RISK COMMUNICATIONS & NAVY UPDATE. Jeff Sherman Director, Medical-Legal Affairs BUMED. Case #1. Deployed Marine SGT Skin lesion Operational physician (GMO) Salve In garrison clinic consult lost No follow up for 4 months Stage 4 melanoma Family engaged congressman and national media.
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Director, Medical-Legal Affairs
79 yo MTF contract Radiologist
Fail to diagnose
QA sampling of reads shows other failures to identify suspicious breast masses
Detailed QA shows significant similar problems over entire 5 years of contract
Patient Safety/Damage Control
BUMEDINST 4200.2C, Health Care Services Contracting, 3 June 2013
BUMEDINST 6230.16, Malaria Prevention and Control, 8 July 2013
BUMEDINST 6150.38A, Coding Program Business Practices, 10 July 2013
BUMEDINST 5350.6, Use of Hand Held Alcohol Detection devices, 12 August 2013
BUMEDINST 6310.11A, Sexual Assault Prevention & Response Medical-Forensic Program, 2 May 2013
BUMEDINST 6320.100, Chiropractic and licensed Acupuncture, 11 March 2013
ALNAV 040/13, Cancellation of SECNAVINST 6320.24A, Mental Health Evaluations of Members of the Armed Forces, 19 June 2013
Phone: (703) 681-8969