| | Advanced Search


State Report: Marijuana Tax + Bill Targets Prostitutes and Pimps—Plus increased sentences for gang crimes

John Rooke - Thinking Out Loud—JR's column on the sports stories and personalities…

RI Beauty Insider: Pedi Nation – Get the Best Pedicure Ever—A guide to finding a pristine pedi place

Fit for Life: Fail to Plan? Plan to Fail—Plan and prioritize, and you will prevail

Arthur Schaper: Grand Theft Auto Cicilline—MINDSETTER Arthur Schaper examine's Cicilline's role in Prov's…

Five Live Music Musts – April 18, 2014—Great vibes await

Report: Preston Murphy Leaving URI for Boston College—Preston Murphy Leaves URI for Boston College

EXCLUSIVE: Bryant Tells Grads No Selfies with President at Grad—Prohibiting selfies?

PC Athletics gets high marks—Friar winter sports #1 among Big East schools...

NEW: Providence’s Al Forno Featured as a Best Pizza Spot in the US—Another accolade for Al Forno


NEW: RI Doctor Guilty of Malpractice in Fatima Emergency Room

Tuesday, December 18, 2012


An elderly nursing home patient had a G-tube improperly inserted by Dr. Rita Kurl at Our Lady of Fatima Hospital in Providence, resulting in infection and death.

A Rhode Island physician has been found guilty of unprofessional conduct arising from a malpractice litigation settlement, after having inserted a gastronomy tube improperly into a patient's abdomen, who later died, according to the Rhode Island Department of Health (HEALTH).

Rita S. Kurl, MD, whose specialty is internal medicine, has a business address at Roger Williams Medical Center in Providence and was involved in a case at Our Lady of Fatima Hospital emergency department on March 23, 2008. On that date, Dr. Kurl inserted a silicone gastronomy catheter into the abdomen of an 89-year-old female patient who had twice pulled out her own G-tube prior to arriving at the ER.

Improper insertion of G-tube

Kurl confirmed the tube placement with auscultation (using sound), according to a report issued by HEALTH, "but when tube was flushed, patient cried out in pain." Kurl "appropriately" ordered a fistulogram x-ray to check the tube's placement, but Fatima had changed its imaging software and Kurl had not been trained on it. Because of her unfamiliarity with the system, Kurl selected an x-ray from earlier the same day which showed proper placement of the tube.

The patient was discharged and returned to her nursing home. The next morning she returned to Fatima's ER. A radiologist who then viewed the correct x-rays that had been ordered by Kurl the night before noticed that they showed that the G-tube "projected over the patient's upper abdomen and that the contrast material was located outside the lumen (cavity of the stomach), suggesting that the tube's end was outside of it."

The patient had surgery that day to repair the perforation caused by the misplaced tube, which the surgeon found "lying in the subcutaneous tissues." The surgical team evacuated 700 milliliters of tube feedings from the patient's abdomen and the tube was reinserted. But the patient later developed "a massive infection" and died 13 days after the improper G-tube placement.

Based on the following, HEALTH found that Kurl was in violation of two RI laws and for malpractice. Kurl, officially reprimanded by the Board, has agreed to a 5-year probation.


Related Articles


Enjoy this post? Share it with others.


frank bentley

Our lady of FATALITIES

Write your comment...

You must be logged in to post comments.