Tuesday, November 6, 2012

preventing medical error


Medical Errors, Adverse Events, and Patient Safety
By George Lundberg, MD, Editor-at-Large, MedPage Today
Published: November 05, 2012



Hello and Welcome. I'm Dr. George Lundberg

Promoting patient safety, preventing medical error, preventing physician error, preventing errors in diagnosis, preventing nurse error, preventing surgical error, preventing communication error, preventing health illiteracy error, preventing errors from language barriers, preventing laboratory error, preventing computer error, preventing patient mix-ups, preventing right and left side of body mix-ups, preventing mistakes, since mistakes are the stepping stones to failure.

Recognizing human frailty, recognizing physician humanity, recognizing system fallibility, owning up to problems, eliminating cover-up, acting out professionalism, recognizing that professionalism means self governance, individually and as groups.

Self criticism, peer criticism, a culture of peer review, honesty, truth, disclosure, fairness, and negotiated settlements.

Objective evaluation and commitment to quality. Quality improvement by preventing error. Systematic error, systematic prevention of error. An error caught before an action is taken based upon that error is, in effect, not an error.

These are the fundamental truths that the patient safety movement is all about.

A system is a regularly interacting or interdependent group of items forming a unified whole, a group of interactive bodies under the influence of related forces. Every organized effort is a subsystem within a set of interactive systems. Systems must include purpose, direction, plans, goals, and feedback loops. In theory, every loop should be closed.

Since the patient safety movement burst upon the scene some 20 years ago, the literature representing the body of work about patient safety has burgeoned. Academic knowledge has ballooned.

However, sad to say, improvement in documented actual patient safety has lagged grotesquely. Part of that retardation can be blamed upon a continuing culture of cover-up.

Since it is the safety of patients and not the management of risks for the medical system and its players that this is all about, I am heartened by the recently reported proposal that a regular system be established to encourage patients to report adverse events, said to affect 25% of all hospitalized patients .

This is one more process piece that could help begin to turn this large, recalcitrant, omnipresent problem around.

That's my opinion. I'm Dr. George Lundberg


George Lundberg,

Dr. Lundberg is known worldwide as a leader in medical communications. His editorial work is marked by his distinguished 17-year stint as Editor-in-Chief of the Journal of the American Medical Association (JAMA) and its Archives publications. Most recently he served as Editor-in-Chief of The Medscape Journal of Medicine, the original open-access general medical journal, and Editor-in-Chief of eMedicine at WebMD. He also serves as president of the Lundberg Institute, and is a consulting professor of pathology and health research policy at Stanford University School of Medicine. He is a member of the Institute of Medicine (IOM) and serves on the Board of Directors of the Friends of the National Library of Medicine.

Mindray Medical Announces Top Management Change


Mindray Medical Announces Top Management Change
By Mindray Medical International Limited
Published: Monday, Nov. 5, 2012 - 2:07 pm
SHENZHEN, China, Nov. 5, 2012 -- /PRNewswire-FirstCall/ ­‑‑ Mindray Medical International Limited (NYSE: MR), a leading developer, manufacturer and marketer of medical devices worldwide, today announced that Mr. Xu Hang has resigned from his co-chief executive officer (co-CEO) position effective immediately, but will continue to serve as Mindray's chairman. Mr. Li Xiting, Mindray's president and co-CEO, has been appointed as CEO by the company's board of directors. He will continue to serve as president.

A key founding member of Mindray, Mr. Li has served as the company's director, president and co-CEO since 1991. He will continue to oversee Mindray's business operations and overall management. Mr. Li received his bachelor's degree from the University of Science and Technology of China.

"The board and I believe that separating the roles of chairman and CEO will strengthen the company's corporate governance, a necessary new structure to support Mindray's long-term prosperity," Mr. Xu commented. "I am very pleased that Mr. Li will continue to lead the company. I strongly believe that under his leadership, Mindray will execute its strategies successfully and be able to further accelerate its growth and expansion."

"Since Mindray's inception 21 years ago, Mr. Xu's outstanding vision and dedication have been instrumental to our success and to our transformation from a local Chinese medical device company to a publicly traded, internationally recognized corporation. We want to thank him for his significant contributions to the organization," Mr. Li commented. "I am very pleased that he will remain as our chairman and help our company make strategic decisions in the future. I am also much honored to be appointed as Mindray's president and CEO and look forward to continuing to lead the company to the next level."

About Mindray

We are a leading developer, manufacturer and marketer of medical devices worldwide. We maintain our global headquarters in Shenzhen, China, U.S. headquarters in Mahwah, New Jersey and multiple sales offices in major international markets. From our main manufacturing and engineering base in China, we supply through our worldwide distribution network a broad range of products across three primary business segments, namely patient monitoring and life support, in-vitro diagnostic, and medical imaging systems. For more information, please visit http://ir.mindray.com.

For investor and media inquiries, please contact:

In the U.S:

Hoki Luk Western Bridge, LLC Tel: +1-646-808-9150 Email:     hoki.luk@westernbridgegroup.com

In China:

Cathy Gao Mindray Medical International Limited Tel: +86-755-8188-8023 Email:     cathy.gao@mindray.com

SOURCE Mindray Medical International Limited


medical examiner's office says


PITTSBURGH –  The medical examiner's office says a 2-year-old boy who died in the Pittsburgh zoo's African wild dog exhibit bled to death after he was mauled by the animals.

Police and officials at the Pittsburgh Zoo and PPG Aquarium are continuing to investigate the death of Maddox Derkosh, which happened Sunday after he fell from a wooden railing overlooking the painted dogs exhibit.

The Whitehall boy's funeral is Friday and his parents are asking friends, relatives and other mourners to donate toy construction trucks in the boy's name, which will be given to a Christmas children's charity.

The Allegheny County Medical Examiner has yet to rule on the manner of the boy's death — that is, whether it was an accident or not — until police determine whether anyone will be charged.

The boy's family has not commented.

Medical marijuana, other issues on Ark. ballot

Medical marijuana, other issues on Ark. ballot

LITTLE ROCK, Ark. (AP) — Arkansas could continue to see a culture shift in the state, with voters now considering a medical marijuana measure.

Voters in 2006 lifted a constitutional prohibition against charitable bingo. And two years later, they authorized a state lottery. Now they could allow patients with certain medical conditions to buy marijuana to ease their symptoms.

If the plan passes, Arkansas would be the first state in the South to legalize medical marijuana.

Patients with cancer, glaucoma, HIV, AIDS and Alzheimer's disease could obtain marijuana from nonprofit dispensaries. They could also grow their own if they live too far from an outlet.

Voters will also consider a sales tax for highways and bonding authority for local development projects.

Polls open at 7:30 a.m. and close at 7:30 p.m.

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