THE Right!


#227

Then we should fit right in with the Left.


#228

Should be spelled “bear”.


#229

In my case, it is the correct spelling, Sunshine! You are the only bear I know.


#230

#231

I can’t believe it. The truth about that . .guy. I have emailed a copy to Angie and that will make her blood boil and there will be great wailing and gnashing of teeth for the rest of the evening. I thought it was going to be boring. Thanks.


Trump
#232

I would actually side with the USA on this one. I’m against suing over poor healthcare. That doesn’t help anybody and just because you are a foreigner, doesn’t change the fact I’m against healthcare lawsuits. I guess this is just against the USA and I assume the case would be in the USA. I think she will lose.


#233

There must be some threshold crossed that you feel would justify a lawsuit.


#234

I’m against the monetary damages, especially of that magnitude, as they destroy a society. Businesses that employ thousands are destroyed over the often-innocent mistake of one employee sometimes. I am fine with suing to stop the practice, however.


#235


#236

Medical errors rank behind heart disease and cancer as the third leading cause of death in the U.S., Johns Hopkins researchers say.

iStockphoto

A study by researchers at Johns Hopkins Medicine says medical errors should rank as the third leading cause of death in the United States — and highlights how shortcomings in tracking vital statistics may hinder research and keep the problem out of the public eye.

The authors, led by Johns Hopkins surgeon Dr. Martin Makary, call for changes in death certificates to better tabulate fatal lapses in care. In an open letter, they urge the Centers for Disease Control and Prevention to immediately add medical errors to its annual list reporting the top causes of death.

Based on an analysis of prior research, the Johns Hopkins study estimates that more than 250,000 Americans die each year from medical errors. On the CDC’s official list, that would rank just behind heart disease and cancer, which each took about 600,000 lives in 2014, and in front of respiratory disease, which caused about 150,000 deaths.

Medical mistakes that can lead to death range from surgical complications that go unrecognized to mix-ups with the doses or types of medications patients receive.

But no one knows the exact toll taken by medical errors. In significant part, that’s because the coding system used by CDC to record death certificate data doesn’t capture things like communication breakdowns, diagnostic errors and poor judgment that cost lives, the study says.

“You have this overappreciation and overestimate of things like cardiovascular disease, and a vast underrecognition of the place of medical care as the cause of death,” Makary said in an interview. “That informs all our national health priorities and our research grants.”

The analysis was published Tuesday in The BMJ, formerly the British Medical Journal.

Bob Anderson, chief of the mortality statistics branch for the CDC, disputed that the agency’s coding is the problem. He said complications from medical care are listed on death certificates and that codes do capture them.

The CDC’s published mortality statistics, however, count only the “underlying cause of death,” defined as the condition that led a person to seek treatment. As a result, even if a doctor does list medical errors on a death certificate, they aren’t included in the published totals. Only the underlying condition, such as heart disease or cancer, is counted, even when it isn’t fatal.

Anderson said the CDC’s approach is consistent with international guidelines, allowing U.S. death statistics to be compared with those of other countries. As such, it would be difficult to change “unless we had a really compelling reason to do so,” Anderson said.

The Johns Hopkins authors said the inability to capture the full impact of medical errors results in a lack of public attention and a failure to invest in research. They called for adding a new question to death certificates specifically asking if a preventable complication of care contributed.

“While no method of investigating and documenting preventable harm is perfect,” the authors write, “some form of data collection of death due to medical error is needed to address the problem.”

Anderson, however, said it’s an “uncomfortable situation” for a doctor to report that a patient died from a medical error. Adding a check box to the death certificate won’t solve that problem, he said, and a better strategy is to educate doctors about the importance of reporting errors.

“This is a public health issue, and they need to report it for the sake of public health,” he said.

Dr. Tejal Gandhi, president of the National Patient Safety Foundation, said her organization refers to patient harm as the third leading cause of death. Better tracking would improve funding and public recognition of the problem, she said.

“If you ask the public about patient safety most people don’t really know about it,” she said. "If you ask them the top causes of death, most people wouldn’t say ‘preventable harm.’ "

Dr. Eric Thomas, a professor of medicine at the University of Texas Houston Medical School whose research was cited in the Institute of Medicine’s landmark To Err is Human report, said existing estimates aren’t precise enough to support immediately listing errors as the third leading cause of death.

But collecting better cause-of-death data is a good idea, said Thomas, who agreed that medical errors are underreported.

“If we can clarify for the public and lawmakers how big a problem these errors are,” he said, “you would hope it would lead to more resources toward patient safety.”


#237

Guess it was too much uh that readin’.


#238

#239

I read it all.


#241

In time, artificial intelligence will not just drive our cars, it will do our surgeries.


#242

So what recourse do you think should be available to the victim or their family for a wrongful death?


#243

Maybe, but I remember being promised flying cars when I was a kid and that was a looooong time ago.


#244

If AI is good enough to do surgeries it is good enough to replace us. After all, why would they need us?


#246

We’re closer than ever.

They will replace us imho. It’s only a matter of time. Our destiny is to create that which replaces us, and then merge into it.


#247

I’m not sure. What do you think? My guess is if you have too many, your practice should be taken away. It’s a huge gray zone for me. My hospital gets all of the med flights in the area and way more trauma, so our ER mortality rate is lower than most. Lots of variables in statistics.


#248

I’m not sure either. I know that huge multi-million dollar lawsuits don’t address the root of the problem. Closing a Dr.s practice is one option. I watched a documentary on HBO titled “Bleed Out” which followed a court case that went on for 7 years and included charts being changed and other dubious practices. I felt like their should have been some punitive award against the hospital. There wasn’t and business went on as usual. I think some lawsuits are justified.