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fraud? Interesting, isn't it, that what's measured is dollars - not the cost to
human lives. Notice that NHCAA is an organization of insurers & government. It's
not surprising that insurance companies focus only on the money. But it says far
too much that it's the government's primary interest. Ever notice that not one
penny goes to the people who were harmed? When that changes, I'll be interested in
these fraud reports.""Being a victim of the hysterectomy racket, where doctors in
cahoots with each other, look for easy prey for a teaching hospital by tricking
unsuspecting women into unnecessary radical hysterectomies, by fabricating cancer
is fraud. Healthcare fraud seems to be more important than human life.""And if it
were a corporation and the issue was securities fraud, destroying the documents
would be the fastest route to jail"http://news.yahoo.com/blogs/sideshow/45overused-medical-procedures-costing-americans-billions-study-212121533.html"I think
there are three sides to this story ...1 the practitioner who may in fact
overprescribe, 2 the patient who at times demands unnecessary tests, treatments
and antibiotics, 3 the lawyer ready to cash in on the situation. It isn't useful
to vilify one without examining the contribution of all to the problem in order to
achieve lasting solution and true health care reform."
http://content.healthaffairs.org/content/early/2012/10/12/hlthaff.2011.0605.full.ht
ml"I
have been a hospital nurse for many years, and for most of that time I have been
concerned with a patient-safety issue that has slowly been acknowledged over the
years but still has not been effectively addressed. That issue is delayed inhospital defibrillation in cases of cardiac arrest. It fits in the ""failure to
rescue"" category in the patient-safety lexicon. I'm convinced that these 'failures
to rescue"" cause thousands of deaths each year in the US alone. The American Heart
Association has recognized the problem for over a decade but has not come up with
an effective approach to address the problem. I believe this failure has been due
to problems of politics, institutional culture, and device industry influence. The
fix the AHA offered--in-hospital AEDs--has recently been shown to decrease overall
survival (see ""Bad Shock: Automated Devices for Jolting Hearts May Save Fewer
Lives in Hospitals,"" by Lilly Fowler, at Fairwarning.org).I think a simple, cost
effective remedy can be found.""Hi John Stewart, thanks for your comment, and for
your participation in our group. I have a couple of questions. First, will you
please complete our Provider Questionnaire? ProPublica is building a pool of
nurses, doctors and other providers who can help us with our stories and offer us
ideas. Here's the link: http://www.propublica.org/article/providers-share-yourobservations-on-patient-safety Second, I'm wondering if you can be more specific
about your post. How do politics, institutional culture and device industry
influence come into play? And what's the simple, cost effective remedy that you see
as possible?""I thought I had submitted the Provider Questionnaire early this past
week--unless I hit the wrong button when I tried to submit. Please let me know if
you can't find it, and I'll submit again."Thanks for joining us. It is very nice
to see a provider here."The comments at the end of the article are interesting.
The quality of manufacturing and adequate, recurring training can address issues
raised. Yes, inexperienced staff need extra training as they do for everything. The
reason for the slow response is no mystery: Fewer healthcare professionals caring
for more and sicker patients result in delays in all areas of care. Link to
article: http://www.fairwarning.org/2011/11/bad-shock-automated-devices-forfailing-hearts-may-save-fewer-lives-in-hospitals/""Financial conflicts of interest
pressure the premature fielding of new medical devices. Devices to market, followed
by a general denial of a need to keep track of the results at the outset. Financial
conflicts of interest likely are also to blame for the lethargic delay in the
testing and followup analysis of new devices, procedures and prosthetic implants
after they are put into the field."This is something that some people have been
trying to address for a while. I don't know the details but remembered a colleague
doing some work on the topic. This presentation from 2006 by Dr. John Gosbee (my
former colleague when we both worked for the Dept of VA National Center for Patient
Safety) touches on the topic on slides 32-34. There is probably more info out
there by now...