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Articles Posted in Hospital Negligence

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Alarm fatigue happens when medical workers overwhelmed by constant and loud alarm rings turn down the volume on the devices, shut them off or simply ignore them. These actions can lead to serious personal injury or wrongful death.

As hospitals invest in more and more sophisticated equipment to save lives, nurses and other hospital workers especially in Intensive Care Units have to deal with the constant and sometimes very loud ringing of alarms during their shift. A recent study estimated that the average number of alarms that sounded per bed per day in one ICU was 771. This is obviously more than staff and patients can take and hospitals have to make a priority of reviewing their alarm system or they may risk loss of their accreditation.

In a very interesting article, Lena H. Sun from the Washington Post, gives an overview of recent Medical Malpractice cases related to Alarm Fatigue and what measures are being taken by hospitals to address this growing medical concern.

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The Bronx collaborative, a group of hospital and medical insurers demonstrated in a study that patients who were participating in a special program to manage transition between hospital and home were less likely to be re-admitted to hospitals than patients who received the current standard care.

Medical problems that lead to hospital re-admissions can often be prevented by personal contacts with patients before and after their discharge. Intensive pre-discharge education, post discharge follow up appointment with the physician and phone calls to review medication and discuss concerns are significantly lowering the re-admission rate and improving patient satisfaction.

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Installation of antimicrobial copper surface is a very effective way to fight infections and prevent personal injury due to hospital negligence. A unique study presented by the York Health Economics Consortium (YHEC) at the International Conference on Prevention and Infection Control (ICPIC) in Geneva, investigated the economic benefits of deploying antimicrobial copper touch surfaces in intensive care units (ICUs) to fight the rampant international epidemic of healthcare-associated infections (HCAIs) . The model is transparent and the results show rapid return on the investment.

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Dosing errors, delay to treat or failure to diagnose a medical condition because of poor interaction between humans and computers or loss of data can result in serious personal injury and wrongful death.

Poor choice or inadequate implementation of Emergency Department Information Systems (EDISs) can threaten health care quality and patient safety. Findings and recommendations from two work groups from the American College of Emergency Physicians were released in a report last Friday in Annals of Emergency Medicine.

The report indicates that The Health Information Technology for Economic and Clinical Health Act of 2009 and the Centers for Medicare & Medicaid Services “meaningful use” incentive programs as well as additional requirements for detailed reporting of quality metrics have been major catalysts for the development and implementations of EDISs. However systems functionality varies greatly and it is crucial for emergency providers to actively participate in decisions about EDISs selection, implementation and monitoring.

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Endoscope.png30 % of duodenoscopes, 24% of gastroscopes and 3% of colonoscopes have unacceptable level of “bio dirt” from previous clients bodies leading to a potential risk of infection according to a new study by researchers at 3M infection Prevention Division and presented at the 40th Annual Conference of the Association for Professionals in Infection Control and Epidemiology (APIC).

After being used flexible endoscopes are manually cleaned by a hospital technician who will visually inspect them and then soak them in high level disinfectant. However the study indicates that visual inspection is not enough as contamination is often invisible to the naked eye. The study suggests hospitals should improve their cleaning protocol by having specific guidelines by type of instrument and by identifying if there are any critical steps missing in the manual cleaning process.

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The average profit margin for a hospital to treat an infected patient is $ 55,000 while the margin to treat a similar patient without infection is just $ 6,500 according to a recent study from The Johns Hopkins University School of Medicine published in the American Journal of Medical Quality.

Hospitals lose on average $14,000 per patient when the bill is paid by Medicare or Medicaid but when the bill is paid by private insurance the hospital makes on average a margin of $216,000 per patient before expenses.

The study demonstrates that it is in the financial interest of private insurers to help hospitals find ways to reduce the number of CLABSI infections.

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Methicillin-resistant Staphylococcus aureus (MRSA) infection is caused by a specific staph bacteria that is resistant to antibiotics and therefore very difficult to treat. If not diagnosed on time MRSA can be life threatening. MRSA is a major concern for hospitals where the superbug can attack older patients or those suffering from weakened immune system. Patients necessitating medical tubing such as intravenous line or catheters are also at risk as well as patients staying in nursing homes. MRSA is also an issue in child care centers, military camps and jails.

There is an urgent need to find therapeutic ways to fight this superbug. In research appearing in the Journal PLOS ONE , Shelley Haydel, a researcher at Arizona State University’s Biodesign Institute demonstrate that particular metal ions attached to the clay may have the potential to kill MRSA as well as a range of other dangerous pathogens including E-coli. Medical property of clay has been recognized since antiquity when it was used for its wound healing property.

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Nurse staffing directly impacts the safety of children in pediatric hospitals. According to a study, led by Dr. Tubbs-Cooley at Cincinnati Children’s Hospital Medical Center, children treated in hospitals with staffing ratios of 1 : 4 or less were significantly less likely to be readmitted within 15–30 days.

Each one patient increase in a hospital’s average staffing ratio increased a medical child’s odds of readmission within 15–30 days by 11% and a surgical child’s likelihood of readmission within 15–30 days by 48% according to the study published in BMJ Quality and Safety in Health Care

This research is coming few days after the Registered Nurse Safe Staffing bill was introduced in Congress.

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