Support Public Disclosure of Preventable Errors in New Jersey Hospitals

A prominent elder advocacy group has come forward this week asking that specific data regarding preventable hospital errors be made available to the public.

According to the AARP, New Jersey residents have been kept in the dark as to the quality of their local healthcare providers. Current patient safety regulations (namely the Patient Safety Act), only requires the state to report errors as a whole, rather than specifically name the individual hospital offenders.

However, the AARP of New Jersey has called upon the department of Health and Senior Services to break this information down by hospital so patients can assess for themselves the quality of their local health care facilities.

Not surprisingly, the New Jersey Hospital Association opposes the release of such information.

Fortunately, the battle for specific disclosure has now made it’s way to the New Jersey state legislature.  Last session, a bill requiring the disclosure hospital-specific errors passed the Assembly but expired without gaining approval from the Senate.  Identical bills have been re-introduced to both chambers.

Why hospital-specific reporting matters in New Jersey

According to a recent HealthGrades study, New Jersey ranks 51st (fifty states and the District of Columbia) or dead last in patient safety incidents.  This same study also reveals that in 2004 alone, 195,000 patients in the US died as a result of a preventable medical error.

Clearly, these statistic show that the current reporting methods under the Patient Safety Act are not effective in deterring medical mistakes—especially in New Jersey.

However, hospital-specific reporting for medical mistakes will improve the overall quality of healthcare in New Jersey.  For example, residents of Camden County have over 5 hospitals to choose from for their care.  If one hospital is ranked far worse than the others, informed patients will choose to avoid the facility altogether.

Thus, hospitals that do not value patient safety will experience a major decline in revenue until they literally are forced to clean up their act.

While it is sad that better care comes down to a money game, a mass exodus of patients (or potential revenue) is the only way to get the attention of a hospital CEO with an “if it ain’t broke, don’t fix it” mentality.

How to Get Involved

Speak up!  Write or call your local congressman or congresswoman and let them know that you support hospital-specific reporting of medical mistakes (Bill A1264 or S807).

The local paper is another great way to spread the word on this issue.  Send letters to the editor, submit posts to the online forums/ blogs and leave comments on any relevant stories to express your support.

We, the public, deserve to know the quality of our local hospitals and healthcare facilities – and hospital-specific reporting of medical errors is the only way to achieve that goal.

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NJ Medical Malpractice News: Doctor Removes Wrong Lung & Stages Cover Up

According to the State Board of Medical Examiners, New Jersey surgeon Santusht Perera, removed his patient’s wrong lung and lied to cover up the mistake.

The real kicker to this story is that Dr. Perera only received a six (6) month suspension and $81,000 fine for what the board determined was “gross negligence” on the part of the surgeon.

The surgery in question was originally meant to remove a tumor in the patient’s left lung.  However, a portion of the right lung was removed by mistake, thus leaving the tumor to remain in the body.  The surgeon then lied to the patient and told him that it was really his right lung that contained a life-threatening tumor and changed the charts to also reflect this information.

Further investigation into the matter revealed that no such tumor existed in the right lung.  The doctor simply did not check the chart or pay attention to the details of the planned surgery.

Sadly, Dr. Perera can file an appeal for early restoration of his medical license in December of 2008.

 

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Letter to Star Ledger Concerning Tort Reform & Medical Malpractice in NJ

Mininno Law Office sent the following letter to the Star Ledger in New Jersey in response to a recent Op/Ed piece in support of tort reform:

Dear Editor:

This week, the Star-Ledger ran an Op/Ed piece from a tort-reform group called the Pacific Research Institute, which openly blamed malpractice suits for the ailing economy.  This group, (which is funded by tobacco companies, insurance lobbyists and corporate healthcare giants), claim that the millions of dollars spent each year on “defensive medicine” and “frivolous” malpractice lawsuits are draining the local economy and forcing doctors out of the state.  And while the theory sounds nice, is there any truth to the tort-reform argument?

The short answer is no.  It just seems that way because of the huge financial backing of the medical and insurance industry allows them to penetrate the media with unscientific research and biased opinions in support of tort reform.  For example, this same group (PRI) successfully argued just two years ago that global warming was “make believe” and did not exist.  As a result, the country waited several years to address this time sensitive issue that continues to affect our planet.

So what is the truth on medical malpractice and tort-reform?  The truth is that a medical malpractice crisis does exist in this country—but it has nothing to do with the lawsuits that follow the negligent conduct of doctors.  A quick look at the statistics (and true scientific research) shows that actual incidents of medical malpractice occur each year at an alarming rate.  The Institute of Medicine reports that 98,000 people die each year from preventable medical errors.  According to the FDA, medical errors are the eighth leading cause of death in the United States, ranking higher than automobile accidents, breast cancer and AIDS.  Clearly, this is more than a few rare, unintentional mistakes or the result of  “frivolous” malpractice suits.

Furthermore, the medical malpractice crisis has become so bad that Medicare, Medicaid and other large insurance companies will deny payment as of October 1, 2008 for “never events,” or medical mistakes that should never occur in a hospital setting.  The following list contains some of these “never events,” as well as statistics to show just how prevalent these “never events” really are:

  • Medication Errors- 1.5 million people each year are killed, sickened or injured from medication errors according to the Institute of Medicine.
  • Foreign Objects Left In the Body- Occurs in 1500 patients each year according to the New England Journal of Medicine.
  • Wrong Site Surgery (surgery on the wrong body part or person)- Occurs in one (1) out of 112,994 operations according to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
  • Patient Death or Disability from Contaminated Drugs or Devices- Just this year alone, contaminated heparin has been linked to 81 hospital deaths and over 700 injuries nationwide
  • Stage 3 or Stage 4 bedsores– 2982 patients develop these pressure sores per day according to the National Decubitus Foundations.

Most people would agree that patients injured as a result of a serious medical mistake have every legal right to file a malpractice suit.  Survivors of medical malpractice lose their jobs, the ability to provide for their family and the ability to live a normal life.  Furthermore, in the state of New Jersey, “frivolous” lawsuits are almost non-existent.  Before a lawyer can file suit on behalf of an injured client, a licensed medical doctor must certify that the defendant physician chose not to follow basic rules of medicine, which led to a patient’s injury or death.

So if insurance lobbyists, corporate healthcare giants and negligent doctors are that concerned about the impact medical malpractice lawsuits are having on the economy, I suggest that they invest some of the millions of dollars they currently pay lobbyists and PR people to make the medical community a safer place.  Maybe billion dollar hospitals can implement policies that allow doctors to get more sleep or a take a break between grueling operations.  Or they can invest in bar code system in which medications are scanned and recorded to prevent errors.  Or just maybe tort reform supporters could make a donation in the name of proper staffing and personnel in hospitals to ensure that immobile patients are repositioned every two hours to prevent bedsores.

Obviously, if insurance lobbyists, corporate healthcare giants and negligent doctors spent the same time, finances and energy addressing the real root of the malpractice crisis, medical malpractice suits would naturally decline.  After all, malpractice caps will not stop the lawsuits—it will just limit the amount a negligent doctor’s insurance company will pay to a patient’s family.   Patient safety, however, will stop the lawsuits, save hospitals and doctors money in the long run and prevent innocent people from falling victim to careless or preventable medical mistakes.

Medical Malpractice News: Cincinnati Man Sues Doctor for Unnecessary Castration

A Cincinnati, Ohio man is suing his doctor after what he claims to be an “unnecessary partial castration.”  He is seeking damages against the doctor, Gary M. Kirsh, M.D., for lack of informed consent, battery and medical malpractice.

Apparently, Stephen M. Kosti was admitted to the hospital after experiencing pain in his groin. At his doctor’s recommendation, he underwent an exploration of the scrotum to find the problem. Dr. Kirsh then deicded to remove one testicle because he claimed it may have been cancerous and only his patient would only have six more months to live.

Just a few days after the surgery, Kosti sought a second opinion from an oncologist.  The oncologist preformed a PET scan and determined that the testicle was not cancerous in the first place.  As a result, Kosti is claiming damages for lost wages, additional medical expenses, pain and suffering, mental and physical anguish and loss of enjoyment of life.

Related InformatioN: New Jersey Medical Malpractice Lawyer

N.C Medical Board Seeks to Publish Medical Malpractice Info Online

The North Carolina medical board is seeking to post medical malpractice information online as a way to “protect people from troubled doctors.” This proposal stems from a new state law, which requires disclosure of medical malpractice information at the board’s discretion. If the board approves this plan on June 30th, North Carolina will be come the 23rd state to offer medical malpractice information to the public.

Obviously, North Carolina doctors are fighting this proposal. The N.C medical society states that the proposal is “unfair” and should not include medical malpractice settlement information prior to June 30th. They argue that some doctors only settle for “business reasons”, and may not have done this if they knew the information would be made public and held against them.

The board, however, has proposed measures to keep the disclosure of information fair to doctors and the public alike. The board would keep private the actual settlement amounts, as well as the identity of the patient that filed the suit. Doctors will also have the opportunity to leave a comment beneath the post to explain the reason for the lawsuit and settlement in their own words.

Click here to read the full story.

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Mommy’s Bliss Nipple Cream Can Cause Respiratory Distress in Infants

The FDA has advised nursing mothers to stop using Mommy’s Bliss Nipple Cream, as it may cause respiratory distress, vomiting and diarrhea in infants.  The FDA posted the following warning on their website:

The U.S. Food and Drug Administration is warning consumers not to use or purchase Mommy’s Bliss Nipple Cream, marketed by MOM Enterprises, Inc., because the product contains potentially harmful ingredients that may cause respiratory distress or vomiting and diarrhea in infants. The product is promoted to nursing mothers to help soothe and heal dry or cracked nipples. Product labeling specifically states that there is no need for mothers to remove the cream prior to nursing. However, the ingredients contained in the product may be harmful to nursing infants.

Potentially harmful ingredients in Mommy’s Bliss Nipple Cream are chlorphenesin and phenoxyethanol. Chlorphenesin relaxes skeletal muscle and can depress the central nervous system and cause respiratory depression (slow or shallow breathing) in infants. Phenoxyethanol is a preservative that is primarily used in cosmetics and medications. It also can depress the central nervous system and may cause vomiting and diarrhea, which can lead to dehydration in infants.

Mothers and caregivers should watch for a decrease in an infant’s appetite. More serious signs would be difficulty in awakening the child, limpness of extremities or a decrease in an infant’s strength of grip and a change in skin color. Please seek immediate medical attention if your child is showing these signs and symptoms.

“The FDA is particularly concerned that nursing infants are being unwittingly exposed by their mothers to this product with dangerous side effects,” said Janet Woodcock, M.D., director, FDA’s Center for Drug Evaluation and Research. “Additionally, these two ingredients may interact with one another to further compound and increase the risk of respiratory depression in nursing infants.”

Though the FDA has not received any reports of injury to infants, the agency is alerting the public because of the potential harm this product can have on a child.

Chlorphenesin can also harm the mother by causing dermatitis, a skin condition that can worsen the drying and cracking of nipple skin.

MOM Enterprises, Inc. is based in San Rafael, Calif. The company has stated that it has discontinued marketing the nipple cream with the potentially harmful ingredients. The FDA is advising consumers to discontinue use of Mommy’s Bliss Nipple Cream and to consult a health care professional if they experience problems or believe that their infant may have experienced problems due to this product. Nursing mothers with cracked, painful nipples, which is often a side effect of nursing, should speak with their health care professional or a certified lactation consultant if the problem is severe or for other treatment options.

Consumers are strongly encouraged to report adverse events related to this product or any FDA approved product to MedWatch, the agency’s voluntary reporting program, by e-mail at here, or by phone at 800-332-1088, or by fax to 800-332-0178. Consumers may also mail reports of adverse events to MedWatch, Food and Drug Administration, 5600 Fishers Lane, Rockville, MD, 20852-9787.

If you are a nursing mother and have observed any of these side effects after using Mommy’s Bliss Nipple Cream, I strongly encourage you to report these symptoms to the FDA using the contact information listed above.  Drug investigations are sparked by consumer feedback, so it is important that you speak up if you have experienced any strange side effects after using the cream.

Alternatively, if your child has been hospitalized as result of using this cream for respiratory distress or dehydration due to severe vomiting or diarrhea, you may have rights against the product manufacturer.  To speak with our licensed RN regarding your child’s medical history, please fill out the contact form on the right side of the page or call toll-free (856) 833-0600.
A medical malpractice professional will contact you within 12 hours to discuss your case.

Do I need a lawyer to file a medical malpractice lawsuit in NJ or PA?

First of all, why would you want to file a medical malpractice lawsuit on your own?!

Do I believe that an average, intelligent person can handle their own divorce or file suit in small claims court?  Absolutely.  However, when it comes to medical malpractice lawsuits, I firmly believe that a person must be represented by an experienced trial attorney.

Most licensed attorneys won’t even take a medical malpractice case because they are so complicated and risky.  Hospitals have deep pockets and hire only the best lawyers to handle their medical malpractice suits.  These attorneys have exceptional trial skills and comprehensive medical knowledge.  If the majority of practicing attorneys refuse to go up against these guys, why would an average, intelligent person want to do the same?

Furthermore, consider the expenses that go into a medical malpractice lawsuit.  Experts cost thousands of dollars.  Doctors charge thousands of dollars just to show up in court.  Medical records cost money.  Independent medical examinations cost money.  A lawyer may literally spend $100,000 before he/she even steps foot in a courtroom!  That’s a heavy burden for a small law firm, let alone an injured person living off of a disability check or SSI because of their injuries.

I’m sure the number one reason that someone would want to file their own medical malpractice lawsuit is because they do not have money to hire an attorney.  While that may be a legitimate concern in other areas of the law, medical malpractice lawyers work on a contingency basis.  This means that we do not get paid unless the client wins.  If god forbid we loose, all of the expenses listed above come out of the attorney’s pocket– not the client’s.

So if you are truly hurt and are counting on a settlement just to get by for the next few years, why would you risk that chance by trying to handle things on your own?  I may have drills in my toolbox, but if I need a root canal, I’m going to the dentist!  I don’t have the skills or know-how to perform my own dental work.  The same holds true with medical malpractice lawsuits.  If you are hurt, don’t jeopardize your chances of winning your lawsuit and being able to put money aside to take care of yourself in the future.  The hospital or doctor you’re suing WILL hire a professional, and I suggest you do the same!

Hopefully now you’ve changed your mind about going at it alone!  If you are ready to contact an experienced medical malpractice law firm, we would be more than happy to help you with your case.  Either fill out the case evaluation form on the left side of the page, or call (856) 833-0600 in New Jersey or (215) 567-2380 in Pennsylvania.  A medical malpractice attorney and licensed nurse will contact you within 12 hours.

For further information on medical malpractice lawsuits in New Jersey and Pennsylvania, click on the following links:
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Why Does a Trial Lawyer Say "NO" To Most Medical Malpractice Cases?

Finding a lawyer to handle a medical malpractice case is very difficult for many reasons. The first (and most obvious reason) is that many lawyers are not experienced, skilled or talented enough to handle such a complex case up and through trial. However, there are other reasons beyond the ability to find a capable lawyer.

Every day we meet with ordinary folks about potential medical malpractice cases. This is not surprising as statistics show that medical negligence kills and harms patients and families at an alarming rate. Many times, the same doctors commit the same error time and time again. As a trial lawyer, I wish I could hold every doctor accountable for the mistakes and harm they cause. Unfortunately, that is not possible. The medical malpractice insurance companies, lobbyist and doctors have spent millions of dollars to make ordinary people believe that there is a medical malpractice crisis in this country. Potential jurors see this propaganda every day in the media. Doctor’s offices are plastered with posters threatening to leave the state. These myths portray doctors as the victims of lawsuits. As a result, jurors are less and less likely these days to decide a case against a bad doctor who injures an innocent patient.

As a result, many times I have to meet with families and their loved ones who are victims of medical malpractice and tell them that I can not represent them. These people have cases that are not frivolous, but have true merit. Unfortunately, because it is very difficult to convince a jury to hold a doctor or hospital legally responsible even in clear cut cases, trial lawyers (including myself) are forced to be very selective in the cases they choose to bring.

Remember, a trial lawyer works for free. That is, a trial lawyer does not get paid unless his or her client gets a recovery. Malpractice cases cost on average, between $20,000 to $40,000 in out of pocket expenses. These are resources that the trial lawyer must pay “up front” and without any guarantee of being reimbursed. In addition, a trial lawyer will commit hundreds of hours in time in research, discovery, trial preparation and trial. When out of pocket costs and legal hours are combined, a trial lawyer must be prepared to commit $150,000 to $250,000 per case. More importantly, since there are only so many hours and so many cases a trial lawyer can work, if he commits to one case, he can not commit to others. As a result, the sad fact is that it is getting more difficult for true victims to get justice in the courts.

For further information on medical malpractice lawsuits, click on the links below:

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How Long Do I Have to File A Medical Malpractice Lawsuit in New Jersey (NJ)?

New Jersey Medical Malpractice Statute of Limitations for Adults
Medical malpractice lawsuits are governed by a statute of limitations, or a specific time limit on when you can file a claim. In the case of an adult, a medical malpractice lawsuit in NJ must be filed within two (2) years from the actual date of the incident, or two (2) years from when the patient actually discovers the injury (or should have reasonably discovered the injury).

New Jersey Statute of Limitations For Minors and Birth Injury Cases
The statue of limitations for medical malpractice in New Jersey involving a minor is also two (2) years. However, the two-year statute of limitations starts on the minor”s eighteenth birthday. If a malpractice lawsuit is not filed by the age of twenty (20), the minor is barred from ever bringing that claim. Similarly, in the case of a New Jersey medical malpractice suit involving a birth injury, a claim must be filed by a minor”s thirteenth birthday.

For further information on Medical Malpractice in New Jersey, click on the following links:

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US Servicemen Still Denied Right To File Suit For Medical Malpractice Against Military Hospitals & Doctors

Members of the US Military are once again seeking to overturn a 1950 Supreme Court decision which denies active duty service members the right to file medical malpractice lawsuits. This effort comes after a string of careless and deadly medical errors occurring at military hospitals across the country. Case in point (reported in the LA Times):

Minutes after routine surgery for acute appendicitis in October 2003, Staff Sgt. Dean Witt, 25, was being moved to a recovery room at a Northern California military hospital when he gasped and stopped breathing. A student nurse assisting an understaffed anesthesia team tried to resuscitate Witt and failed. Inexplicably, Witt”s gurney was wheeled into a pediatric area. Lifesaving devices sized for children, not a 175-pound adult, proved useless, according to an internal report on the incident.

Medical personnel at David Grant Medical Center at Travis Air Force Base screamed at each other. A double dose of a powerful stimulant was mistakenly administered. When a breathing tube was finally inserted, it was misdirected, uselessly pumping air into the patient”s stomach. Errors compounded errors and delays multiplied.

By the time a breathing tube finally was inserted correctly, Witt had devastating brain damage. Three months later, he was removed from life support and died. Witt, who grew up in Oroville, Calif., left behind a wife and two children, including a 4-month-old son.

Apparently, medical errors such as this happen often at miltary hosptials. This isn”t surprising considering the fact that miltary hosptials are typically understaffed and poorly funded. Consequently, the miltary has taken steps to ensure that these hosptials are immune from medical malpractice lawsuits because medical mistakes are bound to happen and they can”t afford to pay. I understand the logic, but the real question is whether this is fair to the servicemen and women who risk their lives defending this country only to loose them at the hands of poorly trained medical staff in a miltary hospital?

Clearly, the Supreme Court seems to think so. They have consistenly upheld the 1950 ruling of Feres v. United States, which denies the right of active-duty servicemen and women to file medical malpractice lawsuits–even when it is clear that a deliberate medical error has occurred. The Court has bought into the government”s argument that the dicipline of the military will be compromised if it is forced to deal with costly and time consuming litigation for medical malpractice. Rep. Duncan Hunter (R-Alpine), a member of the House Armed Services Committee and a former fighter pilot, has even gone as far as calling Feres “a reasonable approach to ensuring that litigation does not interfere with the objectives and readiness of our nation”s military.”

In my opinion, Hunter”s statement and the Court”s reasoning makes very little sense. Basically, the military assumes that medical malpractice lawsuits willl compromise the quality of the nation”s military by paying out money that is better spent on equipment, personnel, etc.. However, what they fail to realize is that this policy will have the exact opposite effect in the long run. If men and women can not count on the miltary to provide quality care for them or their families should they get hurt or sick while on duty, they will not join and enlistment will plummet. Its just that simple.

Furthermore, if the Supreme Court and Congress can not justify allowing servicemen and women to file a lawsuit after they have been permanently injured as a result of medical malpractice, then at the very least they should force the military to hire better doctors and medical staff to cut down on some of these careless mistakes. Our men and women expect to risk their lives on the battlefiled– not at miltary hosptials that they count on to help them get well. It”s just not right, and the miltiary will eventually pay for this choice if they do not actively change their ways.

For further information on medical malpractice lawsuits, click on the links below:

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