Rate of misdiagnosis getting worse!

Phillip Benton pgbentonmd at AOL.COM
Sun Oct 1 21:54:15 UTC 2017


Peggy, Tom and Jason,

Studies have also shown that malpractice lawsuits are not a significant deterrent to medical negligence. This is for several reasons, one of the greatest  being that everything important is kept confidential and sealed with near-zero publicity, so no one learns anything except those involved in the lawsuit. I am preparing grant applications for the attached  tentative project (draft). I must first confirm with top computer AI researchers that with the E-systems and programming talent existing today that (a) EHR/EMR expansion to include all of the variables relevant to medical decision-making and (b) Root Cause Analysis Differential AI-derived from the expanded EHR, are both in fact possible.

The "deterrent effect" here will come from not only heightened awareness, but also  the use of all accumulated data for medical education, both pre-and post-grad for all specialties.

Comments and suggestions welcome.

P. G. Benton, MD, JD
Atlanta Medical Center

Phillip Benton
pgbentonmd at aol.com

 
 
-----Original Message-----
From: Twest54973 <000000040134e744-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG>
To: IMPROVEDX <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Sent: Sat, Sep 30, 2017 1:11 pm
Subject: Re: [IMPROVEDX] Rate of misdiagnosis getting worse!



Peggy 


Its disheartening that you even mention that lawsuits are a "solution" or remedy for the current state of affairs


Lawsuits rarely improve hospital care processes: instead,  they are helping bankrupt our healthcare system via the over usage if defensive medicine , forcing doctors to change their practice patterns , and actually can hurt future pts 


As an high risk pregnancy obstetrician  practicing in a highly litigious state , I have been sued approx 12 times in my 25 yr career and have three active lawsuits against me right now ... (american families unfortunately have an unrealistic perception of the ability of modern obstetrics to prevent fetal injury and harm)


Litigation is one important reason why the cesarean rate in the USA is around 33%


And the repeat cesarean rate is around 90%


Which can and does result in harm to women 


Simple example of inappropriate litigation : a parent carries a familial gene for a thrombophilia (gene that predispose to blood clots), the baby develops a stroke before birth resulting in harm, family sues because the baby wasn't delivered "before the stroke" ; hospital system settles the case to avoid prolonged and expensive litigation 


Obviously true medical errors do occur but the tort system is filled with cases of harm that were not the result of medical error (at least in obstetrics)


We need to focus on revamping the tort system and developing a "no-fault injury compensation" system similar to the vaccine manufacturer system whereby hospitals are encouraged/mandated to report true errors (in order to fix the relevant etiologies)
 
And where the injured pts are duly compensated and included in the remediation process


Respectfully 
Tom


Thomas Westover MD
Vice Chair NJ section 
American College OBGYN
Chair: NJ Hospital Association Statewide Perinatal Safety Collaborative 
Cooper Medical School
Camden NJ

Sent from my iPhone

On Sep 29, 2017, at 1:00 PM, Peggy Zuckerman <peggyzuckerman at GMAIL.COM> wrote:




Jason, I would say that most patients are either too busy trying to deal with the consequences of the medical errors, or think that these errors are atypical--that they had the single bad doctor or single poor hospital.


Furthermore, as they come to understand that they have been harmed, there is no clear way to correct those errors or even bring some attention to a problem.  Often, the only option seems to bring a legal suit, and few patients have the heart or financial resources to do that.


Peggy 




Peggy Zuckerman
www.peggyRCC.com





On Fri, Sep 29, 2017 at 8:05 AM, Jason Maude <jason.maude at isabelhealthcare.com> wrote:


The NPSF has just published an updated survey (attached with my highlights) of Americans’ experiences of medical error with pretty shocking results.
 
As a survey, we may think less of it but it essentially repeats and expands on questions from the first one done in 1997 and also one which our founding charity commissioned in 2005. The results are very consistent across all them. They also all used sample sizes of well over 2,000.
 
The shocking take away for me is that effectively the number of Americans who say they have experienced a misdiagnosis personally or of someone close to them is 24%, up from 17.5% in 2005. This is almost 1 in 4 of the adult population!
 
Either the figures are rubbish or how is it there are not riots on the streets?!
 
Regards
Jason
 
Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com
 
 
 





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