Never 27 Law Watch
Bif_Fink at teamhealth.com
Bif_Fink at teamhealth.com
Fri Mar 2 21:13:36 GMT 2007
Gentlemen, gentlemen. You are brilliant, passionate folks. The flame
throwing is supposed to be reserved for the Trauma conference in Vegas.
Bif RN
"Ronald Gross"
<Rgross at harthosp.
org> To
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Subject
03/02/2007 01:04 RE: Never 27 Law Watch
PM
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Dr. Horan,
The requirement is pure bunk. And as to your opinion, it has to be less
informed than mine, for I have no doubt that you have never been
involved with an adverse event - you are, I hear, perfection
personified. As for me, the only evidence I need provide is the
testimony of people like me or any other physician who has been involved
as either the accused or as a requested "expert"; these people
understand the wasted time and effort spent to satisfy those who want to
"examine the adverse event" and lay blame where ever it is they choose,
deserved or otherwise!
As far as the book, "Behind the Green Door - I wonder if it is as
"rewarding" as the movie of the same name that was around in the mid-70s
- not that I ever watched it.......
Sorry Ryan, but I have issues with the "holier-than-thou" type
personality, or as Dr. Mattox would say, with the clipboard carrying
type bureaucrats who look for a reason to exist 'cause they can't
practice medicine.
RIG
>>> "Thomas Anthony Horan" <thoran at sarah.br> 3/2/2007 12:45 PM >>>
Dear Ryan,
you are absolutely correct and Ron provides no evidence to support his
contrary minded view.
Recently a well known Surgeon from new York has published an account
of how poorly the current accountability situation plays out in a
hospital. "Behind the Green Door" professor Z worth the read.
Tom
> ----------
> From:
trauma-list-bounces at trauma.org[SMTP:trauma-list-bounces at trauma.org]
on behalf of Ronald Gross[SMTP:Rgross at harthosp.org]
> Reply To: Trauma & Critical Care mailing list
> Sent: sexta-feira, 2 de março de 2007 10:07
> To: Trauma & Critical Care mailing list
> Subject: Re: Never 27 Law Watch
>
> Ryan,
>
> It is quite clear that you have never been involved with an
investigation of a reportable "adverse event". And I am sorry to say
that it is just as clear that you fail to give the average "consumer"
(formerly known as a patient) the credit that he/she is due when you
assume that these folks are accepting their PMD's golf partner as their
physician.
>
> I hope you return to this list with your revised comments 2 or 3
years after you have entered the real world as a practicing physician.
Even better, as a solo practitioner who hangs out a shingle in a town
where there are 16 other surgeons, you don't have time to play golf, and
your practice grows solely on your ability to practice medicine or
surgery and care for your patients the way they want to be cared for -
as if each and every one of them were the most important person in your
world getting the best results possible.
>
> Good luck,
> Ron
>
> >>> Ryan Shanahan <rs339 at georgetown.edu> 3/1/2007 6:10 PM >>>
> With considerable respect to Drs. Mattox and Gross I would question
whether anyone on this list or the hospitals they work for create enough
report-able events to make this law an administrative hassle. If it is
the case than the reporting requirements should be the least worry.
(granted the last report-able event "any adverse event ... that causes
death or serious disability" is uncomfortably vague)
>
> For all the problems that the consumerization of medicine has and
will continue to create it should allow people to compare and choose a
doctor based on some objective criteria. At least something more
objective than a list in a phone book or their primary care providers
golf partner. Yet there has been considerable reluctance to provide
practice quality data like this to the public. Usually adverse events
like the ones mentioned in this law are buried in an internal QC review
with admonitions to do better in the future and very little tangible
change. Every so often when an error occurs a patient sues but that is
the exception rather than the rule. (Keepnews D, Mitchell P. (2003,
September 30). Health systems' accountability for patient safety. Online
Journal of Issues in Nursing 8(3):2). More often patients sue when no
error has been commi
tted.
>
> Legislation like this is the least efficient way to make the required
changes in openness and accountability for mistakes but if the
profession is unwilling to make the changes internally then external
prodding is the only way left.
>
> Ryan Shanahan M'09
>
>
>
> ----- Original Message -----
> From: KMATTOX at aol.com
> Date: Thursday, March 1, 2007 11:35 am
> Subject: Re: Never 27 Law Watch
>
> > Ron: I think that the majority of the persons on this list
> > (including
> > international members) are in total agreement with you. There
> > are a few on this
> > list that are supportive of the Regulatory Industrial Complex and
> > the clip
> > board carrying job assurance programs.
> >
> > k
> > <BR><BR><BR>**************************************<BR> AOL now
> > offers free
> > email to everyone. Find out more about what's free from AOL at
> > http://www.aol.com.
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