The problem of medication errors has by now been well-reviewed, and efforts to minimize such errors are underway in hospitals and doctors' offices across the country. Nevertheless, the problem of medication errors has proven to be a very stubborn one. In his groundbreaking book, "To Err is Human," Lucien Leape, M.D., estimated that medication errors caused approximately 98,000 deaths per year....
Imagine a plane crash in which the co-pilot knew of another plane on a collision course, but decided not to tell the pilot, figuring he'd get the information on his own. Imagine a firefighter knowing a roof is about to collapse, but failing to warn his colleagues because he thought his colleagues were highly skilled and the signs of impending collapse were obvious. Unthinkable? Of course. Yet,...
This week's Massachusetts Lawyers Weekly newspaper reported a defendant's verdict in a sad case. The plaintiff had suffered a massive stroke leaving him paralyzed on half of his body and with other terrible deficits. The allegation was that the stroke was caused due to mismanagement of lung surgery following pneumonia. The case was tried by an attorney considered to be a very fine plaintiff's...
You've probably heard by now, of the sad case of Arielle Newman, the 17 year old track star, who died from using too much muscle cream. You know the products - the wintergreen scented balms with labels and ads claiming to transform the weekend athlete, into Michael Jordan in his prime. Most of these products contain the drug, methyl salicylate. Apparently, the young woman put adhesive pads over...
Failures to communicate continue to bedevil the medical profession. Patient deaths and injuries due to communication breakdowns are especially tragic, because the preventative measure, was often as simple as picking up a telephone or sending a note. In an era of multi-million dollar technology and advanced bioscience, person-to-person communication remains a cornerstone of good medical care....
Although wrong-side/wrong-site/wrong-procedure/wrong-patient (WSPE) hospital errors are not common, they occur more often than one would expect. As the phrase implies, WSPE typically means that the right patient has been operated on the wrong side or organ, or that the correct procedure was done - correct for a patient other than the one on whom it was performed. When WSPEs occur, the results...
Asthma is a highly-prevalent, yet also easily treatable condition. Drugs and inhalers can make asthma manageable for sufferers and enable them to suppress symptoms and to deal effectively with sudden, severe flare-ups. Asthma is often related to allergies and therefore responds to treatment by so-called "allergy shots." The benefit of this treatment is that the patient does not need to take...
Michael Leonard, MD, is an anesthesiologist who has written on the subject of medication error reduction. Readers who have followed my blogs may know that the anesthesiology profession was a leader amongst physicians and hospital professionals in analyzing the causes of medication errors and other medical mistakes. The doctors who studied the problem, such as Lucien Leape, MD, and others,...
Doctors who are named defendants in medical malpractice cases based on failure to make timely diagnoses, often complain that the plaintiff's lawyer had the benefit of hindsight that they lacked. A review of cases of late diagnosis, however, shows that the real culprit was often a lack of curiosity by the physician. The best doctors are medical detectives and like the best detectives, they will...
Despite the fact that the anesthesia profession led the way in medical error reduction techniques, there are still too many anesthesia deaths and serious injuries. When anesthesia malpractice occurs, the results are often catastrophic. With general anesthesia, the patient is helpless. Serious anesthesia errors can deprive the brain of oxygen, causing irreversible damage within minutes or result...
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