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    <title>Know Error Blog: DNA Confirmation of Positive Biopsy</title>
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    <id>tag:www.knowerror.com,2011-08-22:/know_error_blog/2</id>
    <updated>2011-02-14T20:01:51Z</updated>
    
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    <title>Lab Mix Up Resulted in Woman&apos;s Healthy Stomach Removal</title>
    <link rel="alternate" type="text/html" href="http://www.knowerror.com/know_error_blog/2010/04/lab-switching-error-resulted-womans-healthy-stomach-removal.html" />
    <id>tag:www.knowerror.com,2010:/know_error_blog//2.30</id>

    <published>2010-04-06T14:48:21Z</published>
    <updated>2011-02-14T20:01:51Z</updated>

    <summary><![CDATA[In December 2009, a report out of Obrezje, Slovenia revealed a lab mix up that resulted in the unnecessary complete stomach removal of a healthy woman, 50-year old Anica Kavecic.&nbsp; Kavecic had no history of gastric problems, but when a...]]></summary>
    <author>
        <name>Mike</name>
        <uri>http://www.knowerror.com</uri>
    </author>
    
        <category term="DNA Matching" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="DNA Specimen Provenance Assignment" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="DSPA" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="DSPA testing" scheme="http://www.sixapart.com/ns/types#category" />
    
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        <category term="SPC" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="cancer biopsy" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="cancer misdiagnosis" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="foreign cell contamination" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="gastrectomy" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="know error" scheme="http://www.sixapart.com/ns/types#category" />
    
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        <category term="patient misidentification" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="positive biopsy" scheme="http://www.sixapart.com/ns/types#category" />
    
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        <category term="specimen transposition" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="stomach cancer" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="stomach cancer diagnosis" scheme="http://www.sixapart.com/ns/types#category" />
    
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        <category term="the know error system" scheme="http://www.sixapart.com/ns/types#category" />
    
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        <![CDATA[<p>In December 2009, a <a href="http://www.sta.si/en/vest.php?s=a&amp;id=1462480" target="_blank">report</a> out of Obrezje, Slovenia revealed a lab mix up that resulted in the unnecessary complete stomach removal of a healthy woman, 50-year old Anica Kavecic.&nbsp; Kavecic had no history of gastric problems, but when a biopsy showed a pervasive cancer in her stomach, she was urged to have an immediate and total gastrectomy.&nbsp; </p>
<p>The diagnosis stunned both Kavecic and her family physician but the biggest shock came after the surgery when routine post surgical tests revealed her stomach was cancer-free.&nbsp; Her biopsy tissue samples had been switched with those of another patient, who in fact did have stomach cancer, resulting in the removal of her perfectly healthy stomach.&nbsp;&nbsp;&nbsp; </p>
<p>&nbsp;</p>]]>
        <![CDATA[<p>Due to language translation issues, it is difficult to fully understand the outcome of this case, but it appears that Kavecic was awarded €40,000 in compensation.&nbsp;&nbsp; From what can be discerned, it also appears there may have been insurance limitations involving coverage of&nbsp;a medical error.&nbsp; She has sought expert legal counsel to negotiate a higher compensation.&nbsp; </p>
<p>As with many cases documented in this blog, such as the case of <a href="http://www.knowerror.com/know_error_blog/2009/11/lab-mix-up-results-in-another-unneccessary-surgery.html">Janelle Trenchfield</a>&nbsp;who underwent an unneccesary lumpectomy, Kavecic's case involved an unnecessary surgery due to a Specimen Provenance Complication (SPC), e.g., specimen transposition, foreign cell contamination or patient misidentification. However, this is the first case we have covered involving removal of a healthy stomach which brings with it a completely different set of issues and post surgical concerns.&nbsp;&nbsp;The <a href="http://www.cancer.org/Cancer/StomachCancer/OverviewGuide/stomach-cancer-overview-treating-surgery" target="_blank">American Cancer Society</a> provides further details of a total gastrectomy, which also includes the removal of lymph nodes, as well as potential side effects of the surgery.</p>
<p>According to the article referenced above, the hospital had no procedure in place to prevent this type of complication from resulting in an adverse patient outcome.&nbsp; The <strong>know error<span style="LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri', 'sans-serif'; FONT-SIZE: 11pt; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'Times New Roman'; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><font color="#000000" face="Calibri">®</font></span> system</strong>, introduced in 2009 by Diagnostic, ID LLC, was designed specifically to detect this type of&nbsp;SPC and to prevent resulting unnecessary treatments and surgeries.&nbsp; The <strong>know error<span style="LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri', 'sans-serif'; FONT-SIZE: 11pt; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'Times New Roman'; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><font color="#000000" face="Calibri">®</font></span> system</strong> utilizes DNA&nbsp;Specimen Provenance Assignment (DSPA)&nbsp;to confirm that a positive biopsy result belongs to the right patient before proceeding with treatment plans.&nbsp; </p>
<p>For more information about the <strong>know error<span style="LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri', 'sans-serif'; FONT-SIZE: 11pt; mso-fareast-font-family: Calibri; mso-bidi-font-family: 'Times New Roman'; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><font color="#000000" face="Calibri">®</font></span>&nbsp;system</strong>, please visit&nbsp;our website&nbsp;<a href="http://www.knowerror.com.after/">www.knowerror.com.</p>
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