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Saturday, July 26, 2008

Project Management Needed In Health Care

Health Information - Author Unknown

This is scary stuff, and I'm sure it has gotten worse since this was written.

The worlds most influential Medical Journal, 'The New England Journal of Medicine' has admitted that 50% of drug therapy reviews were written by researchers for undisclosed financial support from the drug pharmaceutical companies. This only represents those who admitted this breach of ethics. This is for the period 1997 to 1999. In 2002 some admitted to falsifying research results so as to be more favorable to drug company claims. This raises the question of medical integrity of lesser publications and the Medical Industry as a whole. Most lesser Medical Journals do not consider allowing the fox in the chicken coop as being an ethical problem. Some believe this is only the tip of the iceberg on how far pharmaceutical companies have gone in the control of academic research and publishing. (Feb 2000)

Eighty-seven percent of doctors who set guidelines on disease treatment have financial ties to the pharmaceutical industry. The 2002 study suggest the percentage is likely in the 90% range. It is the pharmaceutical companies who finance most of the nation's drug research.

MAJOR MEDICAL MYTH: Physicians have an ethical obligation to tell patients about significant medical errors when such disclosure would benefit the health of the patient, would show respect for the patient’s autonomy, or would be called for by principles of justice.

INFORMATION: Major faulty medical advice that has been widely communicated when proven in error only receives very minor public coverage. Statistics on systemic medical delivery problems are not recorded and communicated to the general public for correction. Hospital errors in the United States for example are estimated to be as high as 3,000,000 per year at a cost of 200 billion dollars.

Medical errors are the leading causes of death and injury in America according to the medical authorities in both Canada and the U.S.A. Health-care professionals cause 225,000 deaths per year in the United States. 12,000 from unnecessary surgery, 7,000 from medication errors, 20,000 from hospital error, 80,000 from infections acquired in hospital, 106,000 from non-error, adverse effects of drugs. Another 199,000 deaths are attributed to adverse effects in outpatient care. 2000 Journal of American Medical Association.

Only 50% of medical mistakes are even disclosed to the attending physician.

Only 25% of medical mistakes are ever disclosed to the customer, we the patient.

In 1998 in the United States 160,000 patients died because of adverse medical events.

Canada is estimated at 20,000 deaths per year because of medical errors. The Canadian Medical community admit that there are likely 4,000 to 10,000 die due to medical errors, more than are killed in automobile accidents.

Studies conducted record 100,000,000 people believe they were adversely affected by medical mistakes.

  • 42% were directly affected themselves, a family member or a friend

  • 40% site misdiagnosis and wrong treatment

  • 28% for medication errors

  • 22% for mistakes during a medical procedure

The largest 50% sited carelessness, improper training and poor communication.

My dad was the victim of several medical mistakes when he was in the hospital last year. He died at the hospice within hours of leaving the hospital.

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