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   Topics: Care Delivery | Legal / Regulatory / Risk Management | Patient Care &   
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   How hospitals' 'culture of secrecy' keeps error victims out of the loop    
   Providers monitor mistakes, but don't tell affected patients    
   November 13, 2015 | By Zack Budryk    
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   A "culture of secrecy" within healthcare often prevents the victims of medical   
   malpractice from getting the full picture, according to a report from   
   Cleveland-based ABC affiliate WEWS-TV.    
      
   While hospitals closely monitor medical errors, the nation's third-leading   
   cause of death, they seldom give patients and the public access to detailed   
   information about them. For example, when Donald Adanich, a dental implant   
   surgery patient, had medical    
   gauze he swallowed during the procedure left in his stomach for three weeks   
   last year, Adanich's wife, Lyn, told ABC neither of them were informed. She   
   found out independently when it was mentioned in her husband's VA medical   
   records, which were reviewed    
   when they sought a second opinion. Immediately after the surgery, Adanich   
   became sick, eventually dying last August, six months after the procedure.      
      
   The ABC report found that while hospitals must report any major disciplinary   
   actions against physicians to the National Practitioner Data Bank, 2,210 of   
   which were reported in Ohio last year, it is illegal to publicize the names of   
   the subjects or their    
   employers. "There's no way that the public can go online and find out that,   
   for example, the doctor you're thinking of asking to be your doctor has had   
   payments made 150 times in the last year," Maxwell Mehlman, director of the   
   Law-Medicine Center at    
   Case Western Reserve University, told ABC.    
      
        
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   This culture has become a hot topic against the backdrop of the ongoing   
   scandal within the Department of Veterans Affairs; a report from the   
   department's Office of Inspector General found that in 2012, the Cleveland VA   
   Medical Center was investigated for    
   up to 15 patient deaths tied to a single surgeon, who eventually resigned.   
   Mehlman said anxiety over lawsuits is one of the top factors in hospitals'   
   opaque approach, but noted that research has found an apology from providers   
   reduces the likelihood of    
   such a suit. The convoluted process of determining who is financially   
   responsible for medical errors is also a major factor, FierceHealthFinance   
   previously reported.    
      
   To learn more:    
   - read the report (autoplay video)    
      
   Related Articles:    
   Financial responsibility for hospital medical errors: No easy answers    
   Mass. hospitals rethink medical error response    
   Physician "culture of perfection" keeps medical errors high    
   Updated medical errors report shows progress    
   CA senator demands hospitals reduce rampant medical errors    
   Hospital medical errors now the third leading cause of death in the U.S.    
   5 ways the ACA may affect malpractice risk    
      
      
      
      
   http://www.fiercehealthcare.com/story/how-hospitals-culture-secr   
   cy-keeps-error-victims-out-loop/2015-11-13    
      
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