Ramey & Hailey, Attorneys at Law Rated by Super lawyers The Best Lawyers in America TAOS Injury Lawyers
Free Initial Consultation Handset 317.582.0000

Medical Malpractice Newsletter

Identifying and Reducing Medical Mistakes in Health Care Organizations

In late 1999, the Institute of Medicine issued a report regarding medical errors in United States hospitals. The report concluded that every year, as many as one million hospital patients are injured and 98,000 die as a result of preventable medical errors, costing the nation an estimated $40 billion annually. In response, the Joint Commission on Accreditation of Health Care Organizations (JCAHO) issued uniform standards for caregivers to follow in order to reduce the occurrence of medical errors.

Joint Commission on Accreditation of Health Care Organizations

The JCAHO is an entity that develops standards for health care organizations intended to improve the safety and quality of care provided to the public. Comprised of a board of physicians, nurses, and consumers, the JCAHO is an independent non-profit organization which provides health care accreditation to health care organizations. In mid-2002, the JCAHO issued National Patient Safety Goals (NPSGs), addressing common medical error problems.

Common Types of Medical Errors

  • Medication – being given the wrong drug or dose, or drugs given at the wrong time or to the wrong patient
  • Wrong-site surgery – surgeries performed on the wrong part of the body or on the wrong patient; sometimes the wrong operation is even performed
  • Hospital-acquired infections – infections caused by lack of proper hygiene (usually occurring when a physician or nurse fails to sufficiently wash their hands) or use of defective medical equipment

Common Reasons for Medical Mistakes

  • Misplaced patient charts or illegible handwriting
  • Overworked, inexperienced and unsupervised interns and residents, particularly at teaching hospitals, who may work as many as 130 hours per week
  • Nationwide shortage of registered nurses
  • Increasing caseload demands on emergency rooms with limited funding

Precautions a Health Care Organization Should Take – NPSGs

The NPSGs issued by the JCAHO seek to provide uniform standards by which health care organizations must comply. The JCAHO has outlined several NPSGs for 2010. The JCAHO intends to issue new or revised NPSG requirements every year.

The 2010 NPSGs include:

  • Improve the accuracy of patient information
  • Improve the effectiveness of communication among caregivers
  • Improve the safety of using medications
  • Reduce the risk of health-care associated infections
  • Accurately and completely reconcile medications across the continuum of care
  • Reduce the risk of patient harm from falls
  • Reduce the risk of influenza and pneumococcal disease in older institutionalized adults
  • Reduce the risk of surgical fires
  • Encourage patients’ active involvement in their own care as a patient safety strategy
  • Prevent health care-associated pressure ulcers
  • Identify safety risks inherent in the patient population

Compliance with NPSGs

The JCAHO evaluates more than 15,000 health care organizations including ambulatory care, assisted living facilities, behavioral care facilities, home care, hospitals, laboratories, long term care facilities, HMOs, and office based surgery facilities. In order to earn and maintain accreditation, these health care organizations must go through extensive on-site reviews by a JCAHO team at least once every three years. If the health care organization’s performance complies with the standards to the satisfaction of the JCAHO, they will be awarded accreditation. A list of accredited organizations is posted on the JCAHO’s website and updated periodically.

  • Failure to Remove Foreign Instruments After Surgery
    As alarming as it may seem, surgical teams have left objects and instruments used during operation inside the body of a patient. Every year, foreign bodies are left in nearly 1,500 patients in surgeries performed in the United... Read more.
  • Medical Malpractice Immunity for HMOs
    Some state medical malpractice laws granted patients the right to sue their Health Management Organizations (HMOs) for actions which injured them. As a result of their active roles in medical care decisions, HMOs have been held liable... Read more.
  • Medical Negligence and the "Res Ipsa Loquitur" Doctrine
    Medical malpractice lawsuits are usually based upon a claim that a health care provider was negligent. To establish negligence, the plaintiff must prove the practitioner’s actions fell below the accepted standard of care, i.e.,... Read more.
  • Medical Liens and Filing Proper Notice
    A person injured in an accident caused by the negligence or fault of another may eventually be able to recover damages from the person at fault. However, accident injuries usually require immediate treatment. If the injured party lacks... Read more.
Medical Malpractice News Links
Designed and Powered by NextClient

© 2014 - 2017 Ramey & Hailey, Attorneys at Law. All rights reserved.
Custom WebExpress™ attorney website design by NextClient.com.