Posts Tagged ‘Hospital Negligence’

Reflecting Ten Years After Landmark Report on Medical Errors, ‘To Err is Human’

Thursday, December 24th, 2009

medical error deaths 300x200 Reflecting Ten Years After Landmark Report on Medical Errors, To Err is HumanTen years ago, the Institute of Medicine (IOM) published a ground-breaking report on medical errors, To Err is Human: Building a Safer Health System, which triggered a dialogue among medical professionals and public interest groups now referred to as the “patient safety movement.”  The report, published in 2000, found that nearly 100,000 people die each year due to medical errors caused by “faulty systems, processes and conditions that lead [medical professionals] to make mistakes or fail to prevent them.”

Ten years later, although we have seen marginal improvement in terms of awareness and in certain areas of patient safety, people continue to suffer catastrophic injury or death caused by preventable medical errors at alarming rates.  Indeed, according to a new investigative report called “Dead By Mistake”, released by the Hearst Corporation, an estimated 200,000 people will die in 2009 due to preventable medical errors and hospital infections.  Passen Law Group’s medical negligence lawyers are committed representing the rights of those individuals and families who fall victim to acts of preventable medical errors.

The 2000 IOM report recommended a series of systematic corrections to “make it harder for people to do something wrong and easier for them to do it right.” And although strides have certainly been made, reports such as “Dead By Mistake” and a previous post on Intensive Care Unit deaths due to hospital infections show how systemic corrections have not gone far enough, and medical professionals still must be held accountable for their actions in the interest of patient safety.

Dr. Robert M Wachter, a professor of medicine at the University of California, San Francisco and a national leader on patient safety, in a recent New York Times interview advocated for doctor accountability.  To illustrate the point, Dr. Wachter points to a problem that has been discussed on this blog and in other studies: hand washing. It is well documented that not washing hands before or after a procedure can lead to infection, which can in turn lead to death. Dr. Wachter points out a flaw in patient safety enforcement: a doctor can lose his or her hospital privileges by violating regulations, such as not signing a dictated discharge summary or operative note, but no such penalty exists for failure to wash his or her hands.

There is a growing body of evidence to suggest that openly disclosing and apologizing to patients and family when mistakes happen can lead to an increase in patient safety as well as satisfaction, and may obviate the need to file a medical malpractice lawsuit. Both the University of Illinois hospitals and the University of Michigan hospitals have seen a significant decrease in number of medical malpractice cases filed against them after initiating such a practice. At Michigan, from August 2001 to August 2007, cases fell from 262 to 83. At the University of Illinois, only six settlements were more than the hospital’s medical and related expenses.  However, patients should still contact an experienced medical malpractice attorney before agreeing to settle with a doctor or hospital — it’s not uncommon for hospitals (and their lawyers) to try to take advantage of patients and their families with the offer of an apology and a “quick settlement” to absolve themselves of future liability.

For a Free Consultation with a top-rated Chicago medical malpractice lawyer, call Passen Law Group at (312) 527-4500.

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Preventable Injury or Death Caused by Medication Errors in Hospitals

Monday, November 9th, 2009

Medication Errors Lawyer 300x261 Preventable Injury or Death Caused by Medication Errors in HospitalsAccording to the Institute of Medicine, hospital medication errors account for an estimated 400,00 preventable injuries and $3.5 billion a year in additional medical costs.  Patients who are given improper medication, and suffer permanent injury or death as a result, should contact a top medical malpractice lawyer regarding their rights.  Call Passen Law Group today at (312) 527-4500 for a free consultation.

The University of California in San Francisco has recently instituted a program to improve accuracy in administering drugs, with a particular focus on reducing distractions or interruptions that may cause medical negligence.  Nurses at California hospitals have complained that distractions while giving medications to patients may result in serious injury or death – caused by giving the wrong medication or improper administration or regimen.  The UCSF program as resulted in approximately 88 percent drop in errors over three years at the Bay Area hospitals. 

Some hospitals employed low-tech methods, such as covering up the windows in the medication room so as not to be distracted by colleagues waving hello, or wearing bright colored vests while dispensing medication.  Others use high-tech methods, such as bar code scanners.

The study and its participants demonstrate that patient safety can be maximized by applying common sense and helpful visual cues.  The hospitals now follow “best practice” principles, including checking two forms of patient identification before administering drugs and explaining each medication to the patient.  Hopefully, more hospitals will follow such practices to prevent patients from being injured or killed by the wrong medication.

Another recent peer-reviewed study by Accredo Health Group and several university hospitals highlights how the wrong medication and other administration errors can be life-threatening.   The study showed how patients being treated for pulmonary arterial hypertension (PAH) with infused drugs have been suffered serious injury or death from medication errors in hospitals.  The study was presented at the American College of Chest Physicians’ annual meeting and will be published in CHEST, a medical journal.

PAH is a debilitating, life-threatening condition that can lead to heart failure and lung transplants.  The condition must be treated with epoprostenol (Flolan) and treprostinil (Remodulin), infused drugs that inhibit the blood from clotting and also widen blood vessels to ease blood pressure.  The drugs must be continuously infused into the body, and the drugs are dosed in extremely small quantities.  Giving a patient too much or too little can lead to serious injury or death.

The study showed that medication errors occurred in large numbers, including providing the wrong drug to patients, improper dosing, incorrectly flushing the patient’s catheter line and accidental stoppage of the infusion pump.  Researchers recommended the following to prevent patients from being given the wrong medication and injured or killed as a result:  better training, double-checking dosage, color-coding different drugs, ensuring the infusion pumps work correctly, and better record-keeping.

To speak with a top Chicago medical malpractice lawyer, call Passen Law Group at (312) 527-4500 for a free consultation.

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Doctor Unqualified to Testify Against Nurse in Medical Malpractice Case

Tuesday, September 29th, 2009

medical expert witness Doctor Unqualified to Testify Against Nurse in Medical Malpractice CaseA recent Illinois appellate court case discusses the expert witness requirements in medical malpractice actions.  The holding comes as no surprise to experienced Chicago medical malpractice lawyers:  a doctor is not considered qualified to testify concerning the “standard of care” of a nurse in a medical negligence action.

In the case, Smith v. Pavlovich, M.D., et al.,  No. 5-08-0256 (Ill. App. Ct. 5th Dist., Sep. 10, 2009), a three-year-old girl died at the age of 3 from what was diagnosed as meningitis.  Her mother filed a medical malpractice lawsuit against two doctors and a registered nurse, alleging that the defendants negligently failed to recommend and administer Prevnar, a vaccine which may have prevented the bacterial meningitis from causing her daughter’s death.

Prior to the girl’s death, she was a patient at the Carbondale Clinic on six separate occasions and on each occasion, she was only seen by the defendant nurse.  She never saw either of the defendant doctors.  At trial, the court rejected the attempt of the plaintiff’s medical malpractice attorney to have its expert witness, a doctor, testify as to the standard of care applicable to registered nurses.  The appellate court affirmed.

The court noted the well-established rule that to testify as an expert on the standard of care for a given school of medicine, the expert “must be licensed therein.”  In other words, a practitioner of one school of medicine (i.e. a doctor)  is not qualified to testify as an expert in a medical malpractice action against a practitioner of another school of medicine (i.e. a nurse).  Citing Sullivan v. Edward Hospital, 209 Ill. 2d 100 (Ill. 2004).

The court rejected the plaintiff’s argument that the nurse was acting as a pediatrician with respect to the decadent and that therefore a physician specializing in pediatrics was qualified to testify about the standard of care applicable to the nurse.  Furthermore, the appellate court affirmed the dismissals of the defendant doctors because neither doctor ever examined, treated or even saw the decedent as a patient.

This case stresses the importance of choosing experts wisely in medical malpractice actions, and making sure you have an expert qualified to testify concerning the standard of care applicable to each defendant.  Had the plaintiff’s medical malpractice lawyer retained a registered nurse to testify as an expert witness concerning the defendant nurse’s deviation from the standard of care, a jury would have been able to decide whether the nurse’s malpractice caused the plaintiff’s daughter’s death.

For a free consultation with one of our top Chicago medical malpractice lawyers, call Passen Law Group at (312) 527-4500.

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