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A wrongful death action is typically filed by the executor of the decedent's estate with the assistance of a wrongful death attorney. Renewed pharmacy professor and medical author, Joe Graedon, writes that more than 500,000 Americans die each year due to doctor errors.
A wrongful death can occur due to medical malpractice, automobile accidents, workplace injuries, occupational exposure, defective products, airline accidents or criminal behavior. Dean Piermattei and David Dowling have handled wrongful death cases for over 55 years combined. In order to prosecute a malpractice claim, it is necessary to seek advice from medical experts.
You need to bring the action to attention as soon as possible after discovery of the error to meet statutes of limitation requirements. If you or a close family member suffered fatal injuries due to the negligence of another party, you should contact an attorney experienced in wrongful death who has successfully handled these types of cases and who will represent you with experience, dedication and tenacity.
The information contained in this website is provided for general informational purposes only and should not be construed as legal advice. Personal Injury Attorney Disclaimer: This website is dedicated to providing public information regarding Personal Injury Lawsuits, Medical Malpractice Lawsuits and other legal information. Targeting medication safety efforts to give first priority to averting the highest-risk errors allows hospitals to achieve the most rapid and significant impact on improving medication safety.
This article reviews nursing satisfaction and recent advances, including wireless networking, "smart" patient-controlled analgesia (PCA) with continuous respiratory monitoring, best practice improvements, and return on investment (ROI). Experience has shown that nursing acceptance is critical to the successful implementation and use of new technology.
A survey conducted at The Nebraska Medical Center (680 beds) shows that over 90% of users said the IV safety system was "Easy" or "Somewhat Easy" to program and would "Agree" or "Strongly Agree" that the system provides a valuable safety net at the point of care (Graham, 2004).
The examples below are representative of best practice improvements that have been made as a result of infusion safety system implementation. Analysis of reprogramming events documented in CQI logs at The Nebraska Medical Center for three nursing units involved in an 8-month study showed that an annual incremental expense that was avoided through use of the IV safety systems would be approximately $712,000 (Table 1) (Graham, 2004).
With three hospitals, 730 beds, 510 staff physicians, and gross annual revenue of $1 billion, Spartanburg Regional Health System (SRHS) is ranked as one of the top 100 most-wired hospitals in the United States. Wireless networking is one of several recent advances that have increased hospitals' ability to use IV safety systems to improve medication safety. Sharp HealthCare in San Diego, California, installed IV infusion safety systems in five acute care hospitals totaling more than 1,400 beds, and then added wireless data transfer to optimize system use and maximize safety benefits. Staff at Sharp has confidence that the IV safety systems with wireless connections have reduced harmful events associated with IV drug infusions and have provided tremendous insight into the administration of IV drugs.
A major risk associated with PCA delivery of narcotics is the potential for respiratory depression from over-sedation. As shown in Table 3, continuous respiratory monitoring includes both pulse oximetry (SpO2) and capnography (EtCO2). PCA therapy is an effective method of titrating pain therapy but also potentially unforgiving if errors occur or patient status changes. With any new technology, a "culture of safety" and collaborative environment is needed to gain acceptance by users and for them to acquire comfort in its use (Williams & Maddox, 2004). In selecting an infusion safety system, it is important to select a platform that can incorporate future developments. Smart IV systems can be the "canary in the mine" to identify where nursing workload issues exist and to target quality improvement to patient safety, best practices, and nursing satisfaction.
Wireless networking and pain management systems, including PCA with capnography and pulse oximetry, further demonstrate the ability of "smart" infusion safety technology to help hospitals avert errors and undesirable outcomes and to quickly identify opportunities to improve best practices with regard to medications associated with the greatest risk of harm — IV medication errors at the point of care. Alabama Unemployment Weekly Claims - File Unemployment - After you are determined as eligible to receive unemployment benefits, you will have to proceed to step 2. How To Extend An Exhausted Unemployment Claim In Alabama - How to Extend an Exhausted Unemployment Claim in Alabama.
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One opportunity to use QI is via systematic and structured reflection on the quality of clinical care.


Perhaps the most salient impediment to successful conferences is their association with a culture of blame, bullying, and disrespect. A change in culture will require adjusting expectations to understand that medical errors are not an anomaly.
When a patient dies as a result of negligence, it may be the basis for a wrongful death lawsuit. Some examples include death due to anesthesia error during surgery, death due to defective products, death due to automobile accidents, death due to criminal behavior, death due to medication errors and death occurring as a result of nursing home malpractice. Due to the highly technical nature of medical malpractice litigation, it is usually best to retain an attorney who specializes in medical malpractice law, and who has the resources necessary to develop your case, hire appropriate experts and, if necessary, take your case to trial. The transmission and receipt of information contained on this website, in whole or in part, or communication with David Dowling or Dean Piermattei via the Internet, fax or e-mail through this website will be treated in a confidential manner. None of the information on this site is intended to be formal legal advice, nor the formation of a lawyer or attorney client relationship.
Results show that nurses strongly prefer using the infusion safety system over their previous IV pumps.
Nursing administrators felt that implementation of the IV safety system and the resulting CQI data on averted errors allowed cultural change to be introduced in incremental steps, as nurses saw the impact of this technology on medication errors (Steingass 2004).
During beta testing at Vanderbilt University Medical Center (631 beds), nurses reported that trauma patients transferred from the ICU often required a prolonged period to become responsive enough to start rehabilitative therapy.?As a result of smart system CQI data analysis, "titrate to sedation" was replaced by titration to a specific scale. At Children's Hospital of San Diego, chronogram analysis (Figure 1) led to highly targeted practice improvement initiatives to address peak times for medication errors. Wireless networks can link individual infusion devices to a central server, allowing CQI teams to obtain data for process improvement efforts and to update the software quickly. Analysis of CQI data shows that there were at least 13 harmful events avoided in 2 months at a single hospital (Table 2). In addition, researchers note that unnecessary variations in treatment should be minimized and greater standardization should be used in IV medication therapy to improve patient safety.
Nonetheless, analgesics-narcotics (Nebeker, 2005) and PCA therapy are associated with significant hazards (ISMP, 2002, 2003, 2005; JCAHO, 2004).
The safety system includes pulse oximetry and capnography with PCA modules on a single platform with a common interface. Showing staff actual errors made at their institution can help increase awareness for the need to create a "culture of safety" and to avert high-risk medication errors. Use of human factors design principles to make devices user-friendly is critical (Leape, 2005).
These factors act synergistically and ideally position this medication safety system to function as an "information hub," capable of integrating future innovative technologies and data — which holds the potential of further improvements in patient and medication safety (Billman, 2004). Prior to this position, Vanderveen was the director of clinical affairs, Medication Management Systems, for ALARIS Medical Systems.
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Given the patient’s significant improvement in function on opioids, but history of aberrant use, he receives weekly refills from his addiction psychiatrist. Only a handful of academic institutions have incorporated some type of M&M-like experience.
In the Psychiatry Milestone Project, recently implemented by the ACGME, residency training directors are asked to assess resident proficiency and advancement during training in these areas. Unfortunately, these still permeate much of the medical field.6,18 Leape19 described this dysfunctional culture as “a substantial barrier to progress in patient safety,” inhibiting collegiality and cooperation, decreasing communication, undermining morale, and hindering compliance with and implementation of new practices.
Instead, they are an inevitable result of imperfect humans performing clinical duties, even when operating to the best of their abilities. The case must contain certain elements, which an experienced personal injury lawyer can identify if present.
Please contact David Dowling or Dean Piermattei at our law firm for information regarding your particular case.
Units were closed during shift change, and the timing of several elective activities was changed to reduce distractions. Early CQI data indicated that the benefits of the system far outweighed any additional cost.
Networking can accelerate best practice and process improvements and provide insight into the usability of the equipment and the general practices associated with IV drug infusions (Pratt, 2004). Researchers felt that in any of these 13 cases, if the clinician had walked away after the infusion were started, there is little doubt the patient would have had an adverse event.
The safety software in the IV medication safety systems not only helps avert high-risk medication errors but also enables this standardization. MEDMARX and USP Medication Errors Report data from September 1, 1998, through August 31, 2003, shows that when PCA pumps are involved in medication errors, the chance for patient harm increases more than 3.5 times (USP, 2004). Even correctly programmed doses of opiates can suppress respiration and decrease heart rate and blood pressure (ISMP, 2003).


Although earlier capnography devices were cumbersome and limited to the peri-operative and intensive care units, the newer technology is both user- and caregiver-friendly. Although suboptimal, no adequate supervised housing was available following a recent inpatient admission.
In 2009, Goldman et al1 found only 9 reports in the literature over the past 40 years of psychiatric M&M endeavors. 2016 Fee Schedule Survey: Physicians Practice's annual survey is a national examination of how much physicians are paid for common services by payers. CQI data and regular checks using direct observation show 98% to 100% compliance for nurses using the safety software for programming.
Staff feels that infusion safety technology is needed to protect both patients and nurses against critical errors at the point of care (Graham, 2004).
Since these changes, pump alerts are much less frequent and all of the former error peaks have been eliminated (Billman, 2004).
This eliminated at least three steps in the medication process, multiple calculations, and multiple opportunities for error, thereby improving the safety and timeliness of heparin administration. Most events involved drugs that could cause clinically significant hemodynamic changes within minutes. Regular analysis of IV safety system data provides insight into avoiding harm, determining where learning needs exist with respect to IV medication safety, and to better understanding of current practices in the administration of continuous IV drug infusions (Pratt, 2004).
Smart systems that were previously available for general-purpose IV pumps now can provide the same functionalities for PCA. As a result, capnography can now be used to monitor non-intubated patients in general nursing areas.
Experience has shown that despite care in programming of PCA devices and clinician second checks, a surprising number of errors were prevented in the first weeks of use.
In 1996, IVAC Medical Systems merged with IMED Corporation to form ALARIS Medical Systems, and in 2004 the company merged again with Cardinal Health, becoming the Alaris® Products business division of Cardinal Health.
An intravenous medication safety system: preventing high-risk medication errors at the point of care.
Correcting risk of harm from IV medication errors: explore safety, financial, and community benefits. On transfer back to the inpatient psychiatric unit, psychiatric nursing discovers he has significant hypotension, and immediately calls a rapid response.
He presented to the outpatient office appearing sweaty, anxious, and admitting to alcohol relapse. It will also look at the affect the shift to value-based compensation has had on their practice, MACRA, and more. Implementation of the system was felt to demonstrate the hospital's commitment to nurses and to give SJCHS an edge in nursing retention and recruitment (Fields & Peterman, 2005).
The system allowed staff to discover that, if IV drug labels were reformulated to include the total volume and amount of drug, nursing staff would be able to program the system more easily and deliver the correct dose of medication (Williams & Maddox, 2005). Error prevention data allows the hospital to demonstrate to the community their improvements in medication safety and commitment to quality patient care (Shingler, 2004). Physiologic changes caused by heparin and insulin infusions could easily go undetected until they became clinically severe, for example, gastrointestinal hemorrhage or severe hypoglycemia.
Averting PCA-related programming errors is important; however, with PCA, these are not the only potential cause of harm. Continuous pulse oximetry and capnography may allow clinicians to identify undiagnosed conditions that predispose patients to respiratory complications from PCA narcotic delivery (Maddox & Williams, 2004). From 1972 to1983 Vanderveen was on the faculty of the College of Pharmacy at Medical University of South Carolina and was director of the Division of Clinical Pharmacy.
He was walked to the emergency department, where he was found to be in diabetic ketoacidosis (DKA). Feedback from the safety software prompting the clinician to make a correction avoided these adverse effects (Pratt, 2004). He also had a faculty appointment in the College of Medicine and was on staff at the Charleston VA Hospital. Effect of smart infusion pumps on medication errors related to infusion device programming.
Vanderveen's clinical practice was in nutritional support, and he co-founded one of the first multidisciplinary nutrition support teams. Find out in our annual salary survey and compare yourself to your peers locally and nationally.
During his academic tenure, his interests were closely tied to drug therapy in patients receiving parenteral and enteral nutrition.
Vanderveen received his BS and MS degrees from Purdue University School of Pharmacy and his PharmD degree from the Medical University of South Carolina.



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