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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  • Bruce P
    Bruce P
    Limiting patient reporting of a death they perceive is due to a medical procedure could be useful. However, if reporting is extended to medications, we will be asking the patient to act as a physician. Patients often perceive new physiological incidents with medication drug reactions read from a drug package insert. Associating activities, medications and foods are often the underlying culprit after detailed questioning of the patient by a trained medical professional.
  • Harley L
    Harley L
    It's a very good idea I want to see it come before 2013.
  • Leigh C
    Leigh C
    I think it's a great idea.  The system could be improved after enough input is gathered.  I only see good coming from this.  The more we all know, the better off we usually are.  Some things cannot be prevented, such as allergic reaction to drugs, because every body is different and performs just a little differently.  But some things can be improved upon and maybe it would help doctors to stop thinking they are gods.  You notice I put that with a little "g" because Almighty God who has a son named Jesus Christ is the only true God.
  • Ole P
    Ole P
    The problem is real simple.  From 1999 - 2001 I worked part-time as an instructor in my field at a local community college in addition to my full-time job as a healthcare provider.  I was advised by supervisors to employ only multiple choice tests.  Reason:  The students had problems understanding and processing essay questions.  I did, however, find out soon that it was surely was true.  I went to the point of telling my students that I cared less about the correctness of the answer than I cared about the ability of them being able, in writing, to explain to me, coherently, their thoughts on any matter from beginning to end of the essay.  The courses I instructed often ended up being English writing rather than the given topic of my field.  Without ability to write coherently, it is of little value with new reporting systems. The problem is in the basic high school education prior to entering college.  I can offer more detail on this topic if needed.  The college stopped using my services because students complained about low grades in my sections.
  • Marta M
    Marta M
    We as patients are the first advocates of our health, we need to make sure that we inform the treating physician if we are under the care of another physician, make sure we supply the name and dosage of ALL medications we might be on, even any drug usage, to avoid contradictory reactions. If one is allergic to any medication, keep repeating that information up to time of surgery if one is needed.  If we do not speak English we have to make sure to bring a translator at the time of visit, do not expect to have a translator on site, they might or might not have one available.  Sometimes the healthcare provider is very busy depending in which setting they are in, the most emergent cases should take priority.  If one feels the healthcare provider is not attentive to their needs, ask to have another attending physician take care of you. Now, the real and most important thing is when the wrong surgery is performed, that is why I believe the majority of hospitals now a days mark the site of where the surgery is going to be performed and have it verified prior to surgery to avoid errors.  There are problems that are unavoidable because unexpected body reactions, like blood clots, infections or  unknown allergies.  What needs to be investigated and prosecuted is when there is a true negligent action by the health care providier.  Having said all that, I do not believe the FEDERAL GOVERNMENT should get involved in this.  What hospitals/physicians should have-and I am pretty sure they do-is have safety boards to avoid  any kind of mistakes.  Marta
  • Kathy L
    Kathy L
    My sons father has stage 4 colon/rectal cancer. It has spread to his liver. He was in a motorcycle accident 2 yaers ago. Had a ctscan done which showed a spot on his colon, He was in the hospital for a week following his accident and no one told him   there was a spot in his bowel which he really needed a colonoscopy . Now he may have 2 years to live. If this Reporting System was inforced 2 years ago maybe my sons father would be cure and live a full life.
  • lateef   i
    lateef   i
    put a check on healthcare providers,doctor recomending surgery not needed or not providing what is needed due to association to hospital and health insurance provider because of profit-the dollars.
  • lateef   i
    lateef   i
    put a check on healthcare providers,doctor recomending surgery not needed or not providing what is needed due to association to hospital and health insurance provider because of profit-the dollars.
  • Judith K
    Judith K
    If it makes everyone accountable, it would be welcomed. However, there are a lot of people who are their own advocate. If this were put in place, there should be a way for someone to step in and speak up for that person who is unable to be their own advocate ie: family, friend, POA, or attorney.
  • Marta M
    Marta M
    We as patients are the first advocates of our health, we need to make sure that we inform the treating physician if we are under the care of another physician, make sure we supply the name and dosage of ALL medications we might be on, even any drug usage, to avoid contradictory reactions. If one is allergic to any medication, keep repeating that information up to time of surgery if one is needed.  If we do not speak English we have to make sure to bring a translator at the time of visit, do not expect to have a translator on site, they might or might not have one available.  Sometimes the healthcare provider is very busy depending in which setting they are in, the most emergent cases should take priority.  If one feels the healthcare provider is not attentive to their needs, ask to have another attending physician take care of you. Now, the real and most important thing is when the wrong surgery is performed, that is why I believe the majority of hospitals now a days mark the site of where the surgery is going to be performed and have it verified prior to surgery to avoid errors.  There are problems that are unavoidable because unexpected body reactions, like blood clots, infections or  unknown allergies.  What needs to be investigated and prosecuted is when there is a true negligent action by the health care providier.  Having said all that, I do not believe the FEDERAL GOVERNMENT should get involved in this.  What hospitals/physicians should have-and I am pretty sure they do-is have safety boards to avoid  any kind of mistakes.  Marta
  • Scott s
    Scott s
    My question is who would have access to the information, could there be Hippa violations. If the hospital has access, could there be anyway that the information could be used to perform a "witch hunt" and punish employees
  • Cindy M
    Cindy M
    It's about time something is put into place for reporting medical or drug-related issues.  Doctor, hospitals, pharmacies MUST take responsibility for their actions & behavior. Instead of just reporting, maybe there should be a disciplinary component!
  • Kathy S
    Kathy S
    I already submitted my thoughts on this. I do feel being able to tell how one feels about their experience is a good thing. I also feel that the American people should be able to have healthcare such as Tricare all over the US. Plus, get prescriptions reasonably the same way too. Tricare is a Good Medical program. Its less costly and good care for everyone.
  •  Amalea B
    Amalea B
    why don't you just say you would like a perfect world.  First and foremost, I refuse  to learn every side effect from my nursing drug book.  It would take a miracle in itself.  I am also not responsible for interpreting side effects, instructions,etc.  into the pt.'s native language, because they still won't understand everything.  Most people are not part of the health care system.  Next, I am not fighting the legisture in my state, to lower the patient ratio.  If they want descent care for their own loved ones, I suggest they make the ratio lower to help us cope.  Nurses.  All this questionarre is doing is setting health care providers up for a law suit.  It will only provide another scape goat for the patient.  It's about time people take responsibility for their health.  The doctors will not take the fall for mistakes.  They will be exempt.  Nurses however will take it on the chin.  They won't be able to teach or instruct a pt. without a disclaimer to go with it.  I've had it and Dr. Clancy is a federal employee so she can afford to say it's great!
  • Kathy S
    Kathy S
    This seems to be a good idea. Although, personally I do wonder why the people all over the US can't have all medical and pharmacy privileges like that such as what the Military has. Like Tricare. Copayments reasonable and prescriptions that are less costly. Why can't the government put into place a program for everyone like Tricare does have? It would work. Plus, comments could be written out for problems.  
  • Mirra N
    Mirra N
    Omg- another can of worms to cause more havoc in patient care. Next we will be treating the patient to avoid complaints... We already over treat to avoid much of this. Can't we get back to sensible, relative, necessary treatment that is actually necessary?  
  • halimah m
    halimah m
    This is a good idea. It would be nice to have this in boarding homes, Adult family homes, and skilled facilities.
  • Kevin D
    Kevin D
    I lost my job as a medical transcriptionist as a direct result of Obamacare, which requires physicians to switch to an electronic dictating system within 5 years or pay a penalty.  The electronic system is open to many errors that a medical transcriber would detect.  I hate, loathe, despise, and abominate Obamacare.
  • Kathleen C
    Kathleen C
    With over 30+ years experience in hospital and physician office settings performing audit, qualaity assurance, Institutional Review Board application approvals and follow up as well as physician billing and patient problem resolution I believe that this new program could lend insight into problem situations, provided the investigations do not turn into "witch hunts" due to falsified claims of wrong-doing.  I would presume that "innocent until proven guilty" would prevail.   My belief is that many "incidents" are the result of lack of adequate staffing - resulting in short cuts on safety protocols.
  • Beryl F
    Beryl F
    This sounds wonderful and I would like to be hired as a monitor for all of the reports that will be coming in. But then what? What happens after the report is filed? Who will be checking up? Will the filer ever find out what occurred next? Will the charges and the results be made public?  
  • April B
    April B
    This may give people too much opportunity to blame the doctors, etc. for things that we not of their doing.
  • Bettye M
    Bettye M
    My mother died in 1999 after being treated 3 years for Multiple Myeloma.  I transferred her to another hospital after about 2 months in our local hospital and was told by cancer specialists that she did not have MM but had MDS.  She was too weak to receive the treatment required to treat the MDS so we just waited for her to pass on.  She lived another month, progressively getting worse and worse until one day she just stopped breathing.  What's a person to do?  I sympathize with anyone else who has lost a loved one to to negligence or misdiagnosis.
  • Paula f
    Paula f
    Interesting; I think it is great.  However, under-reporting of errors is still a problem.  As much as I tried as Quality Chair for my unit, I couldn't get past the "written-up" stigma attached to errors.  Will this reporting system really be anomynous?
  • ray p
    ray p
    This is a good idea, hospitals and nursing homes are more concerned about PROFITS then staffing our medical floors with adequate nurses and nurses aids.  This is happening every day in healthcare. My wife and I are both nurses.
  • Ila
    Ila
    May I suggest U check on the help (employees) of a medical doctor !  Some of these younger "assistants" can be VERY snippy, loud, & very condescending !  Improving their manners or empathy could help.  (Since this also happens in dept. stores, maybe they learn in school or home, they can 'get away w/ anything'.  This should NOT carry forward into their employment area!)

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