Articles Tagged with medical malpractice

In 2003 Florida lawmakers decided to limit non economic damages for negligence of practitioners to $500,000 or $1 million “if the negligence resulted in a permanent vegetative state or death”.  At the time lawmakers said the cap would stop the medical malpractice insurance crisis and prevent doctors from leaving Florida. However there is no evidence of crisis Today and the Supreme Court of Florida recently ruled that this cap was unconstitutional.

The ruling arose from the case of  a victim of medical malpractice who saw the initial amount awarded by a jury substantially reduced by a judge based on this cap. Susan Kalitan had her esophagus perforated during an outpatient surgery for carpal tunnel syndrome. She spent 3 months in the intensive care unit including six weeks in a medically induced coma. She sued the North Broward Hospital District  and other people involved in her care at the public district. She was initially awarded $4.7 million  by the jury for pain and suffering. This amount was reduced to $1 million by Broward Circuit Judge Jack Tuter based on the cap described above.  After the cap was found unconstitutional by the Fourth District Court of Appeals, the hospital appealed the decision. In a 30-page opinion the Supreme Court confirmed that the cap was unconstitutional.

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Failure to provide adequate cyber security in a healthcare facility can be medical malpractice. Last year, healthcare became the most frequently hacked industry in the US. According to a recent ECRI analysis, 90% of healthcare providers suffered security breaches in the past. With attackers spending an average of 200 days in a network it is estimated that 1 in 3 Americans will have his or her health records compromised by hackers in 2016. Every patient breached record costs an average of $363. Cyber attacks cost the healthcare industry yearly an average $6 billion. Last year hackers stole $88.4 million by hacking health records.

Quest Diagnostic, a medical laboratory based in New Jersey but handling tests for many New York City Healthcare facilities just announced that it was hacked. 34’000 patients had their data exposed according to the New York Times.

Health records are the main targets of cyber attacks but medial devices are also being hijacked putting patients at risk of dangerous health incidents. To make sure patients are safe and to avoid negligence lawsuits the healthcare industry has to fight back. Equipment needs to be proprely managed and security patches need to be timely implemented. Network security needs to be reviewed on a regular basis. Vulnerable medical devices must be identified. When reusing an electronic medical device on a new patient, the medical staff must make sure that all previous data are erased.  Requests for Proposals to manufacturers or consultants must be exchanged in a cyber safe manner. New devices or patches that are added to the network must be tested before being released.

Wrong patient error is medical malpractice that can have deadly consequences. As healthcare is becoming more and more sophisticated, patients are visiting multiple care providers and their personal data are being shared through multiple IT systems. The growing complexity of the health care system has led to an increase in patient errors according to a recent report released by the ECRI Institute.

The report entitled “Deep Dive” is based on the analysis of more than 7,500 events of patient identification errors.  The researchers found that most identification errors are corrected before they affect the patients. However some do reach the patients. Some patient identification errors may have limited consequences. For example, a nursing home resident was mistaken for another resident and taken for an unnecessary exam to an affiliated hospital. Other identification errors can have dangerous consequences. An infant was infected with hepatitis B after receiving breast milk pumped from the wrong mother. Some wrong patient errors can be fatal. A patient who suffered cardiac arrest was not resuscitated because the medical staff followed a “do-not-resuscitate” order from another patient.

Wrong patient errors can happen at all stages of a medical process, from registration to electronic data entry, surgical intervention, medication administration, diagnostic or blood transfusion. They can occur in various settings such as nursing homes, doctor offices, hospitals or pharmacies. They are not only committed by doctors but also by nurses, transporters, medical secretaries or anyone else from the medical staff interacting with the patient. Often as the patient is mistaken for another one, the error doesn’t affect only one person but two.