Medical Mistakes Surprisingly Common

CNN recently ran a story on just how common medical mistakes, i.e. medical malpractice, actually occurs. Referencing a study by the Archives of Surgery, the article notes that in Colorado alone doctors operated on the wrong patient at least 25 times and on the wrong part of the body in another 107 cases. The study period occurred over a 6.5 year period. If our hospital and healthcare system get the wrong patient for surgery altogether, you can easily see how they might make other mistakes with catastrophic results and injury.

According to one physician interviewed by CNN:

Each hospital, whether they publicly admit it or not, and whether or not it's discoverable in a lawsuit, has an episode of wrong-site or wrong-patient surgery either every year or once every few years," says Makary, who wrote an editorial accompanying the study. "Almost every surgeon has seen one."


You can read the full article on CNN here. Our healthcare system, by and large, runs well for many people. However, for those who fall victim to a preventable medical error, the results can be disastrous for them or their families. Too often, tort reform focuses on limiting the ability to compensate those who get injured by medical malpractice without recognizing that this is why doctors and hospitals have insurance, to compensate the injured and their family. If tort reformers were serious about reducing costs, they would advocate healthcare reform to help prevent such mistakes in the first place, not try to through salt in the wounds of the victims by denying reasonable compensation.

Trial By Jury

When the right of an individual to go to trial by a jury of his peers falls prey to ‘tort reform,’ all individuals sacrifice some small part of their liberty. The insurance lobby, the corporate lobby and even the State itself care only to prevent themselves from being held accountable by a jury.

“It astonishes me to find... [that so many] of our countrymen... should be contented to live under a system which leaves to their governors the power of taking from them the trial by jury in civil cases... This is a degeneracy in the principles of liberty... which I [would not have expected for at least] four centuries." --Thomas Jefferson to William Stephens Smith, 1788. (*) FE 5:3

Medical Negligence Costs $19.5 Billion Per Year

It’s true: we live in a time of a medical malpractice crisis. Unfortunately, the spin on this by insurance companies is that “lawyers are to blame.”

But,
according to the Society of Actuaries, the primary driving force in this cost is the fact that avoidable medical errors, a.k.a., medical mistakes or negligence, result in these costs. Further, most of the surveyed actuaries agreed that the solution is to prevent or reduce medical errors in the first place.

“Medical errors are a significant source of lost healthcare funds every year. For example, the study found that $1.1 billion was from lost productivity due to related short-term disability claims, and $1.4 billion was lost from increased death rates among individuals who experienced medical errors. According to a recent SOA survey, which identified ways to bend the national healthcare cost curve, 87 percent of actuaries believe that reducing medical errors is an effective way to control healthcare cost trends for the commercial population, and 88 percent believe this to be true for the Medicare population.”


Seems simple. If the negligence never occurs, there is no cost.

The Society of Actuaries also highlighted the five most common medical mistakes, or errors, that generated over 55% of the total costs. Pressure ulcers, postoperative infections, mechanical complications from devices, implants or grafts, postlaminectomy syndrome, and hemorrhages complicating a procedure round out the top five.

U.S. Government: Medical Errors Are Leading Cause of Death

According to the U.S. Department of Health, Agency for Healthcare Research and Quality, “Medical errors are one of the Nation's leading causes of death and injury. A recent report by the Institute of Medicine estimates that as many as 44,000 to 98,000 people die in U.S. hospitals each year as the result of medical errors.” They offer 20 Tips to Help Prevent Medical Errors, many of which can be very useful in helping to head off a wayward medical provider about to commit malpractice. Medical errors are, by definition, an error and errors can and should be prevented. When a medical mistake, negligence or ‘error’ harms you, your family or friends, everyone pays the price. It costs a huge amount of money to correct errors through additional treatments. One case our firm worked on required over seven corrective surgeries following negligence by the doctor. Prevention is, of course, the best cure. Holding hospitals and healthcare providers accountable helps prevent ‘errors,’ and provides much needed relief to people harmed by such errors for lost wages, medical expenses, and home health accommodations in the most serious cases.

Hospital Negligence - Tips from FOX News

Where will the ‘tort reformers’ (a.k.a. insurance companies looking to boost their bottom line) go if they lose the loyalty of their main media outlet? FOX News ran a story today entitled “Tips to Protect Yourself From Hospital Negligence.” The article addresses recent stories regarding infectious diseases being transferred to patients because the hospital and/or health care provider reused syringes, bottles of medication or dirty dental instruments. As a result, patients were infected with diseases such as hepatitis B and C as well as HIV. The article does offer a few good tips for ‘protecting’ yourself from infection at the hands of a negligent provider:

  • Demand that all health care personnel wash their hands in front of you before they render any physical service;
  • Demand that all health care personnel wear NEW gloves before drawing any blood;
  • Make sure your health care provider opens new needles from new packaging in your presence;
  • If any injectable medication is to be administered, it must come from a new bottle;
  • If you do not feel comfortable in your current setting, ask to speak to the infection control officer at your health facility. It is your right.

Still, one wonders, how can the patient be sure that medication comes from a ‘new bottle?’ The fact is that we must trust our health care professionals and, when the professional betrays that trust, hold them accountable. If the health care industry knows they’ll be held liable for negligence, then they’ll be certain to act in a way that doesn’t break such easy and common sense rules and needlessly exposes patients to danger. This is why ‘tort reform’ should never be embraced, it throws salt on the wound of the victim and eliminates the deterrent for the health care industry.

Insurance Companies Get Richer, The Injured Get Screwed

According to research, medical malpractice insurance companies just keep getting richer. Since the turn of the century, the money insurance companies took in increased by 120% while the amount they paid out dropped by 15%.
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Even more surprising? States with a ‘cap’ or maximum amount recoverable for harm actually experienced an increase in the cost of premiums.

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A copy of the complete report can be downloaded and read here.

So, while everyone claims that medical malpractice insurance is getting too expensive and medical malpractice lawsuits are the problem, the real problem appears to be aggressive lobbyists hired by insurance companies are seeking to further pad the coffers and profits of the insurance industry at the expensive of people. And yet, somehow, someway, the Utah legislature is considering LOWERING the damages cap in Utah. Of course, maybe they should look first to who they are serving.... The Utah Medical Insurance Association, one of the largest providers of malpractice insurance in Utah, carries nearly a quarter billion dollars in assets ($230,718,580 as of 2008). Greed, apparently, is good for the insurance companies.

Healthcare Transparency

At the federal level, debate rages over healthcare reform. At the local level, still waters run deep. The legislature created an ‘interim’ committee at the close of last session to study health care transparency and improvements. Despite meeting in secret and also hiding its list of improvements from legislative oversight committees, word is leaking out that the interim folks are bent on making it more difficult to bring suit if you are injured by medical malpractice. Instead of transparency and creating a healthcare system that actually works for patient’s rights, the interim committee is bent on preserving insurance profit.

So, in the upcoming local legislative session, expect to hear a lot about ‘tort reform,’ very little about transparency and patient’s rights.

In the meantime, you can take some steps: tell your legislator you want a Patient’s Bill of Rights; tell your legislator you want a public system where you can go to find out background information on your doctors, healthcare providers, nurses and hospitals... after all, you can already look up your local restaurant to find out how many times the health department has cited them for violations, shouldn’t you have access to the same information for those who hold your lives in your hands? Which is more important, finding out if Taco Bell left chicken out on the counter, or knowing that surgeon who is about to cut you has been sued for malpractice more than once?

Protecting the Incompetent

The medical malpractice insurance industry again seeks to shield the physician who negligently ignores safety in the emergency room (3 out of the last 4 years they tried and failed to push a similar bill). However, this time around SB0079 attacks patients and doctors alike. First, SB0079 raises the burden of proof for patients injured by negligent, unskilled or poorly trained emergency physicians by requiring a 'clear and convincing' standard. Second, SB0079 actually attacks physicians who dare to offer opinions critical of their peers. Physicians who testify against other physicians can be subjected to discipline for offering their honest opinion and criticism.

SB0079 shields the unskilled, poorly trained or plain negligent emergency room physician with a blanket immunity, allowing such physicians to remain unaccountable and in practice for all but the most horrific deaths or injuries in emergency rooms.

Raising the standard of proof for injuries from "preponderance of the evidence" to "clear and convincing" evidence is a solution looking for a problem. Already, Utah law takes into account the heated circumstances in an emergency room by requiring that physicians exercise reasonable care under those circumstances. Moreover, there have only been a few emergency room cases filed in the last few years. It makes no sense to shield these minority actors from legitimate claims by intimidating physicians who dare to offer critical testimony through potential disciplinary action.

If you find this intimidation tactic legislation offensive, contact your state legislator and voice your opinion. You can find your state representative by
clicking here for help finding your district and representative.

Medical Malpractice Crisis? Wrong.

Yet again, another study indicates that the whole 'medical malpractice crisis' is an overblown attempt by the insurance industry to support a crumbling argument for tort reform. Frequently we are told that physicians are fleeing the practice of medicine because trial lawyers have caused malpractice insurance premiums to skyrocket. Massachusetts has been described by the AMA as such crisis state, with settlement payments for victims of physician negligence the fourth highest in the United States.... Yet, surprise, "[m]ost physicians paid lower inflation-adjusted premiums in 2005 than in 1990." The reality, as always, is that the insurance companies pump up the malpractice crisis in order to pump up their own profits.
Study by
Health Affairs here.

Defending Trial Lawyers?

It doesn't happen often, so when it does, time to draw attention. A recent article on CNNMoney.com champions the much hated trial lawyer. Salient points include: Attorneys represent the last resort of employees wrongfully terminated or abused in the work place; Attorneys represent individuals against the greed of corporations willing to put out shoddy tires, tainted pet food and toothpaste and defective difibrillators. The only thing that keeps the corporate world turning is the knowledge that, if the corporate world tries to screw the individual, trial lawyers will be there to hold them accountable. "Simply put, what makes transactions possible is the knowledge that if trust is abused, the abuser will pay a penalty." Long live the trial lawyer, long live corporate accountability.

Lawsuit Happy Society?

According to Utah State Court Statistics personal injury lawsuits only make up 1% of the total cases filed in 2006 Read More...