December 24, 2011

Distractions from Electronic Devices Increase Risk of Medical Errors

00000000%20laptop.jpgShopping on eBay, checking out airline fares, browsing the Internet and checking e-mails - these are just some of the activities that medical professionals in American hospitals are being caught in, even as medical procedures are underway. The New York Times has a report on how distractions are increasing the risk of medical errors in American hospitals.

The use of technology has become widespread in hospitals around the country, as hospitals have begun investing in access to technology to enhance patient safety. There is no question that technology has many benefits. Doctors who use a smart phone can have important information like patient medical records and prescription details at their very finger tips. However, the risks of distractions from these devices are also very real.

The New York Times found a number of incidences from around the country, in which doctors, nurses and medical technicians were caught using cell phones while performing procedures and in other inappropriate situations. Doctor distractions have been linked to more than one medical malpractice lawsuit, including one out of Denver, in which the doctor was having a conversation on his hands-free set while performing a surgery on a patient. Those distractions were ultimately blamed for errors during the surgery that left the patient paralyzed. The doctor was making personal calls at the time of the procedure.

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September 22, 2011

Rates of Common Hospital-Acquired Infections Down in 2010

011.JPGThe rates of several hospital-acquired infections, including those caused by the deadly MRSA, decreased in 2010. According to the Centers for Disease Control and Prevention, hospitals across the country have reported a drop of more than 3% in the numbers of hospital patients who acquired the deadly MRSA infection.

In 2010 there were 21.46 MRSA infections per 100,000 hospitalized patients. The Department Of Health And Human Services has set a goal of reducing MRSA infections by 50% by the year 2013.

There was also a drop of 33% in the numbers of central line-associated bloodstream infections. Surgical site infections also fell by 10%, while the number of urinary tract infections contracted through catheters in hospitals fell by about 7%.

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August 26, 2011

Medical Injury Keywords More Useful in Catching Errors than Billing Codes

00000%20files.jpgSimple searches of hospital medical records using medical injury keywords are more beneficial in identifying and preventing medical errors, than the use of conventional billing codes. A study at six Department of Veterans Affairs hospitals found that these Google-like searches were effective in reducing errors, leading to recommendations that electronic medical record systems include such search features.

Billing codes are widely used as a way to measure patient safety ratings. The US Centers for Medicare and Medicaid Services uses billing codes to evaluate the quality of care at U.S. hospitals. However, the study at the Department of Veterans Affairs hospitals found more success with text searches. Researchers reviewed records at six VA hospitals between 1999 and 2006. The records were configured to allow specific keywords. A total of 2,974 patients who had undergone surgery were included in the analysis.

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June 5, 2011

John Hopkins to Establish Patient Safety Institute

hospital%20corridor.jpgThe country’s very first patient safety institute dedicated entirely to issues related to the prevention of hospital and medical errors and enhancement of patient safety, will soon be a reality. Indiana medical malpractice lawyers welcome an announcement by John Hopkins that it is using a $10 million gift from the chairman of its board of trustees to establish a patient safety institute.

The Armstrong Institute for Patient Safety and Quality will focus on conducting research into patient safety techniques that can be used not just at John Hopkins, but also at hospitals and health care facilities around the country. The money has been gifted by C. Michael Armstrong, chairman of the Board of Trustees of Hopkins Medicine. According to Armstrong, the need for a patient safety institute like this seemed very dire to him because of the numerous medical errors that he saw in years of working at John Hopkins. According to a press release, the Armstrong Institute will devote itself to the testing of strategies that can be used in the prevention of patient harm.

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May 14, 2011

CDC Releases New Guidelines for Prevention of Bloodstream Infections

Every year, approximately 80,000 people contract central line-associated bloodstream infections. That's just the number of people who contract infections in ICUs. When you take entire hospitals into consideration, the actual number of people who contract central line-associated bloodstream infections is close to 250,000 people annually. The Centers for Disease Control and Prevention and the National Institutes of Health have now released new guidelines for the control and management of these deadly infections.

Among other things, the Centers for Disease Control and Prevention advocate the following measures for the prevention of bloodstream infections.

Healthcare personnel must be educated about the indications of intravascular infections and the proper procedures for the maintenance and insertion of catheters. The hospital must also undertake a periodic assessment of adherence to these guidelines, and must take care to designate only trained personnel for these activities. Most importantly, several central line-associated bloodstream infections can be traced to staffing shortages in ICUs. Hospitals must take care to address this issue.

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April 16, 2011

Brain Injury Occurs in Indianapolis Heart Hospital

IV%20pole.jpgA patient of St. Francis Heart Hospital patient an unexpected accident that left him in critical condition when a wall-mounted IV pole became detached from the wall. The pole fell on the patient, striking him in the head. As a result, the Indianapolis hospital is taking steps to help prevent any future accidents.

The patient, currently recovering in the intensive care unit at St. Francis Health's Heart Center, suffered a blow to the head Wednesday evening resulting in a serious head injury. News reports indicate that the patient is not expected to recover.

The hospital system reported that they took immediate action by removing all equipment from the wall-mounted poles. They have been transferred to floor-based IV poles. According to reports, this action has taken place in all three Indianapolis-area St. Francis Health hospitals and is sharing information about the incident with the Indianapolis Coalition for Patient Safety.

We anxiously await the Coalition's response.

April 1, 2011

Shortage of Nursing Staff Impacts Patient Safety

This isn’t exactly a news alert for Indiana medical malpractice attorneys who understand the importance of having adequate numbers of registered nurses in a hospital unit. However, a new study published in the New England Journal of Medicine confirms again that patient safety is impacted when nurse staffing target levels are not met.

The researchers used data from a larger academic medical center, and looked for a link between lower-than-optimum nursing staffing levels, and patient safety. The researchers were also looking for a possible link between patient mortality and high patient turnover at the hospital. The researchers found a strong link between increased patient mortality and unit shifts in which registered nurse staffing was eight hours or more below target levels. According to the researchers, this indicates that staffing of registered nurses below target levels increases patient mortality. The researchers also found that there was an increased link between patient mortality and high patient turnover rates. When the hospital unit had high patient turnover in the form of new admissions or transfers, it negatively impacted patient safety.

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November 29, 2010

Study Shows No Decline in Deaths from Preventable Medical Errors

hospital%20beds.jpgPatients who are hospitalized for treatment are just as likely to die from preventable medical errors, as they were a few years ago. There has been little progress in preventing these errors and saving patient lives, in spite of education campaigns and other efforts. That information comes from a study conducted at several North Carolina hospitals.

The researchers reviewed 2,341 patient records in 10 hospitals in North Carolina. They used a list of 54 red flags to indicate a possible adverse event, including readmission to hospital within a period of 30 days and bed sores. The study found at least 588 instances in which patients were harmed by medical care. That works out to approximately 25.1 injuries for every 100 hospital admissions. Those are staggeringly high numbers for any Indiana medical malpractice attorney to stomach.

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October 20, 2010

Indiana Computerized Order Entry System Presents Patient Safety Challenges

computer%20room.jpgComputerized order entry systems could soon be in place in many hospitals in Indiana. These will make patient record-keeping more efficient, and enhance patient safety. However, a new study shows that they may also have some unintended consequences that could be deadly for patients.

Researchers at the University of Pennsylvania were studying whether the systems would be able to catch and prevent a deadly combination of drugs from being prescribed. The combination included the anticlotting medication warfarin and an antibiotic. They found that the system was able to work effectively and prevent the combination from pre-prescribed. However, there were at least four cases in the study where this combination of drugs was actually necessary for the patient, but the system wouldn’t’ allow it.

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September 14, 2010

Indianapolis Hospital Quality on Display

Indiana patients now have a tool that can help them make informed decisions concerning their health care. The U.S. Department of Health and Human Services has added new search data to their Hospital Compare web site. Using updated information and a slick new look, patients can access health care information concerning their local doctors and hospitals.

CMS%20website%20snapshot%20%281%29.jpgIndiana medical malpractice and personal injury attorneys are encouraged by this updated information and believe it will make a positive impact in the quality of health care available to Indiana consumers. Medicine is a competitive business. Hospitals and surgical centers are fighting for every health care dollar. We believe the ability to compare outcomes, various procedures, and nursing quality will influence area hospitals to invest additional resource in an effort to improvement Indiana’s health care.

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July 19, 2010

Too Many Doctors Balk at Reporting Intoxicated/Incompetent Colleagues

doctors.jpgMedical ethics dictate that doctors report colleagues who are intoxicated or incompetent. However, a new survey shows that far too many doctors are not interested in reporting drunk or incompetent fellow physicians.

The survey was conducted at the Mongan Institute for Health Policy at Massachusetts General Hospital, and included the participation of 1,891 doctors. Out of the doctors in the survey, 69 % reported that they were prepared to deal with impaired colleagues, while 64 % reported they were prepared to deal with incompetent colleagues. 17% of the reporting doctors had direct personal knowledge of an incompetent colleague, but only 67 % reported this matter.

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July 12, 2010

Rates of Central Line Infections in Hospitals Continue to Be Troubling

Glowing%20Gloves.jpgThe Indiana medical malpractice attorneys at our firm have been following the progress made in reducing the incidence of deadly central line infections or catheter-related blood stream infections in hospitals. We’ve blogged on the subject in the past, including success stories from hospitals around the country that have been able to reduce the incidences of these infections merely by following simple steps, like checklists.

However, at far too many hospitals in the country, preventing these infections continues to be a challenge. According to a new survey conducted by the Association for Professionals in Infection Control and Epidemiology (APIC), these infections continue to be a major challenge in the facility where they work.

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July 5, 2010

Study Shows Black People May Have Higher Sepsis Infection Risks

Black patients are not just more likely to contract severe sepsis in hospitals, but they're also more likely to die from these infections. Those results come from a study conducted by researchers at the University Of Pittsburgh.

The researchers found that a black person had a 67% higher chance of being hospitalized with severe sepsis, than a white person. Not only that, these severe infections also contributed to blacks having an 80% higher chance of dying from sepsis, than their white counterparts. Among black persons, the rate of severe sepsis that required hospitalization was 9.4 for every 1,000 population, while for white persons, it was 5.6 for every 1,000 population.

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June 28, 2010

Infection Control Still a Problem at Outpatient Surgical Centers

syringe.jpgThere has been much focus on infection control in hospitals, but little has been done to cement the cracks at outpatient surgical centers, where infection rates continue to remain unacceptably high.

A study by the Centers for Disease Control and Prevention shows high infection control deficiencies at these centers. The CDC surveyed 68 ambulatory surgical centers in three different states. The agency was basically looking at how these centers complied with hand hygiene, environmental cleaning standards and injection safety.

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June 7, 2010

July Is the Worst Month for Hospital Errors

stethescope%201.jpgFor long now, doctors have noticed that the number of medical errors is constant for all months of the year, except in July when there is a noticeable spike in medication errors. It has been suspected that this spike is because more interns are coming in at teaching hospitals during this month. A study by researchers at UC San Diego, now confirms this.

The researchers have published the results of a study, that show that July is easily the worst month when it comes to medication errors. In fact, it's the worst month that you could choose to check into a hospital, simply because you're likely to be treated by inexperienced interns. The rate of medical errors in the month of July is 10% higher than in other months of the year.

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May 10, 2010

A Rapid Shift to Electronic Medical Records Leads to Errors & Injuries

keyboard.jpgAs part of the Obama administration’s health care reform package, hospitals will be encouraged to shift from paper medical records to electronic records. So convinced is the administration about the efficacy of these electronic systems in preventing errors and reducing costs, that it has offered incentives to facilities that can speed up the process of shifting to electronic records. Unfortunately, the hurry to shift to an electronic system has been accompanied by poor staff training, computer glitches, and other factors that increase the risk of errors.

Last month, Huffington Post carried a report on how the shift to electronic medical records is being accompanied by increasing numbers of errors. According to data from the Food and Drug Administration, there have been scores of reports of adverse incidents resulting from the use of the electronic systems.

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April 19, 2010

Increase in Hospital Infection Rates In Spite Of Control Measures

bandaid.jpgThe numbers of patients who contracted certain kinds of potentially deadly infections while in hospital, actually increased over last year. According to a study by the Agency for Healthcare Research and Quality, overall patient safety ratings have improved across the nation, but there has been an increase in blood stream infections and urinary tract infections.

According to the report,
• The rate of bloodstream infections increased at a rate of 8%.
• Urinary tract infections increased at a rate of 4%.
• There was no change in the rate of bloodstream infections caused through catheters placed in central veins.
• There was a 12% drop in the rates of postoperative pneumonia. This was the only good news on the list.

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February 25, 2010

How Indiana Patients Can Prevent Central Line Infections

Sanitizer.jpgPatients still struggle to determine a hospital’s safety based on its infection rates. However, things are slowly changing for the better. More and more hospitals are beginning to report their infection rates. Approximately, 1,500 hospitals report infection data to the Centers for Disease Control and Prevention. However, these reports are strictly confidential. The Agency of Health Care Research and Quality also collects data from hospitals in 42 states, but these hospitals are not named.

The Leapfrog website reports patient safety ratings, allowing you to screen hospitals in any city in Indiana, and compare ratings. Simply enter your search preferences (city/state) and wait for the listings. Follow THIS LINK to see an example of hospitals in Indianapolis.

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February 18, 2010

Indiana Hospitals Can Prevent Deadly Central Line Infections

IV%20drip.jpgEvery year, one particular type of medical infection kills approximately 30 percent of the estimated 99,000 people who died from hospital infections. Consumer Reports is discussing how hospitals around the country including Indiana hospitals, have been able bring down these infection rates through simple steps.

These infections are central line infections, and they are introduced through intravenous catheters that allow intensive care patients to receive medication, nutrients and fluids. The central lines have long catheters inserted into a large vein connected to the heart. These are different from regular IV lines, and can stay in place for months.

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February 11, 2010

Types and Causes of Radiation Errors

xray3.jpgIndiana medical malpractice cases involving radiation errors are extremely technical and complicated. One reason is because there isn’t just one way in which a radiation error can occur. With new medical technologies, using radioactive rays to diagnose and treat, and a continued paucity of training and oversight, the types and sources of these errors have increased.

The types of errors have been numerous.

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February 4, 2010

Indianapolis Radiation Therapies Offer Hope, But Also Present Risk of Injuries

radiation.jpgNew radiation technologies are offering patients more focused and precise treatment, but as a series of investigative reports in the New York Times shows, lack of safeguards, software flaws, faulty programming, poor safety procedures or inadequate staffing and training are causing these technologies to harm the very patients they are meant to treat.

The New York Times profiles a series of radiation errors involving new, more advanced and highly sophisticated machines capable of delivering a treatment called Intensity Modulated Radiation Therapy (IMRT). The errors have included overdoses caused by poorly configured systems, radiation that misses all or part of the target or is focused on the wrong part of the body and other errors. With these increasingly sophisticated radiation tools, you would think that the margin for errors would be virtually nil. In fact, as the NYT reports, the complexity of the machines that deliver the radiation, combined with the failure of hospitals to implement processes that catch errors in time and poorly trained staff, have all helped create a “crisis” situation.

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October 13, 2009

H1N1 Concerns Indiana Residents

Virus.jpgThe H1N1 virus is a big concern for Indiana residents, as it is for the rest of the country. Many local schools, day cares and churches are taking extra precautions in the fight against the growing virus threat.

Doctors’ offices have started to remove toys and magazines from their sitting areas. Churches are asking their ushers to wear gloves while collecting the morning offering. Schools are shutting their doors to prevent the spread of the virus. Indianapolis area hospitals are limiting the age of their visitors.

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