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ANEMONA HARTOCOLLIS in a recent New York Times article describes outrageous behavior by the clinical director and medical director of Harlem medical center. Under the direction of these former hospital officers (they have since been fired and demoted, respectively) the cardiology department of the Medical Center permitted 4,000 echocardiograms performed on patients suffering from suspected [...]
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Doctors knowingly fail to cooperate to make medicine safe because they would then be required to practice safe medicine, and be held accountable if they fail. In the recent issue of Obstetrics and Gynecology,[1] Drs. Strunk and Queenan in their advocacy for an administrative compensation plan to replace the tort system in providing compensation for [...]
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January 1, 2010 Journal Watch summarizes a remarkable article entitled “Investigation of incidental findings on cardiac CT.” The article was based on a study conducted at a Canadian institution where the investigators evaluated the incidence, clinical importance, and costs of these incidental findings. It’s first important to note that these researchers used the word incidental [...]
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In 1998 the United States Advisory Commission on Consumer Protection and Quality in the healthcare industry adopted a Patient Bill of Rights. The same year Pennsylvania enacted a Patient Bill of Rights allegedly for the purpose of providing quality healthcare accountability and protection under Act 68 of 1998. It is interesting that the legislature of [...]
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News-Medical.net also reports on the trial confirming the neuro protective effect of magnesium sulfate I earlier discussed in “If Mother Only Knew.” This report misses the point that many physicians still think the standard of practice still does not require that magnesium sulfate be administered to mothers threatening preterm delivery prior to 32 weeks. Rouse [...]
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Ordering tests that are considered medically unnecessary is not defensive medicine but simply thoughtless medicine. I am a lawyer of 35 years experience in representing patients and their families who are victims of medical malpractice. My clients are harmed by thoughtlessness and failed communications and not because an unneeded medical test was not performed. The [...]
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In January of 2009 the New England Journal of Medicine published the results of a study conducted by the Harvard School of Public Health at the Massachusetts General Hospital in Boston reporting the effect of creating and using a safety checklist in conjunction with the performance of non-cardiac surgery. Eight hospitals in eight cities as [...]
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