Researchers at Brigham and Women’s Hospital (BWH) and the University of Michigan analyzed a program of full disclosure and compensation for medical errors and found a decrease in new claims for compensation (including lawsuits) and liability costs. The findings are published in the Aug. 17 issue of the Annals of Internal Medicine.While experts acknowledge that patients should be informed of medical errors, there is concern that a fear of increased litigation and costs may discourage proactive disclosure.“The need for full disclosure of harmful medical errors is driven by both ethics and patient safety concerns,” said lead study author Allen Kachalia, medical director of quality and safety at BWH and an assistant professor in the Department of Health Policy and Management at the Harvard School of Public Health. “However, because of fears that disclosing every medical error may lead to more malpractice claims and costs, disclosure may not happen as often and consistently as we would hope.”In 2001, the University of Michigan Health System (UMHS) launched a comprehensive claims-management program that centered on full disclosure with offers of compensation for medical errors. Under this model, UMHS proactively looked for medical errors, fully disclosed errors to patients, and offered compensation when at fault.Researchers conducted a before-and-after analysis to determine how the UMHS model affected claims and costs. Reviewing claims from 1995 to 2007, researchers found a decrease in new legal claims (including the number of lawsuits per month), time to claim resolution, and liability costs after implementation of the disclosure program.“The decrease in claims and costs may be attributed to a number or combination of factors,” says Kachalia. “We found a 61 percent decrease in spending at the UMHS on legal defense costs, and this supports the possibility that patients may be less likely to file lawsuits when given prompt transparency and an offer of compensation.”Researchers hope the study alleviates fears associated with disclosure and encourages efforts to disclose all harmful medical errors. The study was funded by the Blue Cross Blue Shield of Michigan Foundation.
Jon Rahm made two mistakes on the same hole on his way to a costly double-bogey at The Masters Jon Rahm saw his Masters hopes dealt an almighty blow after two uncharacteristic errors in consecutive shots during the third round at Augusta National. The Spaniard held a share of the lead at the halfway stage but had slipped four behind playing partner Dustin Johnson by the time they reached the par-five eighth, where Rahm hit a glorious drive down the right side of the fairway and had a great opportunity to reach the green in two.Few could have predicted what was to follow, as Rahm inexplicably topped his second shot with a fairway wood and seeing his ball barely get airborne, with his approach racing along the ground and over into the pines on the opposite side of the fairway. – Advertisement – – Advertisement – Get Sky Sports Golf for just £10 a month All four days of The Masters exclusively live. Get our £10 golf offer. Find out more here. – Advertisement – Jon Rahm looking for his first major victory at The Masters and aiming to become the fourth Spaniard to win at Augusta National; Rahm topped an approach shot and then hit a tree on his way to a double-bogey seven at par-five eighth By Sky Sports GolfLast Updated: 14/11/20 8:22pm
(ESPNCricinfo) – Younis Khan has been ruled out of Pakistan’s first Test against West Indies, with doctors advising 10 days of rest for him to regain his strength after recovering from a bout of dengue fever.“Younis has informed chief selector Inzamam-ul-Haq that he won’t be able to play the first Test,” a PCB spokesperson told ESPNcricinfo. “The selectors are yet to announce the squad, but it is confirmed that Younis will not take part in the opening game in Dubai. He asked for rest to be fully fit before his national selection since he has recently recovered from dengue.”Last month, the 38-year-old Younis contracted a high fever that was later diagnosed as the mosquito-borne disease dengue, for which he was treated in a Karachi hospital. This forced him to miss the first round of the Quaid-e-Azam Trophy, Pakistan’s premier first-class tournament. Doctors have advised Younis to extend his rest for another 10 days. He is expected to be available for the second Test in Abu Dhabi.Younis last missed a Test match in May 2011 – also against West Indies, coincidentally, in St Kitts – and has since featured in 41 successive matches, scoring 3839 runs in that period, at an average of 59.06. He is now Pakistan’s leading run-getter in Tests with 9 456 runs at 53.72, and in his last appearance scored 218 against England at The Oval.Pakistan will begin their three-match Test series with a pink-ball, day-night match at the Dubai International Stadium from October 13. The second Test begins on October 21 in Abu Dhabi, and the third in Sharjah on October 30.
HALIFAX – (NSElxn-Tories-Doctors)Progressive Conservative Leader Jamie Baillie has announced his plan to reduce doctor shortages in the province.Baillie says his government would spend $13.5 million over four years to recruit more physicians.But he made no firm commitments on how many doctors would be hired, both family doctors and specialists.(The Canadian Press)—(NSElxn-NDP-ER)The NDP in Nova Scotia are vowing to put an end to emergency department overcrowding if elected May 30.Leader Gary Burrill says the overcrowding has become unacceptable, and pointed to a union report that made 15 recommendations to improve the situation.Burrill says the NDP would implement all of the report’s recommendations, which include revisiting policies on staffing levels when overcrowding occurs.(The Canadian Press)—(NSElxn-Liberals-Pre-Primary)Nova Scotia’s Liberals chose to highlight a key promise in last week’s proposed budget on the fourth day of the election campaign — a plan to provide a pre-primary program.Premier Stephen McNeil said Wednesday that if elected on May 30, his plan is to begin the program this fall in 30 locations, mostly in existing schools.The program would involve 750 four-year-olds across the province.McNeil says it could mean cost savings of up to $10,000 a year for parents who would otherwise have to pay for child care.(The Canadian Press)—(NSElxn-Hospital-Funding-Tories)Tory Leader Jamie Baillie is sticking to his claim that he can get Ottawa to help fund the redevelopment of the Q-E II hospital complex in Halifax.Premier Stephen McNeil says he has tried but has been denied after being told that health care infrastructure is a provincial responsibility.But Baillie says money is available under the federal infrastructure program for medical research facilities.He says he will make the case that the Q-E II conducts a significant amount of research through its affiliation with Dalhousie University as a teaching hospital.(The Canadian Press)—(NSElxn-Younger-Quits)An Independent incumbent from the Halifax area has backed out of his Nova Scotia election race.Andrew Younger says he has withdrawn as a candidate for Dartmouth East for health reasons.Younger — a former Liberal cabinet minister — says a brief period of hospitalization last weekend identified a previously unknown health issue that requires his full attention.(The Canadian Press)—(N.S. Election Roundup by The Canadian Press)