Gair, Gair, Conason, Rubinowitz, Bloom, Hershenhorn, Steigman & Mackauf is a New York Plaintiff's personal injury law firm specializing in automobile accidents, construction accidents, medical malpractice, products liability, police misconduct and all types of New York personal injury litigation.

Articles Tagged with medical malpractice

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cyber attack can arm patientsEvery year the ECRI Institute publishes a list of the most serious issues threatening patients and health workers safety.  The 2023 report recently came out and here is a summary of the top 10 patients safety concerns for 2023:

  1. The Pediatric Mental Health Crisis

    The COVID-19 pandemic has highly impacted children’s mental health issues, with girls more likely to be diagnosed with anxiety and depression and boys with attention deficit disorders. Additionally, the CDC recorded a significant increase in emergency room visits for suspected suicide attempts by 12- to 17-year-olds in 2020 and 2021 compared to 2019. Unfortunately, it is estimated that only 40% of children suffering from depression receive treatment.

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Health-Technoogy-Hazards-scaledWhile health technology is often synonymous with progress, some medical devices can be dangerous and lead to patient injury and death. Every, year the ECRI Institute compiles a list of the 10 most hazardous technologies in healthcare. This year the Top 10 health hazards are:

1. Confusing recalls of at-home medical devices

This health hazard arises from Philips’ chaotic recall of defective respirators that cost the lives of hundreds of  at home patients suffering from sleep apnea.  Between April 2021 and October 2022, the FDA received 260 reports of  patients who died while using the Philips respirator. The device was recalled but the manufacturer contacted mostly healthcare providers which were supposed to pass the information to their patients. The process was chaotic and many patients were never proprely informed. As a result, they continued to use the defective device and died. Some patients were contacted directly by the manufacturer, but the notification was unclear. The language was technological jargon that patients did not understand proprely.

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grand-round-1Our Managing Partner Ben Rubinowitz conducted Grand Rounds for the Department of Radiology at Mount Sinai Hospital in NYC. The talk was titled ”Preventing Medical Malpractice.” 

In this presentation Mr Rubinowitz showed real life examples of medical negligence and then cross examined various residents, fellows and attending physicians to educate them on medical errors that had taken place in the past that resulted in injury and death to his clients.

The point of the lecture and demonstration was to teach medical residents and attending physicians about medical failures which were preventable — but when not properly and timely addressed, those failures and omissions often lead to catastrophic injury.

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MeFDA-logodtronic HeartWare Ventricular Assist Device (HVAD) device caused the wrongful death of more than 3,000 people since it was introduced on the market more than 10 years ago. The sale and distribution of the heart pump was stopped in June last year but many patients still have the pump implanted in them. Now some of the batteries powering the device might be deadly too.

Medtronic announced last May that a model of battery that was powering the Medtronic HeartWare Ventricular Assist Device (HVAD) was defective and that it could cause serious personal injury or death if it was not changed for a new battery. An urgent Medical Device Correction letter was sent out by Medtronic to all affected customers on May 5th  recalling 429 devices manufactured in April 2021. Then a month later, after the company received 1,159 complaints including 6  injuries and one death, the recall of the same model of batteries was extended to those that were distributed since January 2009.

The recall affects 23,372 Medtronic HVDA Batteries with model number 1650DE that were distributed between January 1st 2009 and now

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Surgery at HospitalWhile too many hospitals in the US are sacrificing patient safety for profit, a small number of them are dedicated to focus on healthcare safety and quality.

NYU Langone Hospitals in New York, NY, Gouverneur Hospital in Gouverneur, NY, White Plains Hospital in White Plains, NY and NYU Langone Hospital Long Island in Mineola, NY are the only 4 hospitals in New York state that have been included in the Best Hospitals in America compiled by Money and the Leapfrog Group.

The Leapfrog Group is a nonprofit organization helping consumers to make informed decision. To be part of the list, hospitals that previously received a A grade from a previous assessment went through an additional assessment of  39 performance measures in the 7 following categories:

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cyber attack can arm patientsHospitals are one of the favorite targets of ransomware hackers because hospitals simply can’t afford to have their IT down as it can cause severe harm or even death to patients. As a result when a hospital  has its systems blocked by hackers it might be more willing to pay a ransom than any other type of organization in order to get their systems working again.

Recently, a debt collection company working with 657 healthcare providers announced that it had been the victim of a cyber attack. Hackers were able to obtain patients information including their name, address, social security number and medical information. It is unclear so far how many patients have been affected but this might have been of of the largest healthcare data breach of 2022.

CISA warns hospitals and healthcare providers of Maui ransomware

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Medical Malpractice Lawyer Ben RubinowitzOur Managing Partner, Ben Rubinowitz,  has been invited to speak at the American Urologic Association’s annual meeting in New Orleans this Friday. 

This is one of the largest medical conferences in the world and is attended by more than 25,000 Urologists.

Due to the successful results our firm has had in medical malpractice cases, Ben has been asked to share his knowledge with treating urologists.

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hospital patientEvery year the ECRI institute releases a list of top main concerns that may lead to patient harm and medical malpractice. While cybersecurity was one of the main concerns in the previous years, the ongoing Covid 19 crisis put a lot of pressure on hospital staffing and “staffing shortages” is now at the top of the concerns  followed by worker’s mental health and racial disparity in treatments.

The pandemic emphasized concerns that were already latent in the American healthcare system but that have worsened during the pandemic:

  1. Staffing shortages: the registered nurses median age is 52 year old with 20% of them being older than 65 year old. Young nurses are needed but nursing schools are missing proper resources such as faculty, clinical sites, classroom spaces and budget. As a result 80,407 nursing school applicants were turned down in 2019.  In the coming years, staff shortages will be experienced at all levels of the healthcare system from nursing assistants to technicians such as laboratory technicians as well as critical care doctors, hospitalists, pharmacists and respiratory therapists.
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hospital patientMore than 150 models of medical devices manufactured by more than 100 manufacturers and equipped with PTC Axeda agent and Axeda Desktop Server  have dangerous cybersecurity vulnerabilities that could potentially harm patients. The Axeda agent and Axeda Desktop server  sold by PTC are  components allowing one or more people to view and operate the same remote desktop, through the Internet. However,  it was recently found that hard-coded credentials were used in these components making them particularly vulnerable to cyber attacks. Hard code credential  is a practice used by software developers in which authentication data such as password are embedded directly in the source code. This practice was identified 9 years ago as a significant cybersecurity threat and is considered outdated and dangerous. It is particularly concerning that medtech vendor PT  is still selling products using this technology, especially products providing remote support functionality which are among the most targeted by hackers.  Hard code credential vulnerabilities, if exploited, allow hackers to fully access the system, execute remote code, change the configuration, read or save changes directly to files and folders on the user’s device, access user’s login information and flood the targeted device or network with traffic until the target cannot respond or simply crashes, preventing access for legitimate users. Designing medical devices containing such outdated and dangerous components is negligence that can cause injury or death to patients.

Defective medical devices with cybersecurity flaws are considered the number one health technology hazards in 2022 by the ECRI Institute. The FDA issued a cybersecurity alert and the Cybersecurity and Infrastructure Security Agency issued an advisory with a detailed description of the vulnerabilities,  recommendations to mitigate them and a list of the main manufacturers  using Axeda agent and Axeda Desktop servers in some of their products. Among them are Accuracy, Agilent, Bayer, BD, Elektra, GE, Roche Diagnostic, Smith Medical and Varian. These manufacturers have all released their own information in regards to affected products.

Read more in Medtech Dive

 

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OxyContinThe lawyers for Dr Xiulu Ruan and Dr Shakeel Kahn will argue tomorrow before the Supreme Court of the United States that the criminal standard that physicians faced is not applied consistently among the federal circuits. Dr Xiulu Ruan was one of the largest prescribers of quick-release fentanyl drugs in the US and he is serving a 21-year sentence in federal prison. Dr Shakeel Kahn is serving a 25-year sentence after running pill mills in Arizona and Wyoming.  Their lawyers want their convictions to be overturned but the probability that it occurs is extremely low. However what the lawyers want is that the Supreme Court define a uniform standard that would allows doctors to raise a “good faith” defense and as a result a jury would be able to consider if a doctor was using his or her best medical judgement.

For doctors and patients all over the country the case is not about judging if Ruan and Kahn were bad actors among doctors and committed medical malpractice  but about good doctors who are risking criminal investigation because of  a difficult decision they made.  When the opioids started to flood the market 20 years ago, excessive prescribing was common. In order to curb the actual opioid crisis, authorities have been investigating prescription habits intensively to the point that doctors are now scared to prescribe them to their patients even though they need them.  People coming out of surgeries are being left to unnecessarily suffer because hospitals have implemented drastic guidelines and long term chronic pain patients can’t find a doctor anymore and have to turn to the illegal market.  As prescriptions for opioids fell down, the opioid deaths hit a record high last year in the US with most deaths being related to illegally obtained opioids.  Recent studies indicate this is not a coincidence as long term patients that have been cut from their doctors find themselves in the emergency room because they were poisoned by illegal drugs or committed suicide (See New England Journal of Medicine).

A recent article in the New York Time discuss this difficult issue extensively.

 

 

 

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