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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  • Charlotte M
    Charlotte M
    This needs to be studied, including pros, cons and unintended consequences.  You always check: Right -person, Right -Time, Right - Med or procedure, Right - route.Basically the medical staff does a very good job, as long as they are not rushed and the meds and instructions are correct and ordered correctly.
  • Marilyn L
    Marilyn L
    I find this a disturbing idea.  The government already has programs and means of reporting data which is costing, we the people, a lot of money.  The reviewing companies that handle these programs are allowed to keep any money they can prove that was paid in error.  This does not help lower medical costs or save lives.  Safety is a large problem and does need to be corrected... I don't feel this is the correct way to do it.  Having been both a patient and a relative of patients, the time people are in the hospital or as an outpatient either in an ER or OP Surgery, your feelings or what you think happened or how you perceived the Doctor, nurses, therapists or other workers may not be clear.  Your mental state is turned upside down because of your surroundings, medications, and disturbed sleep.   Family often go by what the patient say's rather than what they actually saw or heard the person they are reporting say. ..  With hospitals having to lay off nurses, there are not enough nurses to follow closely all the patients assigned to them,due to economic reasons, this is part of the safety problem.  We have to come up with a way to cut costs without cutting the care being necessary for the patients. This is why we never leave our family member alone over night in the hospital.   If you have visited a hospital recently and counted the RN's, LPN's and MA's to the number of patients in their care you have to wonder how they do as well as they do.  
  • Kerri S
    Kerri S
    Me, a nurse for 28 years. Never could understand how doctors were allowed to continue writing orders that are illegible, while the nursing staff must use the computer for charting. I thought the MD's were supposed to start typing in the orders on the computer.
  • Nancy m
    Nancy m
    I think it is a very good idea. I do wonder how many patients and family will respond. Some are afraid to"get some-one in trouble" Also I wonder if anyone has ever looked at the patient /family response percentage to see how many had responded to that survey. This system will seriously depend on the percentage of responders. How will it work for the non-English speaking persons? I have always been taught to chart all of those items in question. I just wish I still had a job to do so. I was a Visiting Nurse for over 18 years and can not get a job today. I appreciate how important it is to chart completely, honestly, with patient responses, actions, and outcomes. Medical personnel are stressed, short-handed, over-worked, and it has always pointed to more errors.
  • Sue S
    Sue S
    This concept of preventing medical mishaps certainly deserves more discussion of pros and cons.  I encourage additional in-depth discussions by the medical community.Sue Savage, PHR, MSHR HR Generalist with Benefits, EE Relations, Payroll & Employment Law specialties
  • Susan S
    Susan S
    This is an excellent proposal!  You will be able to knock me over with a feather should this actually happen!  The medical community would be knocked on it's behind with the millions of lawsuits!!!  My own mother mother, a neutrapenic patient was to be receiving receiving a blood transfusion.  She was placed in a private room which SHARED a bathroom with a patient with HEPATITIS C!!!  If that isn't bad enough, it took the hospital 9 hours to bring the blood to her room and begin the transfusion...With an HMG of 7.8!  At 11:30 she had not been given any of her daily medicines, oxygen nor breathing therapies because they were not ordered by her doctor AND HE REFUSED TO ANSWER HIS TELEPHONE!!!  I HAD TO DRIVE TO HER HOME TO RETRIEVE THEM, EXITING THE EMERGENCY ROOM, WALKING UNACCOMPANIED ONE HALF MILE AROUND THE FRONT OF THE BUILDING TO MY CAR, AT THE PLEADING OF THE NURSE!  As if the hospital wouldn't destroy all record of this event...  She will not be returning there!
  • ANATOLY A
    ANATOLY A
    The only fear estimation of the quality of medical services could be done by independent medical professional. If you work in medical field, you know the rule: never trust ANY info received from a patient until you check it. Do you have any idea how many people will die if, for instance, MRI technologist starts to believe patients' answer to the question "Do you have any metal in your body?"
  • stacy b
    stacy b
    I am a Healthcare provider .I love it!
  • Sylvia G
    Sylvia G
    I think this is great! I do have to say that many of the hospitals are VERY disgustingly filthy! There needs to be better cleaning of rooms, possibly more either more environmental services staff or a look at this department policies/management, etc.,
  • Suzanne K
    Suzanne K
    This patient reporting system could be a problem with the legal system.  There may be some conflicts with the patient later going to an attorney to report a malpractice case against the doctor, hospital, and or the nurse.  It could possibly hinder the plaintiff's ability to win the case against the defendant.  This type of reporting system will only help the healthcare system not the patient.  It will not prevent the errors from happening.  There needs to be a system that monitors and alerts the nurse when a drug has been given so it can't be given too soon, or alert if the patient is allergic to the drug.  Those are the types of things that a new reporting system would need to prevent medical errors.  Errors can also be prevented by having the a smaller patient to nurse ratio, so the nurse isn't overworked or rushed which can lead to medical errors.
  • rita g
    rita g
    I have got to believe that step will infuriate  health care providers.  No doubt large numbers of spurious patient complaints will be triggered and it will take a team of skilled practitioners to soft out those which are genuine issues. Additionally  provider review  and responses are  likely to take time any money away from the provision of other quality patient care activities .    However as nurse...I see the  need for continuing to increase systems of accountability.   .   While systems already exist for provider reporting of errors...it is likely that many serious care issues are  in fact not reported. Involving patients in the reporting process when they are suspect error would be a great way to continue to improve overall quality assurance programs.     
  • Elizabeth W
    Elizabeth W
    Thank God, this is well over due.  We report medication errors in the Long term care industry but none for just medical errors.  Thank you very much.
  • Derecia H
    Derecia H
    I think this is a great idea and one that is long overdue.  Millions of 'little' mistakes that go unnoticed and unaccounted for, can now be scrutinized and accountable.
  • susan g
    susan g
    I have reservations regarding this method of reporting.  I agree there are too many wrongful deaths due to medical errors, but I have seen nurses working under stressful conditions which are not conducive to delivering safe care to patients.  I work in long-term care, and there are medication errors, some where there is carelessness on the part of the nurse, but staffing is often a contributing problem.  We have to staff according to census, and not acuity. Long-term care residents are not "just" the elderly, but a younger population with more acute illnesses and conditions.  Another factor is often  with the patient not being compliant.  We are living in a society where self-responsibility is becoming less and less.  Again, I agree there have to be measures in place to decrease the rate of medical errors, but I would like to have an opportunity for both sides to be heard without bias.
  • regina k
    regina k
    great idea
  • Muhammad J
    Muhammad J
    THIS IS ONE WAY TO TO FIND OUTS THE SYSTEM/HUMAN ERRORS. This will lead to adopt strategies to reduce such errors.
  • macky e
    macky e
    i 've been in healthcare business for a longtime 1st doctors now are so afraid of being sued so they over do things and in the long run misdiagnose/mistreat pts. doctors are only humans and they do make mistakes so as this people that supposedly supervises and directs our way of getting healthcare. groups that publishes this articles and claims evidence base practice is what should we stick to are sometimes erroneous. not all evidence base practice are true. as for nurses they are the most underated healthcare workers because they get blamed for everything that goes wrong with pts. they are always ask to do lots of things/paperworks and no time to really do actual pt care or spend the right amount of time that pt's deserves.
  • dianne d
    dianne d
    It is about time someone step up to the plate and make some kind of decision regarding proper health care. People often don't know what their options are and most of the staff members at medical facilities do not take the time and consideration to properly communicate these options to the patient, I know and understand the patient's issues and also I see the staff's side as I am a volunteer at a local health clinic. It's not always about the money it's about educating everyone so we all are on the same page.
  • alex a
    alex a
    I'm in favor of this program, specially that a provider should spend more time with the patients. That's one thing that I like with the doctor where I am assigned at, even the schedule for the day is full, if the patient has a lot of issues he will sit down on that patient no matter how many more minutes he will loose that sometimes results in skipping his lunch break  The care that he is providing is Quality and he is not after Quantity, that others are doing it only for business, for big profit which they don't care about people.
  • Nan S
    Nan S
    I think that it is timely for the patient be in the "loop", so to speak, in regard to quality assurance and assessment in healthcare.  The sensitive issue in this situation is how best to fairly and accurately assess the subjective data retrieved from patient surveys and combine it with the objective quality assessment data, currently required by regulatory groups like the TJC.The concept is progressive and, as the article stated "has a lot of potential".  It's the kind of project that I would like to be involved in strategizing! Nanette
  •  Faye E. B
    Faye E. B
    It's about time we start to put in place a screening system to better serve the health of patients.  This system will only encourage patients to become more involved with their own health.  It will help doctors and other health care providers to stay on their "A Game.  "Bravo"
  • Christine B
    Christine B
    i believe that the government needs to stay out of the Healthcare business.  the above article sounds like big brother.  Hospitals do have systems of reporting errors within the institution.  This is undermining healthcare.
  • Barbara w
    Barbara w
    I think the downside is that patients won't report accurately; for example a red incision may be reported as an infection.  Statistics will need to take this into account.I think it would be better if there was a centralized mandatory reporting for sentinel events and never events.
  • Patricia S
    Patricia S
    It would have been nice to have something like that in place when I have a hysterectomy and hernia repair surgery done in 2011. I have Neuropathy since, with numbness in hands, arms, legs and feet always...I did not get the right answers after the surgery and my post-op lasted no more than 2 minutes. She was in and out so fast I never had a chance to ask questions that I needed answered. Other Dr. who performed hernia repair cancelled my appt. by having her assistant call me and tell me to just see the other Dr. for everything. Did not go well...and still in the dark about what really happened during surgery.
  • Stephen O
    Stephen O
    If there was a system where an individual could carry their entire medical history with them with out internet access, this would be away to avoid many medical errors particularly in emergency situations.Stehen Olsonwww.qrdatabook.com

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