was performed and sent to Bestpath. The biopsy report was never seen in the clinic. It was either not forwarded or received and not attached to the chart.

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Topics: Patient Safety