Welcome! Login | Register
 

Weiss: Sensible Advice from Seasoned Folk to the Class of 2015—Sensible Advice from Seasoned Folk to the Class…

Revs, D.C. United Play to 1-1 Draw at Gillette—Revs and D.C. United play to 1-1 Draw

Stiffer Penalties For Hit & Run Drivers, Good Samaritan Law Expansion: This Week at the State House—Performance based funding for public colleges, stiffer penalties…

Reading With Robin: Paperback Writers—One of my favorite things about sharing special…

RI Beauty Expert: Chic Styling – Getting White Right—Summer’s unofficial opening day is upon us. If…

Matt Fecteau: Let’s Talk About Online Voting—The United States should discuss, and debate whether…

Leonard Moorehead, The Urban Gardener: Sweet Memory—The most enduring sense is smell. We are…

RI Has Highest Percentage of Deficient Bridges in Country—RI Has Highest Percentage of Deficient Bridges in…

Most Traveled, Deficient Bridges in RI - See The List—The American Road and Transportation Builders Association recently…

Side of the Rhode: Who’s Hot and Who’s Not - May 22, 2015—Every Friday, GoLocalProv's Russ Moore breaks down who…

 
 

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.

 
 
:)