Medical Malpractice News and Research

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Harvard neurologist starts new program for doctor education; Study finds journal authors often do not disclose ties to medical device companies

The Boston Globe reports on Dr. Martin Samuels, a Harvard Medical School neurologist, who started "a new company that he says will provide continuing medical education to doctors across the country — without funding from the pharmaceutical industry.

15 Sep 2010

First Edition: September 14, 2010

Among today's headlines, Berwick talks, health reform politics continue and coverage of the run up to Sept. 23 - the day several health overhaul provisions take effect - is in full swing.

14 Sep 2010

Lawmakers plot health overhaul tax provision change, other provisions under fire

Senate aides expect Republicans and Democrats to offer competing amendments to change a tax-reporting provision in the health law. "The provision requires businesses to report to the Internal Revenue Service purchases over the course of the year that exceed $600.

13 Sep 2010

Democrats position for November fight using health care while GOP leader draws line in the sand

Democratic National Committee Chairman Tim Kaine is defending his party's accomplishments on health care as he paints Democrats as underdogs in November's elections, The Philadelphia Inquirer reports. "Kaine, a former governor of Virginia, blasted the Republicans as obstacles to progress for seven decades, warning supporters gathered at the University of Pennsylvania that President Obama's agenda was at risk with less than two months before the Nov. 2 election.

10 Sep 2010

Study: Malpractice costs $55.6 billion annually, most in defensive medicine

An analysis by the journal Health Affairs has found that $55.6 billion, 2.4 percent of all annual health spending, is spent on medical malpractice, reports Modern Healthcare. "The estimate includes defensive-medicine activities, such as ordering tests or treatments ... which alone costs an estimated $45.6 billion per year, the study found.

7 Sep 2010

Studies show diagnostic errors cause adverse events than medication errors

Studies show that diagnostic errors cause twice as many adverse events as medication errors, but the subject has received little attention; Pennsylvania Patient Safety Authority reviews 100 events related to diagnostic error.

3 Sep 2010

Research Roundup: Lowering malpractice costs; Advance care planning limitations; Consumers review their own health care

Annals of Internal Medicine: Liability Claims And Costs Before And After Implementation Of A Medical Error Disclosure Program - This study focused on a "disclosure-with-offer program" launched by the University of Michigan Health System (UMHS) in 2001. "After full implementation of a disclosure-with-offer program, the average monthly rate of new claims decreased from 7.03 to 4.52 per 100,000 patient encounters.

21 Aug 2010

Florida doctors struggle to meet new standards for electronic records; Arizona faces sharp cuts in residency-training programs

"New federal standards unveiled last month require doctors to start using electronic medical records routinely, including logging patients' diagnoses and visits, ordering prescriptions, monitoring for drug interactions and making records accessible to other medical providers. ... Only about 20 percent of South Florida medical providers use electronic records now, experts said, and while many doctors are already making the change, some fear that older family physicians may one day close their practices rather than spend the money and time to go digital"

18 Aug 2010

GOP Rep. Ryan potential 'foil' for Obama; Candidates consider reform's role in races

The New York Times: Rep. Paul Ryan, "as you may have heard, is the Republican star of the moment. A 40-year-old from southeastern Wisconsin serving his sixth term in the House, Mr. Ryan has been getting a lot of attention for his 'Roadmap for America's Future,' an unusually austere proposal to vanquish the federal debt by, among other things, partly dismantling Social Security and Medicare as they currently exist."

13 Aug 2010

VA Pittsburgh selects SmartSponge System to prevent retained surgical sponge incidents

ClearCount Medical Solutions and Medline Industries, Inc. today announced that its newest customer, the VA Pittsburgh Healthcare system will help prevent retained surgical sponge incidents with the use of the SmartSponge System®. The SmartSponge System is part of ClearCount's radio-frequency identification -based platform that uniquely identifies each sponge so that they can be easily counted and detected.

11 Aug 2010

AMA says most doctors at some point face malpractice lawsuits

MedPage Today/ABC News: According to a new survey by the American Medical Association, more than 60 percent of doctors older than 55 have been sued for medical malpractice. "Although most of those claims are dropped or dismissed, the new survey from the AMA shows that most physicians will be sued for malpractice at some point in their careers.

7 Aug 2010

Radiologists better at evaluating legal cases: Study

A study by University of North Carolina at Chapel Hill researchers found that 31 radiologists who reviewed the CT scans used in a medical malpractice lawsuit did not agree with the conclusions reached by four paid medical expert witnesses in the case.

26 Jul 2010

NYC hospitals agree to pilot program to cut medical-malpractice costs

To cut medical-malpractice costs, five New York City hospitals have agreed to a pilot program to divulge medical mistakes early, offer settlements quickly and use special state 'health courts,' where judges will help negotiate agreements before cases go to trial. The program, funded for three years with $3 million from the federal government, aims to cut the $1.4 billion spent annually in New York State on medical-malpractice premiums, hospital and state officials say.

23 Jul 2010

First Edition: July 23, 2010

Today's news coverage includes more details about the Obama administration's new rule on appealing rejections of health insurance claims and a new law to reign in improper government payments.

23 Jul 2010

Penn. official urges Bill to prohibit 'health profiling' and limit rate hikes; Nev., Ariz. wrestle with rising costs for public employees' benefits; McCollum releases health plan

"Pennsylvania's insurance commissioner is urging state legislators to pass a bill that would prohibit 'health profiling' and limit rate increases in advance of the 2014 enactment of the main provisions of the federal health-care reform law. Testifying before the House Insurance Committee, ... Joel Ario said he arrived at those recommendations following the department's investigation on the rating practices and premium increases of the top nine health insurance companies operating in Pennsylvania" (Toland, 7/21).

22 Jul 2010

Health reform law faces political, implementation challenges

Politico: States with "the most progressive health policies" are having a hard time implementing their part of a $5 billion series of high-risk insurance pools because their states offer a more generous guarantee of coverage. "Five states — Vermont, Maine, New York, New Jersey and Massachusetts — have 'guaranteed issue' of insurance: individual subscribers cannot be turned away because of a health condition.

21 Jul 2010

Abortion opponents say that elective abortions may be covered in high risk pools

Abortion opponents worry that vague language used in the new health care reform bill could lead to the coverage of elective abortions in new high risk insurance pools and say that may already be starting in New Mexico and Pennsylvania.

16 Jul 2010

States struggle with physician shortages, health care workforce issues

Worcester (Mass.) Telegram & Gazette, reports on a national shortage of pediatric subspecialists. "While Massachusetts has more pediatric sub-specialists per capita than many other states, the doctors are in short supply, even at big institutions like UMass. … Pediatric sub-specialists go through several years of training: four years of medical school, three years of training in pediatrics, then another three years of training in a specialty," yet their salaries are not much higher than regular pediatricians.

28 Jun 2010

Malpractice reformers get grants, but fear of lawsuits remains ER scourge

A New York judge's unusual technique — listening to the families of injured people, knowing something about medicine — for dealing with difficult medical malpractice cases will be among 20 explored with $3 million grants as part of the health overhaul, The Associated Press reports. The judge, Douglas McKeon, said, "I don't discuss settlement offers with families right away. … I just say, 'Tell me a little bit about your loved one.'"

21 Jun 2010

First Edition: June 21, 2010

Today's news includes an exploration of the impact of Medicare payment rates on physicians, an analysis of the fate of the COBRA subsidy and how an innovation may offer a medical malpractice fix.