Re: maternal hep B
From: Charlie Chambers (cchamber@gorge.net)
Tue Sep 30 11:22:57 2003
I think you have to look at this aside from the obvious liability risk.
I'd take a systems approach to the issue. No single individual or
entity's omission can lead to such an oversight. All involved share
some duty to correct an obvious failure. If we rely simply on a
notation or stamp on the prenatal record to carry out care on a 100%
basis then failures are bound to occur.
On Monday, September 29, 2003, at 03:57 PM, Richard Chudacoff, MD
wrote:
> Interesting discussion today in the doctors lounge: 6-month-old infant
> develops fulminate hepatitis and liver failure. Noted to have Hep B.
> Records reviewed noted that mother was Hep B positive, but this was
> not acted upon by OB. Aunts and grandmother are also Hep B
> positive-none with active hepatitis. Infant never received hep vaccine
> in hospital, or by pediatrician. Fingers have been pointed. Who, if
> anyone, has the majority of the responsibility, and why did the checks
> and balances (vaccination in hospital, review of records, pedi
> vaccination) fail?
>
>
>
> Any comments?
>
>
>
> Richard Chudacoff, MD, FACOG
>
> Chudacoff Obstetrics & Gynecology, PLLC
>
> 15200 Southwest Freeway, #270
>
> Sugar Land, TX 77478
>
>
>
> Tel: 281-277-3900
>
> Fax: 281-277-3901
>
>
>
> rchudacoff@mylinuxisp.com
>
> Richard.Chudacoff@obgyn.net
>
>
>
> http://www.mdhub.com/281-277-3900
>
> http://www.chudacoffobgyn.yourmd.com
>
>
>
> *****HIPAA Confidentiality Notice*****
>
>
>
> The documents inside this electronic transmission contain confidential
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>
>
>
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>
************************************************************************
**
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
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I think you have to look at this aside from the obvious liability
risk. I'd take a systems approach to the issue. No single individual
or entity's omission can lead to such an oversight. All involved share
some duty to correct an obvious failure. If we rely simply on a
notation or stamp on the prenatal record to carry out care on a 100%
basis then failures are bound to occur.
On Monday, September 29, 2003, at 03:57 PM, Richard Chudacoff, MD
wrote:
=
<excerpt><fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Interesting
discussion today in the doctors lounge: 6-month-old infant develops
fulminate hepatitis and liver failure. Noted to have Hep B. Records
reviewed noted that mother was Hep B positive, but this was not acted
upon by OB. Aunts and grandmother are also Hep B positive-none with
active hepatitis. Infant never received hep vaccine in hospital, or by
pediatrician. Fingers have been pointed. Who, if anyone, has the
majority of the responsibility, and why did the checks and balances
(vaccination in hospital, review of records, pedi vaccination) fail?</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Any
comments?</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Richard
Chudacoff, MD, FACOG</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Chudacoff
Obstetrics & Gynecology, PLLC</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>15200
Southwest Freeway, #270</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Sugar
Land, TX 77478</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Tel:
281-277-3900</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Fax:
281-277-3901</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>rchudacoff@mylinuxisp.com</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>Richard.Chudacoff@obgyn.net</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>http://www.mdhub.com/281-277-3900</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>http://www.chudacoffobgyn.yourmd.com</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>*****HIPAA
Confidentiality Notice*****</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>The
documents inside this electronic transmission contain confidential
information belonging to the sender that is legally privileged. This
information is intended only for the use of the individual or entity
named above. The authorized recipient of this information is
prohibited from disclosing this information to any other party and is
required to destroy the information after its stated need has been
fulfilled, unless otherwise required by law.</smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller> </smaller></color></fontfamily>
=
<fontfamily><param>Arial</param><color><param>0000,0000,0000</param><smaller>If
you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution, or action taken in reliance on the
contents of these documents is strictly prohibited. If you received
this electronic transmission in error, please notify the sender
immediately to arrange for return.</smaller></color></fontfamily>
<color><param>0000,0000,0000</param> </color>
=
</excerpt>**************************************************************************
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
