Study Finds That Patient Safety Remains An Issue At Hospitals

0 comments

Posted on 26th November 2010 by gjohnson in Uncategorized

, ,

Call me a cynic, but this headline doesn’t surprise me: “Study Finds No Progress in Safety at Hospitals.”

 http://www.nytimes.com/2010/11/25/health/research/25patient.html?_r=1&ref=todayspaper

In a Page One story this week The New York Times reported that a new study — which tracked 10 North Carolina hospitals from 2002 to 2007 – determined that patients were fairly commonly harmed, and those incidents were not declining. 

Complications from procedures and drugs, as well as hospital-acquired infections, were the culprit in most cases, according to The Times.

Ironically the study, led by Dr. Christopher Landrigan of the Harvard Medical School, was conducted in North Carolina because hospitals there have instituted a lot of programs to improve patient safety. Instead, the research determined that roughly 18 percent of the patients were harmed by their medical care, and 63.1 percent of their injuries were considered preventable, according to The Times. Some 2.4 percent of the problems caused or contributed to a patient’s death.

The preventable problems included: bad bleeding during an operation; breathing problems caused by a procedure that was not done correctly and a hip dislocation caused by a fall.

The North Carolina hospitals that were part of the study were not named. That was lucky for them, since the research found 588 cases where a patient was harmed by medical care, or 25.1 injuries per 100 admissions, according to The Times. 

 

 

The study was published this week in The New England Journal of Medicine.     

 

Doctors’ Brawl Leads To Botched Birth In Italy

0 comments

Posted on 31st August 2010 by gjohnson in Uncategorized

, , , ,

I don’t know what the medical malpractice laws are in Italy, but if this family doesn’t have legal recourse, it’s a crime.

In Messina, Sicily, a mother had to have her uterus removed and her newborn sustained possible brain damage and heart problems after her two doctors got into a fist fight during the baby’s delivery last Thursday.  

 http://www.bbc.co.uk/news/world-europe-11129608

 The incident at Messina’s public hospital was such a disgrace and embarrassment that Italy’s health minister, Ferruccio Fazio, trekked to Sicily to apologize to Laura Salpietro, 30.  

Her husband Matteo Molonia told officials that her two physicians disagreed about whether Salpietro should have a Caesarean section, and fists flew while the woman was in labor. One doctor grabbed the other by the neck and banged him into a wall, while the other doctor punched a window and hurt his hand, according to BBC News. 

The fistfight wound up delaying the C-section for about an hour, which lead to the problems for Salpietro and her son Antonio.

Physician, first do no harm. Why can’t some of them remember that?

 

 

 

http://www.independent.co.uk/news/world/europe/minister-says-sorry-for-doctors-fight-2066153.html

New York Tests Program To Curb Medical Malpractice Costs, But Will It Be Fair To Patients?

0 comments

Posted on 23rd July 2010 by gjohnson in Uncategorized

, ,

Five New York City hospitals will be taking part in a pilot program that aims to reduce medical malpractice costs through mediation, avoiding trial, The Wall Street Journal reported Friday. One of the cornerstones of the program is for hospitals to admit their mistakes and to offer potential defendants settlements early on. 

 http://online.wsj.com/article/SB10001424052748703467304575383501123709186.html?mod=WSJ_NY_LEFTTopStories

While I believe this is an intriguing initiative that could help curb medical errors at hospitals, I share some of the concerns raised in the story by the president of the New York State Trial Lawyers Association, Nichlas Timko. 

The issues are will the early disclosure and settlement program essentially let negligent doctors and hospitals off the hook for their mistakes, and will this system take advantage of patients who don’t retain counsel.

The pilot program, which starts in the fall, is getting $3 million in federal funding, and “aims to cut the $1.4 billion spent annually in New York State on medical-malpractice premiums,” according to The Journal.

The participating hospitals are Beth Israel Medical Center, Mount Sinai Medical Center, New York-Presbyterian Hospital, Maimonides Medical Center and Montefiore Medical Center. Four of the hospitals will focus on trying to cut down on mistakes in obstetrics, while New-York Presbyterian is looking to stop surigcal mistakes.

 The program will use state “health courts,” where judges will help hospitals and patients negotiate settlements, avoiding such cases going to trial. 

State officials stressed that patients can still decide to take their cases to trial, and if they choose the judge-directed negotiations, they will be notified that they have the right to have an attorney at their settlement talks.

It will be worth studing the results of this pilot program. But again, the proper measures must be taken so that patients aren’t railroaded into settling a lawsuit for far less money than they are due.       

        

Epilepsy Drug Connected To Major Birth Defects In Babies

0 comments

Posted on 16th June 2010 by gjohnson in Uncategorized

, , , , , ,

The epilepsy drug valproic acid, when taken by expectant mothers in their first trimester, has been linked to birth defects in the brain, heart and arms of newborns, according to a new study.

http://news.yahoo.com/s/hsn/20100609/hl_hsn/epilepsydruglinkedtoseriousbirthdefects

For example, babies whose moms took valproic acid , whose brand names include Depakene and Depakote, were almost seven  times more likely to suffer with craniosyostosis, which is a fusion of the skull when the fetus is still in the womb. That fusion put hinders skull and brain development.

In terms of other birth  defects, mothers who took valproic acid during the first three months of their pregnancy incresed their odds, by 12.7  times, of  having a baby with spina bifida, which is when the spinal cord and backbone don’t develop properly, compared to women who didn’t take the drug.

Newborns whose mothers took valproic acid were also five times more likely to have a cleft palate;  2.5 times more likely to have the athrial septal heart defect; and more than two times as likely to have an extra finger on their hand. 

Those statistics have to be put in context. Even though there is a higher risk of birth defects for children of  mothers who took the anti-seizure medication, that risk overall is not huge. In the case of spina bifida, the risk went from 0.6 percent, or six in 1,000, compared with 0.5, or five in 1,000, for children whose mother’s hadn’t taken the anti-sezure medication.

Scientists are advising women of childbearing age to find a substitute drug to ward off seizures.

The study was published in The New England  Journal of  Medicine.

http://content.nejm.org/cgi/content/abstract/362/23/2185

                                                                                                                                                                                                ,                          

Ex-NFL Star Awarded $11.5 Million For Career-Ending Toe Injury

0 comments

Posted on 13th May 2010 by gjohnson in Uncategorized

, , , ,

A hurt toe has translated to a $11.5 million verdict for an ex-football player whose promising career was cut short by the injury. http://lawyersusaonline.com/blog/2010/05/12/former-nfl-star-wins-115-million-verdict-against-team-doctor/

Former Miami Dolphins player Otis J. McDuffie won his case against the team’s physician, Dr. John Uribe. The claims that McDuffie had against other physicians who treated him and two hospitals were settled prior to the medical malpractice trial involving Uribe.

After three hours of deliberations, a Miami-Dade Circuit Court jury in Florida rendered the judgment for McDuffie.  It awarded him $10 million for lost wages from 2001 through 2004; $750,000 for past pain and suffering; and $750,000 for future pain and suffering.         

 ”O.J.” McDuffie was a football star both in college and  in the National Football League. At Penn State, he set single-season as well as receiving records. The Dolphins drafted him in the first round in 1992, and he became a starting wide receiver. In 1998 McDuffie was named the team’s Most Valuable Player.

But that success came to a halt in November 1999, when the Dolphins were playing the New England Patriots. McDuffie was tackled and he hyperextended the big toe on his left foot. The player left the field and Dr. Uribe  examined him and taped his toe.  The physician then sent MCDuffie back into the game.

McDuffie had heard a pop when he first hurt his toe, and when he was sent back to the field he heard that pop a second time, and left the field once again. This time,  Dr. Uribe gave McDuffie a needle to stifle his pain, taped the toe again and sent the player back out to play again.   

At the malpractice trial, McDuffie testified that Dr. Uribe never informed him of the results of  MRIs that found that he had raptured the ligaments in his toe. And the team physician told McDuffie to keep on playing and practicing, according to the athlete. 

Months later a new team doctor sent McDuffie to a foot and ankle physician, who suggested the player have surgery. But during this period McDuffie was still playing ball with his ruptured ligaments, and as a result he sustained irreversible joint-surface damage.

When McDuffie finally had his surgery, but he still developd arthritis in his toe, which put an end to his football career. The Dolphins let him go in 2002.

During the trial Dr. Uribe’s lawyer argued that pro football players often ask doctors to minimize their pain so they can continue playing, and not lose any pay for missing games.

 

Jury Awards Florida Mom $10 Million in Cerebral Palsy Lawsuit

0 comments

Posted on 13th April 2010 by gjohnson in Uncategorized

, , ,

 A Florida mother was awarded $10 million in a case where she alleged an ambulance service’s negligence lead to her son getting cerebral palsy. That’s because the ambulance took her to the wrong hospital when she was in labor. http://www.aboutlawsuits.com/cerebral-palsy-lawsuit-birth-in-ambulance-9606/

 The medical malpractice lawsuit had been brought by Margarita Chess of Volusia County, naming as defendants EVAC Ambulance, Bert Fish Medical Center, Halifax Medical Center, Arnold Palmer Hospital in Orlando and two physicians.

 All of the parties except the ambulance service had settled with Chase for $1.4 million before the case when to trial, the Orlando Sentinel reported.

 Chess’s son was premature, born when she was just six months into her pregnancy. As she went into labor in 2003, she was first at Bert Fish Medical Center in New Smyrna Beach. She was then supposed to be transferred and transported by EVAC to Halifax Medical Center. But somehow, the ambulance was instead sent to Arnold Palmer Hospital, more than 50 miles away.

 Chess’s son, Addison Chase, was born on the way to Arnold Palmer.

 The malpractice suit alleged that the infant had trouble breathing after he was born. The paramedics performed CPR, but Addison’s brain was deprived of oxygen. As a result he sustained brain damage, and now has the long-term disabilities of cerebral palsy.      

Illinois Family Awarded $29.1 Million In Malpractice Case That Left Their Baby a Quadriplegic

0 comments

Posted on 11th April 2010 by gjohnson in Uncategorized

, , , , ,

  A family has secured $29.1 million in a medical malpractice case where they claimed their son became a quadriplegic due to negligence during his birth at Northwestern Memorial Hospital. http://www.suntimes.com/news/24-7/2142707,CST-NWS-verdict06.article

  The payout for the Arroyo family is a combination of an award they received last Friday from Judge Amy St. Eve of the Northern District of Illinois and a prior settlement. The judge awarded the family $22.6 million, in addition to the $6.5 million settlement the family reached with the hospital in 2009.

  The Arroyo’s son, Christian, is a spastic quadriplegic who has cerebral palsy and can’t walk, talk or eat through his mouth.

  Maria Arroyo came to Northwestern Hospital on May 16, 2003 with labor pains. Because of the baby’s premature condition and the fact that the mother’s water had broken, Maria was supposed to receive antibiotics to ward against Group Beta Strep Infection for the baby.

  But the obstetrician, a federal employee, didn’t administer the antibiotics to Maria, and during the baby’s first few hours he was showing symptoms of infection. But the government pediatricians still didn’t step in and order the antibiotics for Christian.

  The infection spread from Christian’s blood stream to his brain, causing permanent damage and cerebral palsy.        

  “Had the federal government’s doctors followed the standard of care and provided the antibiotics to Maria or Christian at the appropriate timed, Christian would have been a normal baby boy,”  David Pritchard, one of the family’s lawyers, said in a prepared statement.  

 

 

 

 

 

 

 

 

Georgia Overturns Malpractice Cap In A Case That Puts A Face On Why Limits Are Unjust

0 comments

Posted on 24th March 2010 by gjohnson in Uncategorized

, , , , , ,

This one means something personal to me. Tommy Malone of Atlanta, Georgia is the best lawyer I know. He is a long time personal friend, a man who has mentored me, chuckled at some of my “out there” theories and co-counseled cases with me. His son, Adam Malone, may be the finest “young lawyer” in America. Adam has the combination of character, intelligence and sincerity that if he wanted to run for President, he would be a serious contender. He will someday have the position I now hold as Chair of the Traumatic Brain Injury Litigation Group.

I first saw the video of the catastrophic ruin a greedy doctor made of this woman’s face last summer at our national convention. My paralegal Jayne, who sat next to me while we watched, it has asked me about how the appeal has come out, a dozen times since.   Here the problem wasn’t that a jury wasn’t favorable to Adam’s client. The reason for the appeal was that the law, put in to assure that all doctors didn’t leave the State of Georgia (how ridiculous is that to even say) had limited her right to recover for this horrible disfigurement, drastically reducing the verdict.   The Georgia Supreme Court has said that was wrong and ruled the cap on damages unconstitutional.  In this case there may be the coming to justice that will forever put a stop to artificial restraints on what victims of malpractice and other wrongdoing can recover.

With this action, Georgia has become the latest state to throw out caps on awards in medical malpractice suits.  In this case,  Betty Nestlehutt, who is 75 now,    was horribly disfigured from a botched facelift. http://www.ajc.com/news/georgia-politics-elections/state-high-court-overturns-392119.html?printArticle=y

If you watch the video,  you will see the injustice on capping this wrongdoing. http://www.georgiawatch.org There is no way that Georgia’s $350,000 limit on noneconomic malpractice damages could be considered adequate payment for her ordeal.   It’s particularly heart-wrenching to watch Nestlehutt’s spouse try to carefully apply some kind of bandages to her wounds, as she flinches in pain.

In fact, a jury had found that she was entitled to $1.265 million in damages – a verdict that the George Supreme Court upheld, leading to the overturning of the state’s cap on malpractice awards.

Nestlehutt, who was in the real estate business with her husband in Marietta, Ga., decided to get a facelift in 2006. Her physician convinced her to get a long list of procedures, including the facelift. But after the surgery, Nestlehutt developed raw, open wounds on her face.

Nestlehutt’s face remained scarred, and the video says she is embarrassed to be seen now and doesn’t like to go out.

On Monday Georgia’s highest court ruled on Nestlehutt’s case, finding that the state’s $350,000 limit on noneconomic damages, such as a plaintiff’s pain and suffering, from malpractice was in violation of the Georgia constitution, which guarantees the right to a jury trial.

In the high court’s unanimous ruling, Georgia Chief Justice Carol Hunstein wrote that the state’s 2005 limit on damages “clearly nullifies the jury’s findings of fact regarding damages and thereby undermines the jury’s basic function…The very existence of the caps, in any amount, is violative of the right to a jury by trial.”

Last month the Illinois Supreme Court scrapped the state’s $500,000 cap on malpractice damages against doctors and $1 million cap for hospitals, saying that the limits were unconstitutional. Roughly two dozen state now have caps on malpractice damages.

Georgia was limiting malpractice damages to $350,000 against physicians and $1 million against health-care providers.

In Nestlehutt’s case, a jury awarded her $115,000 for past and future medical care; and $1.15 million to her and her husband for noneconomic damages, with $900,000 of that for the woman’s pain and suffering.

Plastic surgeon Dr. Harvey “Chip” Cole had appealed the jury verdict, based on the state’s malpractice cap.

The real credit in this case must go to Adam Malone.  Rather than declining this case because of the cap, he saw it as just the right case to prove in undeniable ways the injustice of the cap.  He advocated in a special way unique to who he is and changed the law of Georgia and perhaps the law of the land.

Adam, I am proud to know you.

Hospitals Look At Ways to Curb Errors, Help Staff That Make Mistakes

0 comments

Posted on 18th March 2010 by gjohnson in Uncategorized

, , , ,

Hospitals Look At Ways to Curb Errors, Help Staff That Make Mistakes

The Wall Street Journal Tuesday offered an intriguing take on how hospitals are trying to deal with errors by staff – including consoling physicians and doctors who make mistakes. http://online.wsj.com/article/SB10001424052748704588404575123500096433436.html

The story, headlined “New Focus on Averting Errors: Hospital Culture,” leads off by noting that errors by medical staffs lead to the deaths of an estimated 44,000 to 98,000 people a year.

The piece by one of the Journal’s star reporters, Laura Landro, says that hospitals are not only addressing the problem of staff errors but are also “coming up with procedures for handling – and even consoling – staffers who make inadvertent mistakes.”

A government advisory board, the National Quality Forum, has crafted a Care of the Caregiver guide, which has hospitals treating “traumatized staffers” who made errors with patients as if they are patients, too. Those guides even suggest that such staffers take part in the investigation of the error as long as they are not believed to acted recklessly or intentionally.

Noting that sometimes hard to assign blame for an error, the story cites a case that happened at St. Mary’s Hospital in Madison, Wis., four years ago. A nurse, Julie Thao, mistakenly gave a 16-year-old teen, Jasmine Gant, about to give birth an IV with an filled with an epidural pain killer.

The baby was delivered through a Caesarian section, but the mother Gant died. Thao lost her job, and was prosecuted for criminal negligence.

St. Mary’s paid a $1.9 million settlement to dispose of the malpractice suit brought by Gant’s family.

A study on that case that will be published in the April issue of the Joint Commission Journal on Quality and Patient Safety. That study found that although Thao skirted some safety procedures, there were weak links in the safety guidelines that contributed to her error. That study was also critical of the way St. Mary’s fired Thao.

Eventually, Thao plead guilty to reduced charges of two misdemeanors, and her nursing license was suspended. But Thao, who once considered suicide, got work as a researcher with an official of the National Quality Forum.

Almost 50,000 A Year Are Killed By Infections They Pick Up While Hospitalized

0 comments

Posted on 26th February 2010 by gjohnson in Uncategorized

, , , ,

Perhaps hospitals should post signs warning patients that they’re at risk of dying – from ailments they pick up while they’re being treated at those health-care facilities. Or so a new study says.

About 48,000 patients a year die from ailments – from pneumonia to blood poisoning – that they contract while hospitalized, according to a study by the Center for Disease Dynamics, Economics and Policy at Resources for the Future, a Washington think tank.

http://www.nydailynews.com/lifestyle/health/2010/02/23/2010-02-23_hospital_infections_killed_nearly_50000_in_a_year_says_a_new_study.html

The cases of patients getting an illness while hospitalized lead to 2.3 million extra patient days in hospitals, costing $8.1 billion in 2006, the study found.

Sepsis, a blood infection, killed 20 percent of the patients who got it after surgery, according to the study. Patients who contracted sepsis after surgery stayed hospitalized on average 10 days more, costing $32,900 per patient.

As one doctor lamented, a basically healthy person can come to a hospital for routine surgery, but then develop sepsis because of sloppy infection control and die.

Pneumonia was another deadly disease contracted by hospital patients. Those who got pneumonia had to stay an extra two weeks at the hospital, for an additional cost of $46,400. Over 11 percent of those who contracted pneumonia died, the study found.

Simple measures such as better hygiene, like mere handwashing, and screening patients as they check in can help decrease the number ailments that patients get while hospitalized. But enforcing those actions is difficult.