Constructive gadfly
Newsweek-Hospital Horrors
Published on August 4, 2004 By stevendedalus In Current Events

Recent HealthGrades studies show that 195,000 die each year from medical error in hospitals, according to Newsweek. On its website HealthGrades has posted a list of hospitals with the best patient safety records. Also Accreditation of Health Care Organizations has posted a scorecard for the quality of hospitals, and suggest a patient check it out before admissions.

This is outrageous. With this kind of malpractice there would be widespread lawsuits except, I suspect, most cases are covered up. The issue, however, is not lawsuits, but more important is the quality of health care that the political spectrum continues to ignore. Although the Senate recently passed legislation, it only creates voluntary and confidential reporting of medical errors for providers to learn from these mistakes! Here we have color coded alerts for homeland security to save lives and we do nothing about rectifying a serious, continuing casualty list that dwarfs those dying in Iraq. Dr. Samantha Collier, vice president of medical affairs states, [This death toll] “is the equivalent of 390 Jumbo jets filled with people dying each year.”

It is not sad enough that people are at risk because of their illness, but now they have to research a hospital that’s safe? — and in an emergency there is no choice. It is unbelievable that the richest country in the world lets slide appropriate training and health reform. Isn’t it time to stop our nation’s bleeding from widespread mediocrity?

Copyright © 2004 Richard R. Kennedy All rights reserved. Revised: August, 4, 2004.


Comments (Page 1)
2 Pages1 2 
on Aug 03, 2004

is there comparative data for other industrialized nations?  (i've been peripherally aware of this situation for a while but since i tend to whistle when i walk by graveyards, i havent looked into it in hopes it wouldnt impact me.  stupid, i know but...)

on Aug 04, 2004
A good question, but I don't know, yet suspect, because they have more or less universal health care, they do better. I imagine that many of the errors here are among patients without insurance or on medicaid.
on Aug 04, 2004
I imagine that many of the errors here are among patients without insurance or on medicaid.


I suspect you are right. It would be interesting to research. A Good, but sad article.
on Aug 04, 2004

many of the errors here are among patients without insurance or on medicaid

those cases im familiar with (only a handful really) seemed to be equal-opportunity screwups.  a fair amount result from obsolete paper-based patient management systems.

on Aug 04, 2004
You'll get no arguement from me. As I understand it, we (mankind) have the technological ability to end suffering for every person on earth, but justice doesn't seem to be as blind as we would hope. I share your frustration, I'm open to hearing more about it.

J.
on Aug 04, 2004
is there comparative data for other industrialized nations?


Yes, there is. I think it's done by the WHO. If I recall correctly the US spends more on health care than any other country but is ranked only 16th in quality of the health care system.
on Aug 04, 2004

Abe, thanks for the info.

J. Yes, it is sad, particularly when technology is heralded as the wherewithal of social needs.

on Aug 04, 2004

those cases im familiar with (only a handful really) seemed to be equal-opportunity screwups.

Me too.  Tricare (military medical insurance) has experienced a few such cock-ups, all of which disappeared off the radar as soon as they appeared.

Good article!

on Aug 05, 2004
So, um, how do you propose fixing this? 'Cause it's a no-brainer to say there are problems, no arguments there.
on Aug 05, 2004
A good reason for the number of mistakes is because the hospitals are understaffed and underfunded. The reason? People cry lawsuit for every little mistake. I think some people refer to this as the snowball effect? I'm not saying that mistakes should go unpunished. In fact, I do believe people have the right to seek reparations for the damages resulting from such errors. Sorry, I am rambling without a point, though I agree with angloesque in that the problems are obvious.
on Aug 05, 2004
An interesting comment Psuedo Student....

In New Zealand we have a public health care system that is free to all, it is also a fairly good system the majority of the time. The only unfortunate product of a free system is the large waiting lists for the more involved surgeries.
It is very rare in New Zealand to use lawsuits as a weapon against the system. I don't know whether this is just a cultural thing, or if there really is less 'cause' for it. I know alot of my mates joke about, 'If I'd been in America and this happened, I would have had a lawsuit slapped on me' and other such things. The general (unspoken) opinion is that Americans whip out lawsuits over the slightest trivials in the hope of getting a small slice of the pie for themselves. I don't neccesarily agree with this, I wouldn't know. But I guess some of the american law programs on TV seem to agree with this concept alot of the time.

I wouldn't be surprised if a good portion of the yearly budget of American hospitals went towards massive settlements for lawsuits and court fees. It is a snowball effect, and never underestimate the effect good or bad moral in the workplace can have either. If the doctors, sugeons and nurses are under the impression that nobody in management really appreciates them and that the system doesn't give a damn, then they won't be doing there absolute best all of the time, and mistakes and just sloppy work, is bound to be the result.

...I saw an article the other day about a guy who got stitched up after surgery (in America) with a 30cm metal spatula type device inside his chest cavity. He nearly died. Apparently stuff is left in people quite regularly... but it is usually quite small and relatively harmless... *sigh*
on Aug 05, 2004
Addendum: Someday I'm going to get a bumper sticker that says "Doctors = humans"
on Aug 05, 2004

It is very rare in New Zealand to use lawsuits as a weapon against the system


using a civil damage suit to force change in the 'system' isnt quite the same thing as a malpractice suit (although the same end may be achieved) because there is no real system in place (im guessing there would be in a country with national health care).   


that 'not counting all the instruments before closing' incident you mentioned is an example of what would likely be litigated.  if the surgery was provided at no costs, there would be much less reason for taking action.  when youre paying tens or hundreds of thousands of dollars for professional services, its not unreasonable to expect the surgical team to conform to professional standards.


i dont believe malpractice suits are responsible for understaffing (i agree understaffing is a serious problem).  nurses have been in very short supply for at least the past 10 years.

on Aug 05, 2004
No, I don't think malpractice suits would be solely responsible for understaffing either Kingbee... but they could be another contributing factor to the situation.

To be honest, I am not familiar with the situation in America in regards to Healthcare. You are correct Kingbee in that we have national health care here. Watching movies like John Q, and reading articles and documentaries like this is about as far as the exposure goes. To be honest though it would seem there are more problems with a paid health care system than in a national one....

True, I guess there is less reason for people to sue the system if they recieved there health care for free... But I also think that incidents like this are probably more isolated in the system we have here. Possibly this is due to the size of our country, we can perhaps afford to train and maintain a better quality of staff because of there low numbers, or perhaps it is a number of contributing factors, such as the near abscence of malpractice or civil damage suits, which means a better spent budget and a better morale environment for staff and the goverment funded system which gives nobody a 'priority' because of money, class, or anything except there condition.
I'm not having a go at your system here. Ours has many faults to. Just different ones on the whole. But as someone said, everyone seems to know there are problems, but how are they gonna get fixed?
on Aug 05, 2004

For comparison:

"The first hospital study of its kind in Canada is setting off alarm bells over what appears to be an extremely high number of preventable medical errors.
The study which examined hospital data from the year 2000 suggests that between 9000 and 24,000 patients die each year from preventable medical errors.
When compared to the rate of hospital related errors in the United States, Canada has twice as many, according to similar studies conducted in the U.S. However, when compared to Australia, Britain, and New Zealand studies, Canadian medical error rates came in lower."

A range of 9000 to 24000 would put us at or below the US rate on a per capita basis according to SteveD's numbers, so I'm not sure I agree with the analysis that the Canadian rate is twice as high as the USA. I'd like to see more data. Link

2 Pages1 2