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Characterization of Medical Professional Liability Risks Associated With Transesophageal Echocardiography
David M Dudzinski1, Sandeep S Mangalmurti2, William J Oetgen3
1Cardiology Division, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, New York.
Summary
Medical liability claims involving transesophageal echocardiography (TEE) highlight risks in procedure timing, diagnosis, and patient monitoring. Addressing these can improve TEE safety and quality for better patient care.
Area of Science:
- Cardiology
- Medical Liability
- Patient Safety
Background:
- Medical claims data can enhance patient care and reduce liability.
- Limited analysis exists for transesophageal echocardiography (TEE) claims.
- This study reviews TEE claims to identify risk management opportunities.
Purpose of the Study:
- To analyze medical claims data related to transesophageal echocardiography (TEE).
- To identify potential risk management concerns in TEE procedures.
- To improve the safety and quality of transesophageal echocardiography practice.
Main Methods:
- Review of anonymized clinical and claims data.
- Analysis of all closed claims from 2008 to 2013.
- Focus on claims involving transesophageal echocardiography (TEE).
Main Results:
- Eight claims involved TEE; none involved transthoracic echocardiography.
- Identified claims included esophageal perforation, alleged injury from neck manipulation, and missed endocarditis diagnosis.
- Complications arose from inappropriate timing, diagnosis, and monitoring during TEE.
Conclusions:
- Liability claims stem from improper TEE use, documentation, informed consent, monitoring, and technical issues.
- Cardiologists must adhere to guidelines for TEE indications and be aware of complication rates.
- Consulting specialists and improving documentation can mitigate TEE risks.
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