Are Hospitals Deadly For Your Health?

MEDICAL ERRORS

Going to the doctor may be deadly for your health!

Recently published findings show medical errors are the third leading cause of death in the USA.

Rising medical errors are symptomatic of our ageing community. A culture where health care providers are chronically overworked and understaffed. A culture where working while ill is a sign of strength, responsibility and dedication. A culture where most of the work done for patients is not reimbursable.

Such is the culture of health care that contributes to medical error despite advances in technology and knowledge.

In 2013 medical errors caused 440,000 deaths in the USA: [ http://www.hospitalsafetyscore.org/newsroom/display/hospitalerrors-thirdleading-causeofdeathinus-improvementstooslow ] Medical error, defined as [ https://en.m.wikipedia.org/wiki/Medical_error ],  appears to be on the rise.

In 1999, the publication ‘First Do No Harm’ [ https://www.healthdesign.org/chd/research/first-do-no-harm ] did much shine a light on fundamental problems in medicine. Each year, medication errors alone harm 1.5 million American patients.

Tired, overworked health care providers often dismiss patient’s problems and  become magnets for medical errors. The problem of fatigue contributes to high burn out and suicide rates among doctors: [ http://www.thehappymd.com/blog/physician-burnout-rates-top-50-percent-in-usa / http://www.ncbi.nlm.nih.gov/pubmed/24448053 / http://www.medscape.com/viewarticle/838437 ]

Also, with the billing for services rendered, health care providers perform many services that are not renumerated. Many of these services are essential to the patient and require much time. Services such as communication with other providers involved in that patient’s care.

Reviewing of old records, lab tests and X-rays are not billable. Even the refill of medications, or advocating for patients to insurance companies, are not reimbursing, despite their necessity and the fact that these are done daily. Often several times throughout the day.

Unlike lawyers, doctors do not bill on an hourly rate. They are compensated only for the time spent directly face-to-face in patient care. This underestimates the numbers of hours physicians and nurses spend caring for their patients.

Finding coverage for sick healthcare providers is difficult and often results in rescheduling of patients.  That means fitting patients in already booked and hectic physician schedules. Other contributors to medical errors  include lack of communication and access to information. Another is incompetence, plus poorly supervised residents and interns performing the work of senior doctors.

Many reprimanded physicians continue in practice. Eighty percent of malpractice, and adverse or sentinel events, are committed by 20% of physicians. 80/20. Yet only a fraction ever lose their license, and if they do, they simply go next door.

Medical personnel are treated as super humans, expected to go without sleep plus care for patients with complex medical problems. Medical errors are the end result of this. This finding is no surprise and nothing new since the publication of ‘First Do No Harm’.

A medical team is responsible for your care. An error by one person can cause catastrophic problems.

Lack of communication, and lack of access to information, are two. And lack of coordination makes three elements that contribute greatly to medical errors.

Errors will always occur, of course, but they will be much more likely when one is tired and there are no mechanisms in place to intercept errors.

Again unlike lawyers, doctors are not paid to call patients or to do research on patient problems. That needs to change.  We need to stop discounting the time doctors spend doing non-direct care.  Doctors should be compensated for all work done caring.

Just changes in the above will go a long way in reducing medical error.

To close, a very sad read of six physicians who felt so overwhelmed they took their own lives:

https://www.idealmedicalcare.org/blog/physician-suicide-letters-answered-a-sneak-peek-inside-my-new-book/

&nb

Talking with Patients about Other Clinicians’ Errors — NEJM

Talking with Patients about Other Clinicians’ Errors — NEJM.

 

Unfortunately the chart does not capture those errors...
Unfortunately the chart does not capture those errors…

aAngryBlackLady at the Inhumane and Harmful Care Received at Tufts Medical Center ED

Have you ever tweeted a story? I am going to try to tweet my 17 hours stay at Tufts Medical Center. The link will take you to my tweets #aAngryBlackLady

aAngryBlackLady

This is my story! My story about how multi-factorial –—age, race, ethnicity, gender, perceived alcoholism. perceived mental disorder, disability and racism resulted in discrimination and malpractice at Tufts Medical Center Emergency Department.

Data received from Tuft’s attorney exempt from public disclosure is shown.  I received nothing from the court nor did I sign any form agreeing to such terms; I do not feel bounded by them.  Moreover, why should their employees be protected and not me?  I received my medical records with  the names of the providers responsible for my lack of care in the ED redacted (crossed-out).  Why?   Clearly, they had reason to hide their names.

They LIED, and I did not know their identities until a month before an appeal hearing with MCAD.  The crew who laughed mockingly at me knew all my identifiers and I was not allowed to know the names of the people who abused me in the ED at Tuft Medical Center.

Are health care providers not required to show their identity ? Tufts Patient Bill of Rights stated clearly all employees are required to identify themselves.   Why was my medical records redacted to conceal the names of my medical providers?  

Conflicting Stories Between Boston EMS and Tufts Medical Center ED

The EMS run sheet is available  below.   EMS documentation directly conflicts Tufts Medical Center ED.

  EMS  obtained a history and performed a physical without  difficulty.  Yet  Tufts Medical Center  ED so-called professionals was unable.  The doctor and the nurse all lied stating they could not obtain a history  because I was allegedly “uncooperative.”   Then went on to fabricate   the usual  black stereotype history without knowing anything about me;  based solely on my color, gender,  age,  disability, medications and the fact that I stated I had a glass of wine which meant I was an alcoholic.

An Aside:  At no point in any corespondence did Tufts staff or any representative acknowledge or address me by my title, DR.   I  worked  over 20 years  in the EDs.  MY CV enclosed.  Also, in  Littler’s (Tufts Medical Center Attorney) letter,  I am not addressed or recognized as a physician.  As a matter of fact, the crew in the ED became sadistic when I finally told them I was ER physician and  hoped it would stop the brutality,  but it did not.

The LIE Exposed

Tufts Medical Center sworn legal documents state I was “shouting” racial slang.   How could I shout with shattered fractures on both sides of my jaw plus a dislocated of of my TMJ as well as a bleeding chin laceration.

Also, note that I am described as uncooperative, unruly, and belligerent.  This is inconsistent with the ability to start a hep lock after multiple sticks, draw at least 5-6 tubes of blood including a type and cross-match for urgent surgery.   Then send me to radiology where I was alone with the tech who performed  a Head CT, a C-Spine, and facial films without sedation or difficulty.   This is Impossible without sedation  or restraints.

There are other contradictory statements by Tufts Medical Center, none supported by EVIDENCE–a fact ignored by the State of MA, represented by MCAD.      More disturbing are the conflicts of interest and the lack of documentation or any investigation with a decision of insufficient evidence.

Had a full medical evaluation been performed in the ED as is routinely done, an admission to telemetry for syncope along with an EKG and a physical exam with a history would have detected my fatigue that day and recent onset of palpitations.  However the crew laughed when I tried to provide that history.  Then ignored me completely by leaving me alone without addressing my pain or wound.

Had I received appropriate  care, a second admission would have been spared:  A  hypertensive encephalopathy  with right sided weakness and aphasia.  Even asimple discharge instructions could have averted this second admission which left me with residual symptoms.   Discharge instructions that included holding   medications until PCP follow up, blood pressure monitoring and communication with my PCP or neurologist at MGH.

I received none of that. I experienced why minority women regardless of education or status have higher infancy death  rates than  all of women despite social  class.

 

 

#discrimination #malpractice #patientsafety #civilrights #patients  #hospitals #physicians

Littler Document

Failure-to-Listen-in-red.nice

Related Articles:

MY MCAD HEARING TODAY https://failuretolisten.com/2014/01/21/my-mcad-hearing-today/

LIES AND PERJURY: THE LITTLER DOCUMENT https://failuretolisten.com/2014/01/23/lies-and-perjury-the-littler-document/

WHICH CHART IS MY REAL CHART? https://failuretolisten.com/2014/01/16/which-chart-is-my-real-chart/

Link will take you to my twitter feeds —  start on October 31,  2013 (bottom up).

EMS run sheet:  note bleeding and possible loss of consciousness
EMS run sheet: note bleeding and possible loss of consciousness Note no mention of being uncooperative. I walked from my apartment to the gurney outside the building. Also note the low blood sugar in the 50’s

image

Interesting, I could shout profanities with bilateral open fractures as well as a TMJ dislocation ,  all pointing to significant head trauma despite a normal CT scan and MRI.  I could not open my mouth, they couldn’t understand why, they figured I must be drunk and abusing my medications.   No one  entertained any other diagnoses.  No one re-evaluated  me during my 17-hour stay at the  Tufts Medical Center Emergency Department.    And I do not care what documents they forge or conjure!  But no one sees this but me…

 

They ignored me and when they didn’t, they laughed and made fun of me.  Unfortunately I could not identify the nurses nor the incompetent Indian doctor in a line up.   But their names are finally available to me after attempts by Tufts to deny me full medical records despite repeated request.  After over year late,  I received another record that was different from the first medical record as well as not inclusive of the first medical record.  The  following link is a video of me showing the difference in medical records.   https://failuretolisten.com/2014/01/16/which-chart-is-my-real-chart/

 

A power point will follow later next week along with more information on Littler’s relationship with senior management at MCAD.

 

Revised 1/03/2015