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Repair of Surgical Errors?

Hello,

i have a question about repair of surgical errors ….i understand that iatrogenic laceration should not be paid separately ….. but i have two questions:

1. what if it was a colectomy surgery, and there was extensive adhesions …. while doing adhesiolysis, a laceration of intestine happened and the doctor repaired it, should i code the repair? I mean it the laceration happened due to the adhesions not due to the doctor’s fault ……

2. if another specialty was called to fix the laceration, for example: an abdominoperineal resection operation, during dissection iatrogenic small
injury of the urethra, urology team was called, and it was repaired……….. should i code the repair?

i would appreciate your help

Thank you

Medical Billing and Coding Forum

Repair of Surgical Errors?

Hello,

i have a question about repair of surgical errors ….i understand that iatrogenic laceration should not be paid separately ….. but i have two questions:

1. what if it was a colectomy surgery, and there was extensive adhesions …. while doing adhesiolysis, a laceration of intestine happened and the doctor repaired it, should i code the repair? I mean it the laceration happened due to the adhesions not due to the doctor’s fault ……

2. if another specialty was called to fix the laceration, for example: an abdominoperineal resection operation, during dissection iatrogenic small
injury of the urethra, urology team was called, and it was repaired……….. should i code the repair?

i would appreciate your help

Thank you

Medical Billing and Coding Forum

Medical Errors ? Precautions that Prevent Medical Errors in Healthcare!

 

Medical errors are killing some 100,000 Americans every year. Anyone can easily determine by seeing through this figure of death toll, that if the most developed country of the world is going through such health crisis, then what healthcare and safety problems world is facing. Especially the developing countries all over the world, who don’t have resources and the education to get rid of these preventable medical errors. This precise and targeted information will surely create a lease of hope for the people globally.

To err is human, to forgive is divine. While this may apply in general, forgiving, forgetting or ignoring errors in medicine isn’t acceptable, since consequences could be disastrous.

Errors in medicine, then, are evidence that something has gone wrong in patient and community healthcare and that something has caused harm and should be prevented and corrected.

A medical error is a product of various “external” circumstances, including the environment, working conditions, and pressures, rapidly evolving technology; and managerial, administrative, or system functioning.

Medical errors are not limited to diagnosis or treatment decisions. They may occur at any stage of medical work: assessing the risk of disease, understanding its causes, and effectiveness of intervention to prevent or cure or otherwise control health problem or its prognosis at an individual or at community level.

The biggest cause of medical errors is LACK of Awareness

The greatest barrier to improving patient safety is a lack of awareness of the extent to which medical errors occur in all health care organizations.
It is difficult to remedy problems that are not known to exist.
This lack of awareness occurs because, in most cases, errors are not reported.
Reporting of errors should be developed in six stages as a culture for their recognition, acknowledgement, recording, reporting, analysis and a reflective response within a just and flexible learning environment.

How can anyone help protect himself against medical errors?

The distinct way to prevent medical errors is to be an active member of your health care treatment which means to take part in every decision about your health care. Research shows that patients who are more involved with their care tend to get better results. Here are some BE-SAFE tips which strengthen the prevention measures of medical errors;

Beware, Be Cautious and Be Careful

Errors do happen. You are the best link in preventing medical and medication errors. Be alert: Pause, Ask, Question and Confirm before opting for any medical or health care problem.

Education is a Must!

Before you need health care or hospital services, seek information and tips about health care. Learn the basics of error prevention in case of an emergency. Learn about your illness or injury. Use health care community services or professional organizations to become educated about your condition. Talk to your doctor or health care professional about your treatments and tests.

Speak up for yourself

Tell your doctor, your nurse, or any person giving you medicine about your allergies. Tell your doctor and health care workers about your medical history, illnesses, surgeries and injuries. Make a written list of all your medicines, vitamins, herbs and supplements. List the amounts of medicines you take and the times that you take them. Bring the list with you when you receive health care or hospital services. Keep the list current.

Act promptly, when there is a need!

Take action. If something is out of place, take steps to stop or fix the situation. If the situation is not resolved, ask other professionals. If something seems unusual about your medication or medical procedure/ treatment, take action. Ask your nurse, doctor or the pharmacist.

Facts and Side Effects, Know them for your Health & Safety

When undergoing surgery or a procedure or going into the hospital, get the facts about what to expect. Talk to your doctor about the details of what will happen and what are the side effects or complications you should watch out for. Know who and when to if something is wrong or suspicious happen.

Error-Free Environment, Your Contribution is Essential

Work with patient safety groups to help reduce medical errors. Help identify hidden dangers. Tell your doctor or health care professional if you see something that causes concern. You can help to prevent medical errors.

Conclusion and Recommendations!

Preventing medical errors is a pre-requisite for developing a safer healthcare system; the medical errors are not acceptable and cannot be tolerated any longer. Despite the cost pressures, accountability restraints, confrontation to change and other seemingly overwhelming barriers, it is simply not acceptable for patients to be harmed by the same healthcare system that is supposed to offer that assurance and security to public.

Recommendations are for the external environment to create sufficient pressure to make errors costly to healthcare organizations and providers, so they are compelled to take action to improve safety. At the same time there is a need to enhance knowledge and tools to improve safety and break down legal and cultural barriers that impede safety improvement.

Muhammad Saad Khan is a Research Analyst at Q2 Group. Q2 is specialized in medical credentialing, primary source verification, and medical license verification according to the standards of joint commission international. For more about medical errors and malpractice cases, please visit (http://medicallicenseverification.com).

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The Cost of Medical Errors and Medical Malpractice

Medical errors can be devastating to those affected by them. They can result in physical and emotional trauma that can severely impact an individual’s quality of life. Filing a claim against a negligent health care provider can offer some amount of financial relief to victims of malpractice; even if they may never experience the same lifestyle they had before.

Medical errors caused more than 2,500 avoidable deaths and 10 million days of lost work in 2008, according to a recent study conducted by the Society of Actuaries. Medical errors and associated problems cost the U.S. economy a total of $ 19.5 billion that year.

 

Types of Medical Errors

A medical error can occur under any circumstance when a health care provider is responsible for care or treatment of a patient. If the error is the result of negligence, then it may be medical malpractice. Some examples of situations where a medical error can occur include:

Surgery: Because many surgeries are complex and are used to treat serious medical conditions, medical errors can happen often. An error may be the result of medical malpractice in if a health care provider was negligent in any way.
Childbirth: Labor and delivery can become far more serious in some cases. The baby or mother can have problems during child birth resulting in injury to either one which may be due to negligence by health care providers.
Diagnosis of a disease or medical condition: Misdiagnosis can and does happen because doctors are only human. However, if a doctor fails to request the appropriate tests that another competent physician would deem necessary for diagnosis, it may be an instance of medical malpractice.
Prescribed medication: Some individuals are allergic to certain medications and, if taken along with other prescriptions, can result in serious harm to a patient. If the health care provider was not diligent in learning all medications the patient was currently taking, resulting in injury to the patient could be medical malpractice.

 

One way to reduce the likelihood that you become a victim of medical error is to stay informed. Research your health care providers to ensure they have a reputation for excellence. Before consenting to a procedure, ask questions and seek several opinions. However, even if you are diligent in your research, you can still be affected by medical error. If you think you have a medical malpractice claim, the best course of action is to consult an experienced medical malpractice attorney for advice on the next step to take.

If you are in the state of New York and you think you are the victim of medical negligence, please contact the office of Silberstein, Awad and Miklos, P.C.

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Prevention Of Medical Errors

We have all been to the hospital or seen a doctor at some point in our life and it is a very scary thought to consider that a doctor could make a mistake. Whether it is in surgery or during diagnostics a medical error can cost you your life and there are some things we can all do to prevent them. A lot of the responsibility however resides with us as patients to participate in our own care in order to make sure our physicians have all the necessary information to assist us.

When asked by a doctor about medications, vitamins or other supplements you might be taking be completely forthcoming and provide all of the information you can. If you have any allergies whatsoever or even had what could have been an allergic reaction mention it to your doctor. Even the most minor detail can influence the doctor’s overall diagnosis and therefore have an impact on your care.

For any and all major surgeries make sure that you have them at a hospital that specializes in this surgery and does it on a regular basis. Each hospital you visit has its own specialty be it cardiology or neurology. Doctors who perform surgeries more often or specialize in a specific type of medicine will practice at a hospital that has a reputation excelling in that area.

When you receive a prescription from a doctor make sure that you can read and understand what it says. If not verify with your doctor and then verify again with your pharmacist to ensure that receive the proper medication. Receiving the wrong medication happens more often than you might think and can result in allergic reactions and even death.

Do not be afraid to question doctors or other health-care workers about the quality of your care. If you are in doubt do not hesitate to question anyone giving you care whether or not they have washed their hands. You are not the only patient in a hospital and disease travels quite easily when your health-care providers do not wash their hands on a regular basis. It might seem rude but being astute and assertive truly can save your life.

Do not hesitate to inquire as to the nature or steps in a procedure if you do not understand something. Going along in silent agreement is not the best strategy when your life and health are at stake! The doctor has every obligation to outline methods and their consequences in providing your care. Your top priority in these situations is to stay informed and speak your mind at all times. Prevention of medical errors could be easy if you know what you are going to do.

A friend or family member can be absolutely indispensable when it comes to providing you with advocacy in a medical setting. An advocate will help you if you should be unable to speak up for yourself due to being unconscious or in too much pain. Make sure they are aware of your feelings about being resuscitated and other measures which may be taken to extend your life in a diminished capacity.

For more information, please visit: Prevention of medical errors.

prevention of medical errors

With that in mind let’s turn now back to the prevention of medical errors. This is a market that is exploding. A few short weeks ago I wrote an article, my second in this arena, that described nine products of this type. Two days ago I did a new Google search on this topic (okay, I was desperate for an article topic) and I found no fewer than 24 companies now offering these devices in the United States, Canada and England. Many of these devices are now being made in Taiwan and China and installed directly on the flash drives. They are coming in every shape, size and form but unfortunately with little or no functionality.

Yes, they all have some form of password protection and an emergency screen where basic information can be seen without the use of the password. They hold information such as living wills, organ donor cards, healthcare surrogate contracts, past medical histories, allergies, medications and a few hold greater levels of data. Two of them integrate with online personal health records but only one can import and export to electronic medical records.

None of these systems however have one basic piece that is required for credibility in the medical world. It is called change tracking and it is the ability for the healthcare professional reading the portable medical record to look at what changes have been made in the portable medical record and what existed in the record before the change was made. Change tracking is an internal audit of the system and ensures that there has been no tampering that could threaten a patient’s life.

This is truly something new and represents a second generation of portable medical record.

Where will this new medical device find a home?

As the water resistant or splash resistant USB devices these units are already finding a home on the wrists of scuba divers, sky divers, mountain bikers and others who enjoy high fun/ high risk sports.

But I envision a larger market. I envision a day when rather than receiving a flimsy paper wristband at the hospital or nursing home a patient has a portable medical record in a waterproof band around their wrist. When the nurse comes by with their wireless Tablet computer to chart she simply plugs the patient record band in and the records are immediately synchronized. The patient goes nowhere without their chart on their wrist.

When they go home the patient takes the band with them carrying the entire chart in miniature form. The hospital has its copy. The patient has their copy and their copy goes back to the doctor’s office.

In the event of an emergency the patient’s band is on their wrist and it does not matter what emergency room they go into, what EMS service picks them up all the important information is at the fingertips of those there to save their life.

I envision a day when my disaster medical assistance team (MDMS/DMAT-FL3) provides care in a Katrina like event after a natural disaster with subsequent flooding and places a USB flash drive wristband around the wrist of every evacuee. Information on federal assistance, registration for finding lost family members, their own personal information as well as a health record will travel with them from the moment of rescue until their final destination. If they already had a personal medical record on their wrist or in their pocket or around their neck as an independent we in the MDMS/DMAT-FL3 would be able to plug their device into our computers and upload the important information to help them recover their lives and help us treat their injuries.

This second generation of flash drive device holds tremendous promise not only for the transfer of information but even the prevention of medical errors by ensuring that the most basic information is in the hands of those who are making the most important decisions.

I am mohanchen read mathematics at Stanford and remained there for his MS. From 1998-1999 on researched in Evolution and in Animal Behavior in Camrbidge, UK. I was was then a professor in the departments of Anthropology and Biology, New Jersy College, USA. Now teaches at the department of Zoology. Carried out research in several areas of evolutionary biology, particularly in sexual selection and the comparative method.

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Infusion errors, instrument cleaning lead ECRI list of top tech hazards

The ECRI Institute published its annual list of the top 10 health technology hazards for the industry. Readers will note that several of the top hazards in 2017 are the same as those in 2016. To guide readers through the hazards, BOAQ spoke to several experts on each issue and about steps that can be taken to prevent it.

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Auditors Uncover Billing Errors in Hospitals

A doctor’s Hippocratic oath isn’t good enough for the Centers for Medicare & Medicaid Services (CMS); they need proof that every service a beneficiary receives is medically necessary. This proof comes in the form of diagnostic codes reported on claims, backed by observations documented by the doctor. Coding and documentation that don’t align can cost […]
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