Characteristics of Radiologists Serving as Medical Malpractice Expert Witnesses for Defense Versus Plaintiff

Tharp, Kenneth; Santavicca, Stefan; Hughes, Danny R.; Kishore, Divya; Banja, John D.; Duszak, Richard

doi:10.1016/j.jacr.2022.04.005

Cited by 1 publication

(1 citation statement)

References 38 publications

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“…30 Studies in other medical specialties using similar measures have been done, some showing differences, 31,32,33, others that did not. 34 Similar studies have been done within the field of EHR research. 35…”

Section: Accepted Manuscriptmentioning

confidence: 70%

Identifying a Clinical Informatics or Electronic Health Record Expert Witness for Medical Professional Liability Cases

Sittig

Wright

2023

Appl Clin Inform

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The healthcare field is experiencing widespread electronic health record (EHR) adoption. New medical professional liability, (i.e., malpractice) cases will likely involve review of data extracted from EHRs as well as EHR workflows, audit logs, and even the potential role of the EHR in causing harm. Reviewing printed versions of a patient’s EHRs can be difficult due to differences in printed vs. on-screen presentations, redundancies, and the way printouts are often grouped by document or information type rather than chronologically. Simply recreating an accurate timeline often requires experts with training and experience in designing, developing, using, and reviewing EHRs and audit logs. Additional expertise is required if questions arise about data's meaning, completeness, accuracy, and timeliness or ways that the EHR’s user interface or automated clinical decision support tools may have contributed to alleged events. Such experts often come from the sociotechnical field of clinical informatics that studies the design, development, implementation, use, and evaluation of information and communications technology, specifically, EHRs. Identifying well-qualified EHR experts to aid a legal team is challenging. Based on literature review and experience reviewing cases, we identified seven criteria to help in this assessment: Education in Clinical Informatics; Clinical Informatics Knowledge; Experience with EHR Design, Development, Implementation, and Use; Communication Skills; Academic Publications on Clinical Informatics; Clinical Informatics Certification; and Membership in Informatics-related Professional Organizations. While none of these criteria are essential, understanding the breadth and depth of an individual’s qualifications in each of these areas can help identify a high-quality, clinical informatics expert witness.

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Section: Accepted Manuscriptmentioning

confidence: 70%