Opinion ID: 172871
Heading Depth: 3
Heading Rank: 4

Heading: Patient Mistreatment Issues

Text: In January 2005, the Medical Staff Performance Assessment and Improvement (PA&I) Committee [12] began a review of several of Dr. Couch's cases, including the death of a patient, Corrine Klewin, while under Dr. Couch's care. The Critical Care Committee had previously initiated the review after Klewin's death in 2003, and had sent her medical records to be reviewed by an independent reviewer, who had noted that the main cause of death was hyperglycemia and acidosis, not hypotension, which was the main focus of Dr. Couch's treatments. (Aplt. App. 1026.) Based on the PA&I's review of Dr. Couch's treatment of Ms. Klewin, the Committee requested him to attend appropriate continuing medical education training on diabetic ketoacidosis.