Mutual Matters

Bill Kanich, MD

Recent Posts

Claims Lesson: Perioperative Medication Errors

Posted by Bill Kanich, MD on Feb 9, 2017 2:00:00 PM

Case Study

Jane Smith was admitted for an elective laparoscopic cholecystectomy at an outpatient facility. She received midazolam in preoperative holding, and was brought to the operating room and received propofol and a general inhalational anesthetic. She also received a muscle relaxant and fentanyl. The case appeared to proceed without incident, but in the recovery room, the patient recounted that she felt pain, had difficulty breathing, and was able to recall specific conversations during the procedure. Upon review, it appeared that the syringes for the medications were mislabeled, leading to the medication error and intraoperative recall. A lawsuit was subsequently filed for PTSD and emotional distress.

Read More

Topics: Patient Safety

Lessons Learned on Neurological Injuries

Posted by Bill Kanich, MD on Feb 2, 2017 1:05:00 PM

Because of the rise in the number of claims involving neurologic injury, we formed a task force looking at these claims. We examined 22 cases that were closed during the years of 2006 to 2013 to develop some claims lessons. The average total incurred costs per claim were 3.33 times higher than the average amount of all other claims over the same time period.

Read More

Topics: Patient Safety

The Non-Adherent Patient

Posted by Bill Kanich, MD on Jan 26, 2017 1:00:00 PM

How to Approach Situations When Patients Don’t Follow Your Advice

Most physicians are familiar with patients who don’t always follow the advice given to them. For example, up to 30 percent of prescriptions are never filled, and another 30 percent are taken in an inconsistent matter. Providers often order tests or make recommendations and then may not be aware of whether or not the patient is following through. 

Read More

Topics: Hospital Management, Patient Safety, Practice Management

Case Studies: Pain Management with Opioids

Posted by Bill Kanich, MD on Jan 19, 2017 1:00:00 PM

Case Study #1

A 34-year-old male presented to a family medicine physician for chronic low back pain. The physician is comfortable prescribing opioids and has many patients on scheduled drugs. The patient has had chronic pain for many years and undergone multiple treatments including physical therapy, steroid injections and many medications. On presentation, the patient was on Robaxin and oxycodone (four times a day). His past history is positive for hypertension and alcohol abuse, although he stated he hasn’t drank in the past year. He works as a laborer.

Read More

Topics: Patient Safety

HIPAA: Key Areas Where Problems Occur

Posted by Bill Kanich, MD on Jan 5, 2017 12:30:00 PM

In 2015, the Department of Health and Human Services (HHS) released its latest report concerning HIPAA breaches, security and breach notification compliance, and breaches of unsecured protected health information[1].  According to the report, the majority of covered entities audited, particularly smaller entities, continued to show HIPAA deficiencies with regard to privacy, security, and breach notification.

Read More

Topics: Hospital Management, Healthcare Industry, Practice Management, Legal and Regulatory

Don’t Make Your Patient a Victim: When Doctors Criticize Other Doctors

Posted by Bill Kanich, MD on Dec 29, 2016 3:45:34 PM

"Jousting" is the unfortunate practice of one health care professional making derogatory comments about another provider’s care, either to the patient, or in the chart, and without having reviewed all the pertinent records, or discussing his concerns with the previous physician. We have often seen jousting as the cause of medical litigation, but until recently, jousting had never been studied. A 2013 article in the Journal of General Internal Medicine[i] shed light on this hitherto known but underappreciated practice.

Read More

Topics: Hospital Management, Patient Safety, Practice Management

Treating Employees, Family Members and Yourself

Posted by Bill Kanich, MD on Dec 22, 2016 1:00:00 PM


Case Study

Read More

Topics: Hospital Management, Patient Safety, Practice Management

Communication Errors in Surgery

Posted by Bill Kanich, MD on Dec 15, 2016 2:58:56 PM

Read More

Topics: Patient Safety

Patients Recording Interactions with Their Physicians

Posted by Bill Kanich, MD on Dec 8, 2016 12:15:00 PM

If you don’t have something nice to say…

In 2013, a Virginia man prepared for his colonoscopy by pressing record on his phone to capture the post-op instructions from his doctor.

Read More

The Importance of an Accurate Problem List for Patient Safety and Care

Posted by Bill Kanich, MD on Dec 1, 2016 2:00:00 PM

Case Study

Read More

Topics: Hospital Management, Patient Safety, Practice Management