Expert testimony has always been hindered by the expert’s knowledge that the material being reviewed is in dispute. Cleareview removes that
certainly in radiology issues by creating a customized set of imaging exams to mask the disputed exam. The expert reviews the entire set of de-identified exams,
not knowing which one is the subject of litigation. Cleareview analyses the experts’ reviews, and issues you a report
with the result of the expert's evaluation of the blinded exam at issue.
More detailed analysis is also available.
Cleareview tailors each review set to the particular case and client needs. Cleareview’s extensive de-identified database allows us to simulate inpatient, outpatient, or emergency reading environments. Additionally, we can create a review set for a subspecialist expert, who would only expect to receive exams in that subspecialty. After a Cleareview, you can be assured that your experts’ opinions are truly objective, and be able to rebut the all-too-frequent claim of expert bias.
Cleareview has my strongest endorsement. As a litigator who frequently tries medical malpractice cases, I can directly attribute some of my successful trial outcomes to the use of Cleareview in radiology cases. Jurors are consistently impressed by my experts because of the fact that they conducted truly prospective reviews of the involved radiology studies in contrast to the other experts. Jurors truly understand hindsight bias and how only Cleareview has devised a method of eliminating this bias. You cannot go wrong with a “blind” review from Cleareview!
Rebecca Ringer, JD
Floyd, Pfluger & Ringer
“Cleareview is a great service that allows us to conduct truly blinded radiology reviews. It’s professional and easy to use.”
Brad Piscadlo, JD
Hodgkinson, Street & Mepham
“No radiologist expert can avoid being affected by hindsight bias. Having a potential witness undergo the Cleareview process will virtually eliminate such bias.”
Leonard Berlin, MD, FACR
Medical-legal reviews suffer from hindsight bias, which is hard to eliminate. I have often thought that the best way to determine the "standard of care" in a missed radiology diagnosis would be to slip the case into a routine worklist for multiple busy radiologists, and to see how often the finding was made.
Individual cases sent out to expert witnesses, even if they are doing "blinded reads", receive extra scrutiny, making the evaluations unrealistic.
Cleareview has come up with the best approach I have seen yet for reducing these biases. They send several cases, some normal, some not, with the key case embedded in the "stack".
I have impressed with the quality of the cases sets shown, and the software then reveals sample or real reports. It keeps you more "honest" than the typical isolated retrospective review.
I think the medico-legal system would do well to challenge experts to spot abnormalities in such a setting.
Erik Gaensler, MD
Walnut Creek, California
“I thought I would be looking really closely at every case. After a while I realized that I wasn’t doing anything that different from what I do on a daily basis.”
David Levitsky, MD
Cleareview in the News
Ending Institutional Corruption
Dr. Robinson presents Cleareview’s unique approach to eliminating expert witness bias at the Ending Institutional Corruption conference at the Safra Center for Ethics at Harvard Law School, May 1, 2015. See Dr. Robinson’s presentation here.
Minimizing Bias in Interpreting Plaintiff’s X-rays.
Published in Inside Medical Liability 2014 First Quarter
Dr. Robinson reviews the causes of expert reviewer bias, and outlines the Cleareview process as an approach to minimize that bias. Full article available here.
Start-up takes aim at bias in expert witness testimony
Posted on auntminnie.com August 29, 2013
AuntMinnie.com staff writer Kate Madden Yee covers the founding of Cleareview, and explains its purposes and goals. Full article available here. Article and online discussion here (free registration required)
Imaging Informatics Solutions Provider ClearCanvas Debuts Vendor Neutral PACS Cleome
Posted on ClearCanvas.ca September 16, 2013
Cleareview’s use of state-of-the-art technology is recognized by PACS vendor ClearCanvas. Full text here.
JEFFREY ROBINSON, MD MBA – PRESIDENT AND FOUNDER
Dr. Robinson studied and trained at Washington University, the University of Minnesota, UCLA, the University of Washington and the University of Massachusetts. He was a Network Fellow at the Edmund J. Safra Center for Ethics at Harvard Law School. He is an author or co-author of more than thirty scientific publications. Board certified in diagnostic radiology, he has over twenty-five years of clinical radiology experience. He has been consulted on numerous medical-legal cases by both plaintiff's and defendant's counsel and has an extensive background in information technology, with an emphasis on medical imaging.