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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  • Dianna M
    Dianna M
    Why does the federal government have to do this? Why isn't the AMA?
  • Bo I
    Bo I
    How many times does the practioner recommend/prescribe a treatment but the insurance carrier does not authorize it?  I think the practioner has to worry about getting approval or amkes do with whatever the insurance carrier is willing to cover and this also contributes to errors and inferior care.  When did it become okay to practice medicine without a license??  I think that is really what insurance carriers are doing in the name of cost containment.
  • Bo I
    Bo I
    How many times does the practioner recommend/prescribe a treatment but the insurance carrier does not authorize it?  I think the practioner has to worry about getting approval or amkes do with whatever the insurance carrier is willing to cover and this also contributes to errors and inferior care.  When did it become okay to practice medicine without a license??  I think that is really what insurance carriers are doing in the name of cost containment.
  • Sandy V
    Sandy V
    Why are these "reporting questions" going to solve the problem? How is this going to decline the number of errors?  What are patients getting out of this? The "real" answer is STOP assigning 8-12 patients per RN with a new admission which takes 45 min. To complete & unable to answer call lights or take care of any other patient. STOP having "new" grads take on large amount of responsibility and "feeding them to the wolves".  Doctors MUST STOP yelling over the phone when on call. There HAS to be a TEAM approach.  ALL  God like complexes MUST be left IN the car.  Decrease the ratio to 4:1 for nurses. Every doctor should have a PA, not work no more then 12 hours in 24 hours.
  • Rena K
    Rena K
    Idea is great if questions can be quantified.  Most of these questions are subjective. Describe what "communicate well" "seemed to care", and "enough time" means. Which politician made up these questions?  They are ludicrous!  
  • christine c
    christine c
    One other statement is:  it should not be a witch hunt. It should be a learning/educational experiencee. to make healthcare better.  Oh by the way who is going to pay for all the manpower. It has to be a good outcome and not punitive.  It just sounds way too costly.  
  • Pamela d
    Pamela d
    I think this is outstanding!  I have an overwhelming concern for the fact that there is virtually no accountability for the type of mistakes mentioned here.  This is great news!!!
  • christine c
    christine c
    I think it would be a good idea. I am a healthcare provider.It would serve to make healthcare better.  Patients have experiences that have happened to them and they do not want to complain "make waves". A lawsuit is not the answer and neither is just going to another docter. The patient still carries the experience with them that keeps them from moving forward.Experiences need to count..The "mind set" of the medical world hast to change. My parents have experienced terrible experiences not enough to prosecute but unaware of how to complain. With all this health literacy and educating the patient, I still do not and of which I have experience first hand, doctors listening to their patients and letting them make their own informed decision. Then I have seen doctors, health care providers give into easily to let the patient do what is wrong without having the correct information. If the health care provider took the time to listen and educate the patient where the patient understood there would not be so many patients "noncompliant". Patient's do not know the questions they should be asking.That happened to me and I assumed doctors would take care of me the way I take care of my patients.No, they decided for me. I know my patiens do not know the questions, so I educate so they have the correct information to participate in their own care. Uncontrolled DM type 2 is rampant because it goes undiagnosed and patients get misinformation or not enough. When I see patients considered noncompliant, what I really see is poor medical care by the doctor. The complaints would serve as information to educate health care providers better. I work in a system now where putting the information in Epic is more important than diagnosing, proper  treatment, listening and education. Once the info is in Epic there is no time left for treatment. I think it is so rude to document at the same time caring for the patient. The patient deserves full attention of their care provider. I could not document and treat at the same time. Therefore lost my posion as not productive enough. I think quality of care went along the wayside to get outcome data.  Someone needs to do the documentation while the healthcare provider can do their job. I think their is more documentation in Epic  and fraudulent,to cover the poor care doctors/healthcare providers are giving. That scenario happened to me. If it is in Epic the patient is wrong. A "staff" physician is not going to care as much as a private practice one. Their needs to be a medium.  The healthcare system I work for wants number of patients seen in a day. Quality of care then goes along the way side. I like making my appointment with the physicians office not a call center. The days of actually having a relationship with your doctor will be gone if you have to tell your medical business to someone you do not even know to get an appointment. "CHEERS" is being replaced by a "NUMBER". The face of healthcare changed when doctors could not pay for their malpractice insurance. Their clinical expertise is being hidden by policies and procedures. I can go on forever. Thank God I know how to navigate the health system. There is a lot of frustration and therefore inertia for patients to get help soon enough because I think they get overwhelmed and frustrated as to how to get the help they need.I try to treat my patients as if they were my father or mother. I had to be my  moms advocate in the hospital I worked for. I had to fill in the gaps between doctors lack of communication with each other and to remind nursing staff of their orders. The doctors needed to be told and reminded. They now communicate by Epic and do not talk to each other. I have told doctors to their face they had no idea of my mothers medical history. I needed to keep reminding them and then run out of the room and track them down to better un derstand.  You cannot sue for this stuff but you really get pisst off with the thought of what could of happened if I wasnot there.  I still remember what my doctor said to me right when my son was born, who is now 26, it was horrible. The whole experience was horrible. Thank God my husband was there and put them all in there place, That was 26 years ago and now we have a million commitees about the importance of the patient experience.Oh I am a Diabetes Educator and diabetes education should be a mandate for all health insurences. I have to be an insurance agent, document in Epic (had to make all my own documentation templates up to conform to Ohio licensure board, keep up with Medicaire (which has made my life a nightmare) then after the curriculum to meet ADA, AADE, Medicaire, and JACHO guidelines. Oh, then I can teach.  Now, there is a Joint Commission Certification program that can be done for hospitals. I am just a registered dietitian and it was a slap in the face that doctors get reimbursed for obesity counceling but not dietitians at more than 1/2 the cost. Also it is sad that Medicaire ...
  • suleman a
    suleman a
    I think it is an excellent idea and will definitely help patients in general.
  •  Stephanie A. H
    Stephanie A. H
    I have been a practicing health professional for forty-one years and I believe that a major part of the problem is not enough staff and the professionals do not have a good understanding of the patient/client in their care.  Ask a question and you are told another professional or department handles that.  Unfortunately, what happens is splitting; information that is important for the patient/client is dropped, not recognized or transferred incorrectly.  It seems that documentation is more important than the patient/client. The documentation is perfect, written perfectly, but the patient/client dies.  We have become so specific, documented, licensed and credentialed that we no longer care about the patient/client.  In my opinion there could be a blending of these things with compassion, caring, understanding, purpose and knowledge.  I for one am tired of listening to the experts.
  • June b
    June b
    i am a nurse and i have seen poor nursing care given i have reported things to my supervisor and was told to mind my own business and to keep my mouth shut.and shame on that unethical supervisor
  • carole h
    carole h
    this is a project that should be handled by the individual hospitals,clinics,doctor offices etc.. These are all businesses that are under regulation from the government already. I would think that there would be a way to get this project in effect with out having to have the government involved directly where they would mandate every action of the business,we are already giving government to much power and say so over our daily lives now,I just think somethings could be handled ourselves,and one way to do this is to educate  ourselves more in terms of what circumstances we are headed into rather than to depend on government. I would say be careful what you ask for. A project similar to this one could maybe be a good idea if kept out of the White House
  • Lynn S
    Lynn S
    As a registered nurse I think this needs more thought. I see a lot of potential problems. Most of the time patients don't have enough information or undertanding of what "went wrong" to be able to communicate it accurately. You would be gathering information that came from either someone who was at the time ill and not thinking clearly or an emotional family member wanting to vent about what they percieve as an error. You will be overwhelmed by reports of "medical errors" that may simply be the disease process taking its natural course not understood by the patient. I do think there needs to be a centralized clearinghouse of error reporting but reports coming simply from the patient alone may not be the best way to gather this information.
  • Kathleen L
    Kathleen L
    I think that would save a few 1,ooo lives and sounds like a step in the right direction to remove a wrong.
  • William D
    William D
    More rules are not required.  The regulations in place now need to be enforced.
  • Aretha
    Aretha
    I agree I think we as care givers should take more time with patient care and be trained well on medication given and that a new system should be put into pace to protect the patients as well as medical errors on behalf of the caregivers.
  • Julie T
    Julie T
    I am now out of nursing. Looking at what this could do for information towards a patients care and find out a more complete picture of what went on with the perspective from the patients and family's eyes.  It needs also needs input from the patients care givers, As what was said an infection was what the patient had because the site of surgery was red.  Where would this land with the care givers, repercussions toward them.  How would this information be treated?
  • Patty A
    Patty A
    I worked in an office recently, where I saw theft from the patiets, false insurance claims, rudeness, no Hippa rules followed and more disgust than I have ever experienced. I think this is very much needed to put these type of owners out of business.This doctor is making millions on others and could care less about the patient...............Actually, it was not the doctor but his wife.  I made more money there than I have in years, but had to leave, because of my moral ethics.Do it fast....................before this woman makes more millions at the expense of the patient............
  • Joy R
    Joy R
    We Medical Aministrative Assistants are quite aware of the importance of documenting the proper information and insuring the patient is well informed and procedures are clearly stated. Human error does occur, but I believe most of those errors can be avoided by better trained administrative support. It is our job to catch the mistakes before they are implemented.
  • Karyn D
    Karyn D
    Should be implemented  as this is necessary to protect all involved. There should be accountability on the parts of those not being cautious enough and putting our patient's  live at risk on a daily basis. As a nurse the accountability  and responsibility ultimately ends up being placed in our hands, as where the doctor (with the sloppy handwriting ) has no respect as orders are written, which therein are eligible. These doctors then become annoyed when "disturbed" because the nurse calls to make sure of accuracy of an order, ensuring patient safety. If a medication error occurs, sole responsibility is placed on the nurse not only from families, but by the DON etcetera, risking a possible termination of employment.Documentation and communication is key to patient safety, therefore responsibility and accountability is necessary for all involved in the lives of people who rely on healthcare professionals. SHOULD BE A NATIONWIDE MANDATE!
  • Peggy p
    Peggy p
    The only way this problem will be resolved is to hire more hospital personnel.  As a R. N., I have worked many shifts short handed.  This is when mistakes are made.  The hospitals won't hire more staff because they don't want to spend the money.  I guess they'd rather pay it in lawsuits.
  • Susan W
    Susan W
    I couldn't t believe what a friend of mine went through in a nursing home recently.  She kept a journal while there.  She was an LPN at one time and knew some of the things that took place in her room were unlawful.  Thank goodness she had her right mind and could speak up.  Had two different women in her room die while she was in there.  We must speak out before many more die.
  •  lorre b
    lorre b
    I think this concept will be a needed tool to recommend, then consider ways to eliminate medical errors by all medical personnel. I would like to be on a clinicians committee to help solve this problem. Feel free to contact me at my e-mail address concerning medical errors.
  • Juanita H
    Juanita H
    I WOULD LOVE TO HAVE MORE TIME WITH MY PATIENTS AS I DID BEFORE THE COMPUTER CAME ALONG. I HAVE SOME HOW BEGAN TO APPRECIATE THE COMPUTER SOMEWHAT. I CAN READ THE ORDERS WITHOUT CALLING 2 OR 3 OTHER NURSES TO CONFIRM WHAT IS WRITTEN, AND THEN SOMETIMES HAVING TO CALL THE MD TO VERIFY WHAT IS WRITTEN. AFTER BEING A NURSE FOR 30 YEARS, I HAVE COME TO THE REALITY THAT THE COMPUTER ISN,T GOING ANYWHERE.
  • Laurie N
    Laurie N
    Mistakes do happen in healthcare.Providers are pushed to do more in less time and with less staff. Most healthcare providers work in situations being undestaffed and sleep deprived.This plan seems to focus on the problem however I really wonder what if anything they would be willing to offer to help correct the problem. Why not provide help and resources to the providers, THEY KNOW WHY MISTAKES HAPPEN and WHAT THEY NEED TO PREVENT THEM or reduce them.

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