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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  • Deborah E
    Deborah E
    I do think this issue needs to be addressed.  I am not sure this is the answer.  I am willing to try it out and see if it helps.
  • Carole V
    Carole V
    While this sounds like a good idea it doesn't address what will be done with the data, will certain mistakes find someone accountable, will medical personnel that are found in error pay a fine or lose a license or be kept from practicing in that field again? If not this doesn't sound like it would be useful.  While there are regulatory agencies such as the Joint Commission who try to help hospitals and their staff run an efficient organization and put the patient first in all things, it comes down to we are human, not perfect and mistakes are made. You can make all the rules and requirements you want but it still won't prevent mistakes.  Yes it will reduce them but not eliminate them totally.  It's a grand idea but until humans put their fellow humans first always, not work against the rules and regulations mistakes won't be eliminated entirely.
  •  Irma E V
    Irma E V
    Excellent!  I agree 100%.  Sometimes it is not only the physicians, it is the nurses or techs.  
  • Glenys S
    Glenys S
    I think this is a wonderful idea!  I had a surgery that wouldn't have been necessary if the surgeon had done his job properly in the first place.  When it came to complaining, without the recourse of litigation, I was totally ignored and did not even gain a response from the surgeon concerned.  I would have liked to have been able to warn other patients of the possible consequences of the sepsis that was ignored by my surgeon but there was no place to go to do this.
  • cecelia h
    cecelia h
    Being trained from overseas, this was long  overdue, well done . We have to be vagilant, we have to be responsible for other peoples life and care. When we take that oath, it is not about money, it is about saving lives.
  • Lisa D
    Lisa D
    I appreciate these more realistic efforts pursuing the reasons for the errors to begin with. As a nurse practitioner under the pressures from management and administration to produce more, with less, I have great anxiety about the increasing risk of errors. This is becoming a serious problem as organizations face financial problems, or are just plain greedy from the start. Best wishes in support of this pilot project!
  • Edna E
    Edna E
    Sounds like a great concept... Just hope someone follows up with the results. I am a RN and the trend seems to be to collect data yet not to do anything with the data collected.
  • barbara m
    barbara m
    I think this is very good idea, there are so many people that just do and ask no questions,with drs.,nurses,etc. People need to know that they have a right to say and ask questions. About all and any kind of health care you receive.
  • Lori N
    Lori N
    This is a concept that patient safety advocates have been stressing the need for for many years.  Medical records are often filled with errors of omission and interestingly when a route cause analysis (RCA) of a patient safety event happens, the most vital witness(es) are left out of the analysis of it: the patient and/or their family.  I do hope that before this is implemented, there is thoughtful deliberation about what will be done with the information, confidentially to the patient, follow-up, etc.   And please don't leave out questions about the emotional and financial toll these patient safety events took on the patient/family.Often, harmed patients are left to deal with the entire fall out (physical, emotional, financial, social) all by themselves with no support; or worse they are alienated by the system and providers/administrators.The time has come.  Let's be sure that the committee overseeing this project has PATIENTS on it that can see it through to the end.
  • Debra W
    Debra W
    I feel this will be a great tool to help everyone be aware.  I wish I had had this available when my late husband was alive and received the wrong medication that almost killed him.  
  • Julie D
    Julie D
    It is long over due it should be included in the patients rights to Health Care
  • Rhonda h
    Rhonda h
    I think that this is a GREAT idea.
  • Jessica G
    Jessica G
    Carole has raised many valid questions as to the management of such a system.  I will be interested in the pilot.My recommendation to all patients and families is to ask questions and soeak up whenever somethings seems amiss.  If we communicate while the patient is in the hospital, we have a better chance of avoiding adverse outcomes and misunderstanding.As all Medicare/Medicaid providers must have a formal greivance resolution, there is facility based data available - perhaps that is another process to consider.I share Alex's sympathy for Kimberly and her family.
  • Mark M
    Mark M
    I think this is a marvelous idea.  There would be more transparency for events that might prevent others from suffering.  It is another way of spotlighting events in the medical system that may reveal flaws and redundencies that could save lives or serious medical problems.
  • Scott r
    Scott r
    I can see your concerns Carole but I feel that this is long overdue! I recently read an article written by a doctor about sloppy hospital practices and the ramifications that patients had to undergo. and it is exactly that sloppy. His suggestion was more transparency and supervision. This may not cover all the gaps but it's certainly a big step in the rigyht direction.
  • jacqueline g
    jacqueline g
    wonderful. awesome idea
  • melissa b
    melissa b
    its about time,we need this,to many people are getting hurt.i really hope they aprove this.
  • Barbara H
    Barbara H
    I agree with Carole; she touched on several valid points. After reading about this new program, I questioned what the next step would be. For instance: what happens to a healthcare provider who is reported responsible for an adverse or sentinel event ? Will he/she be reported to their state Medical Review Board, placed on probation, work with a proctor,  retrained ,or what? Will there be a process for monitoring a hospital or health care worker, once they have been reported to this new government entity?
  • Carol K
    Carol K
    I am a big fan of this patient reporting program. I am a RN and maybe this will help curb the mistakes that I see in the health field. Alot of medication errors go unreported and the ones that I've seen go unreported was because the facility or the nurse in charge doesnot want to get involved. I am currently finishing up my RHIT program and this is a very important part of being RHIT.
  • Edouine B
    Edouine B
    That's great because you have alot of sloppy doctor who only care about a pay check not the patients. Some people become nurses for the money. You have the one that's very caring, the facilities don't hire enough staff to do the work plus you always short of supplies.
  • deborah i
    deborah i
    As a healthcare professional specializing in defense medical malpractice for hospitals, healthcare providers and their insurers, I believe this is an excellent step in the right direction.  I would pose more specific questions as to the medical error.  I also believe the reporting should be made directly to the Dept. of Health, AHCA, and JCAHO, with a specific department to review and investigate such complaints.
  • Laurie D
    Laurie D
    I am an RN who has worked in an ED for 20 yrs. and now have worked in an outpatient surgery setting for 9 yrs.  I have pro's and cons to this new concept. Unfortunately in this day and age you need to be responsible for yourself. I mean ask questions and don't be afraid to ask more until you are satisfied. I feel bad for some of the Dr's that seem rushed. The insurance companies put a lot of boundaries on Dr's. The insurance companies should not be dictating how long a Dr. needs to spend with you or he will only get a certain amount of money. I have a good Dr. friend friend that told me he was told he only had 15 mins. to spend with a pt for an office visit. He said that is not enough time especially if it is a new pt. and we are trying to establish a rapport.Next..I agree if you have someone in the hospital you better have someone there 24/7 to keep an eye on their loved one. There are so many demands and regulations put on Dr's and nurses that the lay people aren't aware of.I also agree that pts. need to be up front with us . If they have been Dr. shopping or seeking and don't let us know that can be a huge problem. If they saw another Dr. and put on medication and now are seeing a new Dr. and put on medication too. There could be a huge problem with some meds interacting. That should not be our problem because the pt. was not honest with us from the beginning. In this generation people want a quick fix or a pill that will make them all better now. I blame the baby boomers (and I am one) We want it now and we want to be better now.We definitely  need to see what the outcome of the election is....we all maybe screwed.One last thing. people need to be accountable for themselves and their mistakes and quit blaming someone else. Thank you for your time.Laurie RN
  • John P
    John P
    This should help to determine cause and help inproving safe guards.  
  • Therese P
    Therese P
    Whenever the govt gets involved in our personal lives, nothing good comes of it. Since we already know what the stats are, I see no point in gathering this info, esp since"possible reasons" are all subjective.  We need more continuing ed for healthcare providers and less patient case load, just for starters. This project will only create more bureaucracy and higher taxes and/or fees for all.
  • Nathaniel F
    Nathaniel F
    Recently, I received a PSA test showing an increase from 2.9 to 3.4 over a year. I am 71 years old. My urologist told me I needed a prostate biopsy. At the biopsy appointment, 5 persons I had never seen before were in place to observe the biopsy procedure. Twelve cores of my prostate were taken in the biopsy. The  results were negative. This procedure represents unnecessary and overprescribed treatment.

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