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Articles Posted in Medical Malpractice

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US%20ARMY%20MEDICAL.jpgSharon LaFraniere and Andrew W. Lerhen from the New York Times continue to investigate Medical Malpractice in military hospitals. The two reporters who last June provided an in-depth analysis of the flaws of the military hospital system (see “In Military Care, a Pattern of Errors but Not Scrutiny” ) recently published a new article focusing on the high risk of medical malpractice in small military hospitals. Military hospitals with a turnover of 10 to 30 patients a day are often staffed with inexperienced doctors and nurses who are not busy enough to keep their skills sharp. Most of them are poorly managed and run by untrained and inexperienced physicians with a culture of complacency that threatens patients safety.
Most of these small military hospitals are being considered for closing or transforming into outpatient facilities by the Pentagon as part of its plan to scale back costs but political obstacles are preventing streamlining the system.

Read the complete article here

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Potential medical malpractice during a routine procedure for her vocal cords may have lead to the death of Joan Rivers earlier Today. A few days ago we wrote that the 81 year old comedian and TV personality had to be rushed to Mount Sinai Hospital in New York after she stopped breathing during vocal cord surgery (see previous blog). After doctors at Mount Sinai tried unsuccessfully to bring her out of her coma, her daughter Melissa gave the go-ahead to remove her mother from life support Today. RIP Joan Rivers. New York state health officials are investigating the outpatient clinic where Joan Rivers underwent the endoscopic procedure before she stopped breathing last week. It will be interesting to learn the role anesthesia played in leading to her respiratory distress and cardiac arrest. She was a ground breaker and will be missed.
Read more in the Daily Beast

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tubing%20misconnections.jpgTubing misconnection error is medical malpractice mostly caused by nursing or hospital negligence that can result in severe personal injury or death of the patient. Misconnections errors have a high risk to happen not only because most patients checking into a hospital are likely to receive at least an IV but also because tubes with different functions can too easily be connected together. Gardiner Harris from the New York Times raised the alarm on this problem in 2010 in the article “U.S. Inaction Lets Look-Alike Tubes Kill Patients”.

To address this issue and prevent these types of medical errors, tubing connector standards have recently been developed through a collaboration of the International Organization for Standardization (ISO), the Association for the Advancement of Medical Instrumentation (AAMI), clinicians, manufacturers and regulators, including the U.S. Food and Drug Administration (FDA).

New connectors are going to start to reach the market during the fourth quarter of 2014 and the transition phase is expected to continue through 2015.

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Post-partum hemorraging is the medical term for excessive bleeding after childbirth. It is the leading cause of maternal mortality in the world and accounts for 30% of deaths in Africa and Asia.

Mikail Kalam from Brooklyn, a 25 year old medical student at Touro College of Osteopathic Medicine in Harlem , New York, and his research team discovered that a condom filled with saline can put pressure on the uterus and reduce or stop the bleeding until the woman is transferred to a hospital. This could be a life saver for millions of women in poor countries including Bangladesh where Mikail is from and where 70% of women give birth at home assisted by midwives.

Tampostat.jpgThe device called tampostat, costs only $1.50 to produce. It allows the condom to be securely introduced into the uterus and filled with an amount of saline appropriate to the size of the uterus.

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In 2012 there were more than 100 open lawsuits against the hospital including a dozen alleging patients died due to medical malpractice or negligence. The hospital has financial problems and struggles to stay open. The latest report from the federal Labor Department indicates that some employees have been the victims of extremely violent attacks by patients. A 70 year old nurse required brain surgery after a patient repeatedly stomped on her head while beating her and a staffer was punched in the back by a patient. OSHA fined the hospital $78K and recommended the installation of panick buttons and alarm systems at workstations as well as video systems.
Read the complete OSHA News Relase
Read the article in the NY Daily News

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Liliana Coello a phony doctor from Queens, NYC, pleaded guilty of unlawfully practicing medicine and seriously injuring a patient. She was sentenced to two years in jail. Coello gave a botched butt lift to a patient and injected her buttocks with Krazy Glue in a follow up visit. The patient suffered a very bad infection and had to be hospitalized 3 times.

This is not the first time Coello is being sent to jail for a botched butt lift. In 2012 the phony doctor got paid $3200 for surgery on the derriere of a Brooklyn night club worker during which she injected the woman with clear gel.

Read more in the NY Daily News

 

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Military hospitals will continue to be plagued by medical malpractice and systemic medical errors in the most routine procedures as long as nothing is being done to address the weakness of the patient safety system in the military environment. According to a recent examination by the New York Times, from 2011 to 2013, medical workers in military hospitals reported 239 unexpected deaths, but only 100 inquiries were forwarded to the Pentagon’s patient-safety center, where analysts recommend how to improve care. Cases involving permanent harm often remained unexamined as well.

The problem is particularly concerning in maternity care and surgery. Babies born at military hospitals are twice as likely to be injured during delivery as newborn nationwide and their mothers have a higher risk of suffering hemorrhage after childbirth. The rate of surgical complications such as infections or improperly done procedures is above the expected rate in half of the 16 biggest military hospitals.

In an excellent article in the New York Times, Sharone LaFraniere and Andrew W. Lehren describe how medical errors have affected or destroyed the life of military families and analyse the reasons behind this disaster.

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To reduce costs of medical malpractice in the Bronx, NYC, Judge Douglas McKeon helped launch in 2002 a pilot program to address lawsuits against municipal hospitals. The program uses judges who are specially trained to negotiate early settlements in medical malpractice cases and decreases the costs associated with trials and appeals.

This program will now be expanded to New York State and Judge Douglas McKeon will supervise the expansion. The program supported by New york City Health and Hospital Corp. will allow plaintiffs and defendant hospitals to go to a judge to mediate disputes in a controlled environment.

In 2010 the Obama Administration said the program contains medical costs and liabilities. If adopted nationwide it could potentially save the country a billion dollars per year.

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To reduce IV medication errors and possible contamination, the Belmont’s St. Barnabas Hospital in the Bronx, NYC, just acquired a high-tech medication machine that uses robots to fill syringes, sanitize intravenous medications and make sure that patients receive the proper medication.

When an error occurs with intravenous medication, harmful effects to the patient may happen faster and be more severe than errors with oral medications, due the direct administration into the bloodstream.

The RIVA system acquired by the hospital is a fully automated IV compounding system used by hospital pharmacies to prepare intravenous medication (syringes and IV bags) for general hospital needs, chemotherapy and pediatric needs.

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Questionable%20Doctors.jpgWhen a doctor is sanctioned for medical malpractice in New York there is a high probability that he will be able to continue to practice. There is also a good chance that his patients will never know about their doctor’s punishment. A recent NYPIRG report entitled “Questionable Doctors” shows that the New York State Department of Heath’s Office of Professional Medical Conduct (OPMC) is not doing enough to protect patients. The report also proposes recommendations for improvement.

The report found that:

  • 77% of the doctors that have been sanctioned for medical malpractice in New York State can continue to practice
  • it is highly unlikely that New York patients know if their physician has been sanctioned because the information is too hard to find
  • close to 60% of New York State actions against doctors were based on sanctions taken by other states, the federal government, or the courts, and not as the result of an OPMC investigation
  • over the past 10 years New York’s population grew by 2% while New York’s number of doctors grew by 36%
  • The Health Department hasn’t updated its report on OPMC’s physician discipline activities since 2010