Medical Errors account for approximately 1,000 deaths daily. These preventable errors are the third leading cause of death in 2013. Medical Errors are avertable actions that can include errors in medication administration and botched surgeries. With simple changes in attention and focus, coupled with assistance from the government health agencies, these unnecessary deaths have the potential to be eradicated completely. On Thursday July 17th, multiple medical-quality experts confronted senate committee members and insisted that “government action is needed to lower the rate of hospital medical errors and infections.” With aid from the government, hospital related deaths can be better monitored and reprimanded. Continue Reading
Caregivers Unable to Sue for Injuries Sustained by an Alzheimer’s Patient
According to the Alzheimer’s Association, “Alzheimer’s is a type of dementia that causes problems with memory, thinking and behavior”. Alzheimer’s affects 5 million US citizens, which in turn, establishes the disease as the 6th leading cause of death in the country. Alzheimer’s disease has no known cure, prevention, or treatment. Although an overwhelming majority of the population suffer from the disease, caregivers and at home aids—whom are trained in proper care techniques of Dementia patients— are apprehensive when responsible for an Alzheimer’s patient. Severe behavioral changes, coupled with extreme disorientation, results in the hesitation of caring for an Alzheimer’s patient. Continue Reading
Overuse of Antipsychotic Medications in Nursing Homes
According to the American Association of Retired Persons, AARP, 1 in 5 elderly patients—in over 15,500 nursing homes—are administered powerful antipsychotic medications that have the ability to create detrimental, and possibly fatal, side effects. Antipsychotics are habitually distributed to subdue the patient and create a less chaotic work environment for the understaffed nurses in a skilled nurse facility. The over prescription of antipsychotics have left many families outraged at the mistreatment of their loved ones. The use of antipsychotic medications is a disregard to the patient’s quality of life in favor of higher profits.
Antipsychotics have inimical side effects, especially when given to Dementia patients. Dementia patients compose of about 70% of residents in a skilled nursing facility. With such a high percentage residing in facilities, their quality of care is fundamental to maintain an adequate quality of life. AARP continues this thought by stating, “In those populations, these drugs can trigger agitation, anxiety, confusion, disorientation and even death.”
Antipsychotics are over prescribed as a shortcut to create more submissive patients. AARP explains, “If one drug caused sleeplessness and anxiety, she was given a different medication to counteract those side effects. If yet another drug induced agitation or the urge to constantly move, she was medicated again for that.” The overuse of drugs has lead to the neglect and abuse of many elderly residents.
Understaffed and Overworked Nurses Contribute to Poor Patient Care
Over 3.4 million nurses are employed at various healthcare facilities throughout the United States. Although, a commendable and necessary profession, low wages, coupled with a stressful work environment, leads to an exceedingly high turnover rate in the nursing industry. Most nurses work extensive shifts and are consumed with tedious work involving the well being of their patients. Numerous nurses feel that with more control over the diagnosis and treatment of the patient along with a more suitable work environment, the rate of replacement will decrease significantly within the nursing community. Continue Reading
Blood Test to Predict the Onset of Alzheimer’s
According to the Alzheimer’s Association, Alzheimer’s affects 40% of the American population, constituting the disease as the 6th leading cause of death in the United States. Due to the staggering amount of people affected, coupled with the severity of the disease, scientists are allocating more resources to Alzheimer’s research. Proteome Sciences, a leading biomarker agency located in England together with scientists at Oxford University and Kings College of London, have developed a blood test that can potentially predict the onset of Alzheimer’s within a year. This blood test identifies 10 proteins that have the capacity of predicting the onset of Alzheimer’s disease with 87% accuracy. Continue Reading
2014 State Long Term Services and Support Scorecard
The American Association of Retired Persons (AARP), the SCAN Health Plan, and The Commonwealth Fund produced the second annual State Long-Term Services and Supports (LTSS) Scorecard, which gages system performance from the perspective of service users and their families. The finest quality of care in a skilled nursing facility should be a guarantee, especially with the influx of senior citizens our nation will encounter within the next ten years. The “Baby Boom Generation” will rapidly increase the percentage of elderly residing in a nursing facility which in turn, will generate a higher demand for excellence in quality of care. Therefore, the slow pace of improvement must speed up to be better equipped for the aging of the baby boomers. The LTSS Scorecard is designed to measure how each state performs in its assistance and support for the elderly, adults with disabilities, and their family caretakers. It is intended to help states improve their LTSS systems so that the elderly and adults with disabilities can better choose and control their lives, in an effort to maximize their welfare and independence. Continue Reading
Omnicare Allegedly Violates the Federal Anti Kickback Statute
Omnicare Incorporated is required to pay $124 million to settle two slander lawsuits claiming Omnicare failed to comply with the federal Anti-Kickback Statute. Omnicare Inc., one of the largest distributors of drugs and other pharmaceutical products to various skilled nursing facilities across the United States, allegedly provided discounts to certain skilled nursing facilities in return for the continuous use of their drugs and pharmaceutical products. The Anti-Kickback Statute is a criminal statute that is intended to eliminate any exchange of value to generate the referral of federal health care program business. The allegations against Omnicare smear the legitimacy of the company and may negatively impact future sales of its products. Although Omnicare denies any wrongdoing, and has agreed to settle the case to “end litigation,” its actions are deemed reprehensible by many. Continue Reading
Medical Errors Run Rampant in Health Care
As reported in the Los Angeles Times , a study shows that in 1999, more than 98,000 wrongful deaths occurred due to medical error, and the number has since fluctuated significantly. The majority of medical errors are caused by the negligence of healthcare professionals when distributing medications. Certain combinations of antibiotics can lead to medical complications and even fatalities. Consequently, this negligence can generate potential medical malpractice lawsuits. Although medical mistakes are likely, healthcare professionals are not properly trained on discussing these medical errors with patients. Despite the staggering statistic that medical error is the fifth leading cause of death in the United States, little has been accomplished to better educate healthcare professionals on disclosing viable information to their patients.
Medical Error is defined as “a significant deviation from accepted standards of care.” Accepted standards of care comprise a fundamental right to which a patient is entitled. Further, should a health care professional cause that right to be forfeited, a patient is entitled to be notified and fully informed of the error made. The Los Angeles Times explains, “…research suggests, that most patients would like to know—and know early—if an error has occurred.”
Although a majority of fourth year medical students admit to being associated with a medical error, only a small percentage have received training when dealing with disclosure to their patients. Although disclosure is appropriate, it is not always warranted. For example, a woman enters an emergency room with complaints of vomiting, high fever, aches on her left side, and burning pain when urinating. These are “textbook symptoms” of a Urinary Tract Infection that has spread to the kidneys. The woman is transported to a hospital bed and is given a second dosage of common interventions: Intravenous fluids—an IV is inserted to infuse a large amount of liquid directly into the vein; and Tobramycin— a strong antibiotic with vigorous side effects. Due to the lack of communication amongst the hospital staff, the woman was given two dosages of an antibiotic that can increase the risk of harm to her kidneys. Though no kidney damage occurred, the woman expressed her dismay of being informed about the medical error as it increased her stress level in an already exceptionally aggravating situation; especially, when there was no severe outcome.
Medicare Payment Policy Revision Allows for More Coverage
Recent revisions to Medicare’s policy on physical therapy and other services are leading to more coverage for those requiring skilled care from outpatient therapy, home health, and skilled nursing facilities. Prior to this revision, many individuals were unable to obtain insurance coverage for treatments, including physical therapy and occupational therapy, if it was found that the beneficiary’s condition was not improving. However, the settlement of the lawsuit, Jimmo v. Seblius, prompted this revision.
This lawsuit was filed against the secretary of the Health and Human Services Department, which oversees Medicare. It was alleged that patients were inappropriately denied coverage for skilled care due to the “improvement standard“. This “improvement standard” was a rule-of-thumb under which a claim for treatment would be denied, due to the beneficiary’s lack of improvement in restoration potential, even though the beneficiary required the treatment in order to prevent or slow the deterioration of their condition. This standard proved problematic for many patients, particularly those with chronic or degenerative diseases, as their treatments and services would be denied because their condition would plateau, or fail to improve.
Implementing Non-Pharmacological Interventions for Dementia
It is becoming increasingly evident that pharmacological interventions should be a last resort when treating patients with dementia. Due to a lack of resources and staff most skilled nursing home facilities overlook non-pharmacological options. However, studies have shown that non-pharmacological treatments are a safer alternative for patients. While pharmacological interventions are an effortless option for nursing homes and hospitals, they fail to improve the state of the resident. These medications might look like they are improving the condition of the patient however, these drugs sedate them as their condition worsens. In some cases, it could cause sufferers of cognitive disorders to deteriorate rapidly and act out.
The staff at a facility may often focus on the cognitive deterioration of the sufferers of dementia. As such, other symptoms that are linked to dementia may be overlooked. These symptoms generally manifest themselves in the forms of agitation, aggression, eating disorders, loss of appetite, and abnormal vocalization. Many of these symptoms may also grow to be the cause of death. For example, eating disorders and loss of appetite can lead to malnutrition. Furthermore, the use of medications have side-effects including sedation, psychosis, tremors, and may even lead to falls. More recent cases show that the pharmacological treatment of dementia leads to reduced resident well-being and quality of life, and may even accelerate cognitive decline.



