Development of the Radiology Investigation Guide: The Coronial Perspective Megan Bohensky Research Officer Clinical Liaison Service Missed Radiology Case Study 85 year old male MVA. Arrived in the ED of a Melbourne Hospital.
Clinical Liaison Service
Extrapolation of this data
occur in Victoria per year!
of reported deaths
analysis of issues
(Patient who were considered to have a greater than 75% chance of survival given optimal medical management.)
– The finding was a 15 page document.
Both are well-acknowledged and significant quality of care issues in Australia and internationally. Cases involving hospital care also represent an onerous workload for the Coroner’s court
Three meetings were held at the VIFM to discuss the format and content of the Investigation Standard.
4) Merritt TA, Palmer D, Bergman DA, Shiono PH.Clinical practice guidelines in pediatric and newborn medicine: implications for their use in practice. Pediatrics. 1997 Jan;99(1)
5) Brennan TA, Sox CM, Burstin HR. Relation between negligent adverse events and the outcomes of medical-malpractice litigation.N England J Med. 1996 Dec 26;335(26):1963-7.