Fifteen thousand patients per month times 12 months per year = 180,000 DEAD AMERICANS each year, making jew “doctors” 45 TIMES more deadly than all 1.2 BILLION Muslims in the world, even IF we give them credit for ALL 4,000 the Americans who died in 9/11 (which I don’t).
<<<A recent government report found similar results, saying that in October 2008, 13.5 percent of Medicare beneficiaries — 134,000 patients — experienced “adverse events” during hospital stays. The report also said that extra treatment needed as a result of the injuries could cost Medicare several billion dollars a year. In 1.5 percent of the patients — 15,000 patients in the month studied — harm from medical treatment contributed to their deaths. The report, issued this month by the inspector general of the Department of Health and Human Services, was based on an analysis of a sample Medicare records of patients discharged from hospitals in October 2008. >>>
Mistakes Still Prevalent in Hospital Care, Study Finds
By DENISE GRADY
Published: November 24, 2010
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Efforts to make hospitals safer for patients are falling short, researchers report in the first large study in a decade to analyze harm from medical care and to track it over time.
The study, conducted from 2002 to 2007 in 10 North Carolina hospitals, found that harm to patients was common and did not decrease. The most common problems were complications from procedures or drugs, followed by hospital-acquired infections.
“It is unlikely that other regions of the country have fared better,” said Dr. Christopher P. Landrigan, the lead author of the study and an assistant professor at Harvard Medical School. The study is being published on Thursday in The New England Journal of Medicine.
The study is one of the most rigorous efforts to collect data about patient safety since a landmark report in 1999 found that medical mistakes caused as many as 98,000 deaths and more than one million injuries a year in the United States. That report, by the Institute of Medicine, an independent group that advises the government on health matters, led to a national movement to reduce errors and make hospital stays less hazardous to patients’ health.
Among the preventable problems that Dr. Landrigan’s team identified were severe bleeding during surgery, serious breathing trouble caused by a procedure being performed incorrectly, a fall that dislocated a patient’s hip and damaged a nerve and vaginal cuts caused by a vacuum extraction device used to help deliver a baby.
Dr. Landrigan’s team focused on North Carolina as the best place to look for improvements because its hospitals, compared with those in most states, have been more involved in programs to increase patient safety.
But instead of improvements the researchers found a high rate of problems, and no change over time. About 18 percent of patients were harmed by medical care, some more than once, and 63.1 percent of the injuries were judged to be preventable. Most of the problems were temporary and treatable, but some were serious and a few, 2.4 percent, caused or contributed to a patient’s death, the study found.
The findings were a disappointment but not a surprise, Dr. Landrigan said. Many of the problems were caused by the failure of hospitals to use measures that had been proved to avert mistakes and prevent infections from urinary catheters, ventilators and lines inserted into veins and arteries.
“Until there is a more coordinated effort to implement those strategies proven beneficial, I think that progress in patient safety will be very slow,” he said.
An expert on hospital safety who was not associated with the study said the findings were a warning for the patient-safety movement.
“We need to do more, and to do it more quickly,” said the expert, Dr. Robert M. Wachter, the chief of hospital medicine at the University of California, San Francisco.
A recent government report found similar results, saying that in October 2008, 13.5 percent of Medicare beneficiaries — 134,000 patients — experienced “adverse events” during hospital stays. The report also said that extra treatment needed as a result of the injuries could cost Medicare several billion dollars a year. In 1.5 percent of the patients — 15,000 patients in the month studied — harm from medical treatment contributed to their deaths. The report, issued this month by the inspector general of the Department of Health and Human Services, was based on an analysis of a sample Medicare records of patients discharged from hospitals in October 2008.
Dr. Landrigan’s study reviewed the records of 2,341 patients admitted to 10 hospitals — in both urban and rural areas and involving large and small and teaching and nonteaching medical centers. (The hospitals were not named.) The researchers used a “trigger tool,” a list of 54 items regarded as red flags in a patient’s record, indicating that something might have gone wrong. Triggers included certain drugs that were used only to reverse an overdose, the presence of bedsores or readmission to the hospital within 30 days of being sent home.
The researchers found 588 instances in which a patient was harmed by medical care, or 25.1 injuries per 100 admissions.
Not all the problems were serious. Most were temporary and treatable, like a bout with severe low blood sugar from too much insulin or a urinary infection from a catheter. But 42.7 percent required extra time in the hospital for treatment of problems like an infected surgical incision. In a few cases, 2.9 percent, patients suffered permanent injury — for example, brain damage from a stroke that could have been prevented after an operation. Certain problems (8.5 percent) were life-threatening, like severe bleeding during surgery. A small number, 2.4 percent, caused or contributed to a patient’s death — like bleeding and organ failure after surgery, or pneumonia caused by inhaling food, saliva or stomach contents.
“A third of the errors in the intensive care unit disappear when residents work 16 hours or less,” Dr. Landrigan said, although he noted that senior residents often work longer hours.
Computerized systems for ordering drugs can cut medication errors by 50 percent to 80 percent by correcting doses and alerting doctors if they request a drug that a particular patient should not take, Dr. Landrigan said. But only 17 percent of hospitals have such systems.
For the most part, reporting of medical errors or harm to patients by hospitals is voluntary.
“At a national level, we need a monitoring system that is mandatory,” Dr. Landrigan said. “There has to be some mechanism for federal-level reporting, where hospitals across the country are held to it and it’s not just a voluntary thing. We don’t have it. Voluntary reporting vastly underestimates the frequency of errors and injuries that occur.”
Dr. Mark R. Chassin, president of the Joint Commission, which accredits hospitals, cautioned that the new study was limited by its ability to find only the types of problems on its list of “triggers.” So if a hospital had performed a completely unnecessary operation, but had done it well, the study would not have uncovered it, he said. Similarly, he said, the study would not have found areas where many hospitals have made progress, such as in making sure that patients who had heart attacks or heart failure were sent home with the right medicines.
The bottom line, he said, “is that preventable complications are way too frequent in American health care, and it’s not a problem we’re going to get rid of in six months or a year.”
Dr. Wachter said the study makes clear the difficulty in improving patients’ safety.
“The study is telling us how hard improving safety really is,” he said. “Process changes, like a new computer system or the use of a checklist, may help a bit, but if they are not embedded in a system in which the providers are engaged in safety efforts, educated about how to identify safety hazards and fix them, and have a culture of strong communication and teamwork, progress may be painfully slow.”
Leah Binder, the chief executive officer of the Leapfrog Group, a patient safety group whose members include large employers trying to improve health care, said it was essential that hospitals be more open about reporting safety problems.
“Having to be transparent, and to allow yourself to be compared to other hospitals, can have an effect,” Ms. Binder said. “What we know works in a general sense is a competitive open market where consumers can compare providers and services. Right now you ought to be able to know the infection rate of every hospital in your community.”
For hospitals with poor scores, there should be consequences, Ms. Binder said: “And the consequences need to be the feet of the American public.”