Government Proposes New Patient Reporting System

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If you’re a doctor, nurse or healthcare practitioner, you’ve probably seen the alarming statistics of medical errors. A brief overview as reported by Answer My Health Question serves as a sobering reminder:

 

  • Every year, 7,000 patients die due to sloppy handwriting.
  • Over 7.5 million unnecessary medical & surgical procedures are performed annually.
  • More than half of the US population has received unnecessary medical treatment.
  • Over 42% of people have been directly affected by a medical mistake, procedure or drug.
  • Over 106,000 people die each year from adverse drug reactions to prescription drugs.

 

To stem the tide of injuries and deaths due to medical mistakes, the government has proposed a new patient reporting system. A recent New York Times article suggests that such a reporting system will put a brighter spotlight on doctors, nurses, pharmacists and other medical practitioners.

 

Under the new reporting system, patients and their relatives would report medical errors through a website and in telephone interviews. The report would ask respondents what happened; details of the event; when, where, whether there was harm; the type of harm; contributing factors; and whether the patient reported the event and to whom. The questionnaire would even list possible reasons:

 

  • A health care provider did not communicate well with the patient or their family.
  • A health care provider didn’t respect the patient’s race, language or culture.
  • A health care provider didn’t seem to care about the patient.
  • A health care provider was too busy.
  • A health care provider didn’t spend enough time with the patient.
  • Health care providers failed to work together.
  • Health care providers were not aware of care received  elsewhere.

 

Proponents argue such reporting could reveal how a drug mix-up occurred, why a surgery was performed on the wrong body part, or how a patient received too much radiation.

 

Hospitals, doctors and nurses say the proposal has merit. “It’s a great concept. The idea is welcome,” said Nancy E. Foster, a vice president of the American Hospital Association. Many doctors agree. Dr. Carolyn M. Clancy, the director of the federal Agency for Healthcare Research and Quality said, “Currently there is no mechanism for consumers to report information about patient safety events. Patient reports could complement and enhance reports from providers and thus produce a more complete and accurate understanding of the prevalence and characteristics of medical errors.”

 

If the pilot project is cleared by the White House, questionnaires would start popping up at kiosks in hospitals and doctors’ offices as early as May 2013. Information about the project would available at pharmacies and mailed to patients. Reporting is voluntary, and the information would be kept confidential.

 

The goal is to determine if the mistake involved the wrong medicine, the wrong dose of medicine or reactions to a drug; the wrong test or procedure, the wrong diagnosis or surgery on the wrong body part; or blood clots, infections, problems with anesthesia or “unclean or unsanitary care.” 

 

Image by nattavut / freedigitalphotos.net

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  • Robin M
    Robin M
    The problem is, a big difference between perception and reality. Also, I've seen many suite-seeking family members. Pts./clients have been known to be less than truthful
  • edward p
    edward p
    The health care job market "at least" in Youngstown Ohio has gone to the aides, less educated with a smaller salary. What educated health care workers that are left are being asked way to much with unreasonable demands. We are desensitizing the younger generation of health workers by telling them to "hurry up", we are teaching them unethical and corrupt ways of dealing with patients and insurance providers. Its a shame how our patients are treated because the demands put on heath care providers. We have started the human assembly line, and unfortunetly theirs no recalls!
  • Alex Kecskes
    Alex Kecskes
    Thank you for your many comments. I appreciate the feedback from those of you in the medical profession, as you are "in the trenches" every day. I also sympathize with those of you who have lost a loved one or who have experienced poor healthcare.  The reporting system outlined in my article is a pilot program. Time will tell if the system leads to better patient care. There is no doubt that something must be done to reduce the number of medical errors occurring in our hospitals and medical facilities.  
  • Ray W
    Ray W
    Consumers/patients need the ability  to report information about patient safety events electronically. The healthcare system, including insurance companies, are pathetic with respect to processes such as billings, reporting, and patient feedback.
  • Stephanie P
    Stephanie P
    I can see how this may help but I also see it hurting innocent individuals who may be trying to do their job but I can also see people who may use it as a weapon. We have many patients who are drug abusers and complain that they do not get enough narcotics or not fast enough etc. How do you discriminate between real and false claims?
  • Rebecca V
    Rebecca V
    I think this will be great way of finding out if patients are really getting the right treatment they really need and desire. Health care is growing so fast and we all in the medical field need to relate to our patients and do no harm to them. Mistakes do occur but we need to try to do all we can to make sure they don't happen. I have worked in EMS for 24 years and I treat ever patient as if they were my family. It is my patients best interest for me to communicate with them , then perform my skills as an EMT to take care of them.  I know that some doctors and nurses don't really listen to the patient. The get in this mode that they are wasting our time when they are burned out in there job and the then start lacking in their skills to care for the best of the patient. I see this ever day in my job.\If there was a way to a way to integrate more listening skills and people skills, so that we are really listening to patients then maybe there would not be so many mistakes and patients having lasting results from our mistakes. Just like we have marker tags when we have a mass casualty we triage patients, maybe we can integrate something like this in hospitals and Emergency rooms so mistake are not made. Our patients and our health care suffer when this happens to patient. Higher cost of health care and higher premiums keep going up.
  • ruth b
    ruth b
    I think that this would work in some cases, but on another note NO. They already have in every hospital a RISK  Management Department, the problem is they have such a overload of complaints they cant handle them correctly, I worked for 26 yrs in a hospital lab, as a phlebotomist, NOT making me anyone special, I have had several things happen to my personal family that was wrong including myself,  WRONG NAME TAG, NO NAME TAG, WRONG CHART, BLOOD LABELED WRONG, WRONG XRAY REPORT, SENDING HUSBAND HOME WITH PANCREATITIS, GIVING A EXRAY TO MY PREG NIECE, SENDING ME HOME WITH A SPIRAL BREAK AND ULNER NERVE SEVERED, A DOCTOR UPIPING A DOSE OF SEIZURE MEDS BY 20 PERCENT AND MY GRADAUGHTER DIED 3 WEEKS LATER. I think I have some more but I cant keep up with the STUPIDITY. I agree with the one lady that said OVERWORKED and UNDERSTAFFED. Doing this may only allow someone to vent, but really if it was for real in place I DON'T THINK our computers would have enough space to hold all the input. or staff to follow through.. But a suggerstion would be a great job for a disabled homeworker like myself that needs a job, as a DISABLED person due to NERVE Damage due to stupidity.  IF THAT IS WHAT HAPPENS GIVE ME A SHOUT,
  • Julie D
    Julie D
    I am a RN and have worked in acute care settings. I am also from Australia. I do not know what their statistics are for med errors but there are always two nurses that sign off on narcotics given to patients. We have that for insulin and blood but not for narcotics. I think that it would help cut down those kind of errors.
  • April C
    April C
    That would be great...as a nurese that would help alot
  • Nancy G
    Nancy G
    my concern is that the patient and the patient's family may have a different perspective of the actual event.For example, where I work the patient's husband turned off the patient's bed alarm so he could sleep (sleeps in a cot in patient's room). Patient fell out of bed. Husband claims alarm went off and no one came to help. Hospital claims bed alarm was not on. How should this scenario get reported when both parties do not agree on the events that took place?
  • BENNETT I
    BENNETT I
    I am in support of this proposal but the administrators should thoroughly  investigate well,to avoid sabotage of healthcare workers and intentional victimization by patients and their families.
  • Elena K
    Elena K
    Yes, we would like to prevent medical errors, hospitals, nursing homes, physician offices spend countless resources on this important topic. As a last resort, we have lawyers as a checkpoint to qestion the wrong doing. Do we really need to spend more money on the government involvement? Just as a reminder, recall the last time you've called any government office: how long have you been on hold, how many times have you been transferd to the next, less then compitent person, how soon your call was returned and , most importantly, has you issue been resolved? What is the next step, the control over control? I think the real solution is the healthy competition, word of mouth. Why patients will spend an hour in the waiting room to see there beloved doctor and, yet, run away from somebody they don't connect with even provided five star treatment. Plus the human factor is important, not everybody has the same attitude, maybe clinically unable to communicate there complaints anyways, or the opposite, have overall complaining and negative attitue.So, let's not forget the Heppocratic Oath and provide the best possible care to our patients, treat them with dignity and respect improving and maintaining there healt.Elena, PAC
  • Eric W
    Eric W
    What a great mechanism to help bring visibility to quality of care!
  • Marsha M
    Marsha M
    I agree 100% with those who refer to the "blame game" in "the new reporting system".  There is a built-in method of always pin-pointing staff in direct care when there is a need to place blame.  An example of this would be as I have noted in incident reports wherein one has placed all the data known on the required incident form; the question is then asked: "What could you have done better to prevent this incident from occuring?" This is the set-up question.  One staff answered: "stayed home"
  • Marsha M
    Marsha M
    I believe that hospitals and other patient care institutions should be seriously cited for their practices of short-staffing to protect their bottom line (dollars).  Their needs to be in depth investigation iof facilities that have their act together when investigators come but shift back to their practices of abusing staff via short-, threatening and bullying.  Many such institutions give their upper-level managers (ceo's etc)bonuses when they have saved money by over-burdening nursing staff and others.  These practices are driving nurses away from hospitals, nursing homes and other medical facilities.  Others have remained and have suffered seriouspersonal consequences as a result (emotional, mental, and physical illness).
  • Sharon j
    Sharon j
    With the healthcare field not having enough available help meaniing that one indivisual having to do the work of 2 to 3 people the mistakes will happen more often.  The problem is; Their is not enough staff to cover all areas so their will be increased errors and increased stress.
  • Janet T
    Janet T
     This is an EXCELLENT idea!  Thank you!  I am a health, life, Long term care and funeral prearrangement consultant.  I spend oodles of TIME educating my Medicare Clients because I do care about them, yet I am not paid to be an informant of the ENTIRE HEALTH, MEDICARE, MEDICAID, ASSISTED LIVING /MEMORY CARE FACILITIES PROCESS,ES..I am there to write up a contract....I get paid when I sell something.....Our Seniors don't know what they have, and if too sick or feeble, they forget to ask their Dr about what is involved with a treatment plan etc,...does their insurance cover the costs?  the Network of Drs? (if they have an HMO, PPO, etc)  More questions, more feedback from patients ..... I am ALL for this!!  Thanks.....very excellent!!REGARDING the COST of a pertinent questionnaire which is necessary so people will READ the questions and GET INVOLVED with their own treatments?   Well, Hiring people who don't have people skills, the proper intelligence, the job skills, or seasoned experience ....just to keep a hospital/dr's costs down with Employees Salaries is ridiculous!  The Lower the salary expenses with inept humans, the HIGHER COST to Facilities, Doctors, and the Families they SUPPOSEDLY are serving.   THERE WILL BE INCREASED EXPENSES MONETARILY AND WITH PRECIOUS LIVES IN THE LONG RUN, which changes a family's dynamics forever due to unneccesarily losing "Mom or Dad or Sister or Brother"......!  More problems and deaths are occurring because the wrong people are hired!  This includes Congress and our President of the USA.  It is all about Money.  Bottom Line.  It is just bullshit! What happened to the Values and Morals in our Country?  Greed, Wealth, Fame.   Each person should be and NEEDS to be a responsible and accountable person.   This country wanted CHANGE 4 years ago, well, the changes are still coming, and the future is NOT PRETTY.  Once EACH AmericanEXPERIENCES the PAIN that is in our future, then EACH will realize why all the urgency right now in 2012.... the FRAGILITY of OUR AMERICA...the realization of their voting contribution without the Truth and Facts regarding the man they hired, wanted, and "thought" they knew, to head ourCountry.   I am embarrassed that our Govt Leaders have just about clamped down their TOTAL CONTROL over each American.....we are a laughing stock to other countries...poor decision makers in Congress....and I felt blessed to have intelligent, common sense, TRUTHFUL Leaders and felt Safe??  We USED TO BE the #1 Power Country in the world....not any more.  If the President is re-elected, then unemployment will continue to rise, the govt DEBT will rise (which we the PEOPLE are paying for by the way...and which we working people have to also pay the UnEMPLOYment, the Extensions, etc. why cant people SEE this Happening??!!Look what the Govt is taking out of your paychecks!) With Obamacare, the mandates for Employers to PAY out even more for their employees healthcare ++.....do you really think more jobs will be created?  Spend more and make less?  More Govt rules will be created....shove it thru and sign it...whoops!!...don't know what happened?? Till you look at your next Paycheck!  They are taking away before you even receive...GOVT CONTROL (READ YOUR PAYSTUB!)AMERICA!  WAKE UP!!   IF YOU DO NOT HAVE THE TRUTH AND THE FACTS, then please DO NOT VOTE on Nov 6th 2012.    Janet T
  • Alice L
    Alice L
    As a Registered Nurse with many years of experience in ICU   I think that Doctors orders should be legible , the nurses coming out of school do not spend enough time at the bedside , they are learning how to take care of patients ona computer , its a sad state of affairs .
  • Heather S
    Heather S
    I think there should be some type of system but to open it up so publicly would be inviting more law suits, malpractice cases etc.  Our healthcare already costs enough and this has the potential to make it skyrocket totally out of control.    I work in health care and can't even afford insurance for myself.  Now that is just plain WRONG.   Doing something like this proposed idea could make this even worse.
  • Theresa Van O
    Theresa Van O
    It doesn't sound like this reporting will track anything that isn't already avilable out there. What it does is add stress to an already overstressed profession as well as allow anonymous complaints that should be rightfully directed to the person, persons or administration of a facility for handling and clarification. We don't need MORE government oversight; we need MORE communication. So much MORE!
  • Donna Marie A
    Donna Marie A
    I have done medical records in the past for years and the fact that you can't read Doctors orders and progress notes can leave much room for error!  I think this is a great idea
  •  Ronald D. C
    Ronald D. C
    With the Affordable Care Act, this may be an opportunity to expand the role or add to the employment roles of Community Health Workers falling under preventive and well care initiatives
  • janet s
    janet s
    This is absolutely necessary.  This could break down the intrigue that medical people are invincible. However peopleneed to rely on someones advice..I have read that the pharmacists are taking over this piece. I happen to be in a position (nurse) where I work with an excellent doctor..Jeff M of Park Nicollet in Minneapolis..and know the questions to ask and do follow the prescribed routine.However most people do not have this luxury.  Hopefullythis will be very transparent
  • Karen G
    Karen G
    I think this is a very good idea.
  • Tracy d
    Tracy d
    I think it's an excellent idea to get more feedback from family members/patients to exspose wrong doings in any healthcare setting.

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