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Printable Handouts
Navigable Slide Index
- Introduction
- Medical negligence
- Causes of death in the U.S.
- "To Err is human"
- Deaths due to medical negligence/year/inpatients
- Deaths and harm due to medical negligence
- Deaths due to medical negligence (1)
- Deaths due to medical negligence (2)
- Mismanaged expectations – maternal morbidity in the U.S.A. (1)
- Mismanaged expectations – maternal morbidity in the U.S.A. (2)
- National practitioner data bank (1986)
- Diagnostic error
- Good doctors and medical error
- Case study (1)
- Good doctors and medical error
- Case study (2)
- Causes of medical error: due diligence
- Causes of medical error: duty to warn (1)
- Patients with Fragile X syndrome
- Causes of medical error: duty to warn (2)
- Causes of medical error: duty to warn (3)
- Causes of medical error: diagnosis
- Causes of medical error: infection
- Causes of medical error: medication
- Case study (3)
- Causes of medical error: never events [~4000/year]
- Causes of medical error: surgical
- Causes of medical error: institutional
- Causes of medical error: incidentalomas
- Imaging observation example
- Causes of medical error: laboratory tests
- Causes of medical error: references
- Cognitive psychology
- Cognitive biases (>100) (1)
- Cognitive biases (>100) (2)
- Cognitive biases (>100) (3)
- Federation of boards of registration in medicine
- Recommendations to stop the carnage
- How many deaths are acceptable?
- Disclosure
Topics Covered
- Introduction to medical negligence
- Importance and frequency
- Individual & systemic reasons for negligence
- The cost and the causes of negligence
- Cognitive psychology, decision-making, bias, critical thinking and clinical reasoning
- Responsible authority
- Recommendations
Talk Citation
Milunsky, A. (2019, November 28). Avoidable deaths and harm due to medical negligence [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 10, 2024, from https://doi.org/10.69645/CJDY7490.Export Citation (RIS)
Publication History
Financial Disclosures
- Aubrey Milunsky discloses his self-published book.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, I'm Aubrey Milunsky.
I'm the founder and co-director with my son of
this non-profit Center for Human Genetics in Cambridge.
Currently, I'm an adjunct professor of Obstetrics and Gynecology
at Tufts University School of Medicine,
and in the past many years,
I have been a professor of human genetics,
pediatrics, obstetrics and gynecology, and pathology.
So, today, we're going to be talking about
avoidable deaths and harm due to medical negligence.
All the insights that I'll be sharing with
you and the lessons that I've learned and want to
share comes from vast experience in the United States courts.
I have appeared and testified in more than 100 trials,
and have evaluated and reviewed close to 2,000 cases of claimed medical negligence.
So, the subject is highly relevant to all people who are planning to be
or going to be patients, which turns out to be all of us, short of sudden death.
We all know, of course, that physicians are guided by a particular code of conduct,
and we expect from them skill, knowledge, trust,
sensitivity and, of course, a certain empathy and respect.
So, recognizing all of that,
we're going to tackle this particular subject which of course is concerning to all of us.
First, let me turn to the next slide.
1:39
We will be talking about medical negligence in the following areas.
First, we'll discuss the importance and
the frequency with which medical negligence occurs.
Then, we'll talk about the reasons both individual and systemic,
followed by the cost and the causes.
We will address the questions of cognitive psychology,
decision-making, bias, critical thinking, and clinical reasoning.
After that, we will discuss the responsible authorities and I have some recommendations.
All of the slides that we're talking about have their origins
in actual legal cases in many states in the United States.
None of them are theoretical;
they are all real.
The only slide that is perhaps not real is on my recommendations right at the end,
but I think they are real.