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Diagnostic errors: Most costly, common malpractice claim

April 23rd, 2013 | Author: | Category: medical malpractice

Diagnostic errors are the leading cause of successful medical malpractice claims, and are the most common, most costly and most dangerous of medical mistakes, according to new research published in BMJ Quality & Safety.

Researchers analyzed 350,706 paid claims from the National Practitioner Data Bank from 1986 to 2010 and found diagnostic errors represented 28.6 percent of the claims and accounted for the highest proportion of total payments–35.2 percent or $38.8 billion.

Read Article:  FierceHealthcare

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Hospitals profit from post-surgical complications

April 17th, 2013 | Author: | Category: health news, medical malpractice

Hospitals that reduce post-surgical complications could be cutting into their profits, concludes a study published yesterday in The Journal of the American Medical Association.

The study by The Boston Consulting Group, Texas Health Resources and Ariadne Labs found a 330 percent higher profit margin when insured surgical patients experienced a complication, according to an announcement of the findings. The margin increase for Medicare patients experiencing post-surgical complications totaled 190 percent.

Read Article: FierceHealthcare 

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Hospitals defend observation-status policies as criticism grows

April 15th, 2013 | Author: | Category: health news

The president of the Pennsylvania Medical Society (PMS) blamed Medicare’s recovery auditor (RAC) program and government mandates for Medicare coverage for hospitals’ growing reliance on holding patients for observation, sometimes for several days, rather than admitting them.

PMS President Richard Schott, M.D., told the York (Pa.) Daily Record hospitals are fearful of audits and potential penalties for admitting patients Medicare determines should have been treated as outpatients. The audits can come years after the patient’s admittance to the hospital, Schott said.

Read Article:  FierceHealthcare 

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Poor communication ups risk of malpractice suits, patient nonadherence

April 11th, 2013 | Author: | Category: health news, medical malpractice

With patient satisfaction increasingly being tied to reimbursement and physician compensation, the days of considering communication a “soft skill” for doctors are long gone. As a result, organizations such as the Cleveland Clinic have begun enrolling their doctors in specialized communications courses, while medical schools are targeting the issue even earlier, The Wall Street Journal reported.

Satisfaction scores aside, the article cited additional compelling reasons to prioritize communication improvement:

Breakdowns in physician-patient communication are cited in at least 40 percent of malpractice suits.
There is a 19 percent higher risk of nonadherence among patients whose doctors communicate poorly than among those whose doctors communicate well, according to a 2009 review published in the journal Medical Care.
Read more:  fiercepracticemanagement

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Drug shortages force increased hospital costs, medication errors

March 26th, 2013 | Author: | Category: health news

Treatment changes or delays stemming from cancer drug shortages lead to worse outcomes and higher costs, according to a national survey to be published in the April 1 issue of the American Journal of Health-System Pharmacy.

Researchers analyzed responses from 243 oncology pharmacists and other health professionals involved in managing cancer drug shortages for academic medical centers, community hospitals and other cancer treatment facilities.

Thanks to drug shortages, 93 percent reported delays in chemotherapy administration or changes in treatment regimens, 85 percent saw higher costs and 10 percent experienced reimbursement challenges.

Read Article: FIERCEHEALTHCARE

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Survey: Nurse understaffing, fatigue threatens patient safety

March 21st, 2013 | Author: | Category: health news

Fatigue leaves a majority of nurses concerned about their ability to perform safely, with two-thirds of nurses reporting they had nearly made a mistake at work because of fatigue and more than a quarter saying they had made a fatigue-related error, according to a survey commissioned by Kronos Incorporated.

The “Nurse Staffing Strategy,”  released this week at the American Organization of Nurse Executives conference in Denver, found nurse fatigue also can negatively affect operational costs, as well as patient and employee satisfaction, according to the research announcement.

Read Article: FIERCEHEALTHCARE

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What surgeons leave behind costs some patients dearly

March 11th, 2013 | Author: | Category: health news, medical malpractice

More than a dozen times a day, doctors sew up patients with sponges and other supplies mistakenly left inside. The mistake costs some victims their lives.

Some of these victims lose parts of their intestines; some don’t survive Hospitalizations involving a lost sponge or instrument average more than $60,000 New sponge-tracking systems typically add just $8 to $12 to an operation’s cost Erica Parks knew something wasn’t right in her belly when she left the Alabama hospital that performed her cesarean section in the spring of 2010.

Over the next month, her stomach grew so swollen that she looked pregnant again. By the sixth week, her bowels had shut down entirely. Parks, an Air Force major, staggered in to see her doctor, who sent her immediately to the emergency room.

Read Article: USATODAY

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Missed Diagnoses in the Doctor’s Office Often Cause Death or Debilitation

March 8th, 2013 | Author: | Category: health news, medical malpractice

The idea of advocating for yourself when you are seeking healthcare is a theme throughout this patient empowerment site. Sticking up for yourself, asking lots of questions, spending your healthcare dollars wisely, making informed choices, preventing safety problems – it’s a lot of responsibility that none of us were ever taught, but all of us know is good practice.

Read Article: about.com

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Hospitals have had it with misbehaving docs

March 7th, 2013 | Author: | Category: health news, medical malpractice

Hospitals are cracking down on a problem that has been troublesome for years–abusive and angry behavior by doctors towards nurses, trainees, colleagues and other medical staff, according to Kaiser Health News.

While the problem is not widespread (researchers estimate only about 3 percent to 5 percent of physicians engage in this kind of behavior), it can have a corrosive effect, said Charles Samenow, an assistant professor of psychiatry at George Washington University School of Medicine, who evaluates doctors with behavioral problems.

Read Article: FierceHealthcare

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New Superbug CRE Makes the Scene in Hospitals

March 6th, 2013 | Author: | Category: health news

As if we don’t have enough problems with healthcare and safety (and just in time for Patient Safety Week) the CDC is warning of a new superbug that is killing hospital patients in 42 states.

(Although – maybe not so new. I actually wrote about this nosocomial infection in 2011 – calling it CRKP, Carbapenem-resistant Klebsiella pneumoniae. According to the CDC, CRKP is a strain of CRE. )

No matter what initials you use to refer to them, they stand for carbapenem-resistant Enterobacteriaceae. The infection is fatal in 1 of 2 patients who acquire it, and there is almost nothing that can fight it.

Read Article: About.com

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