scholarly journals Did we forget tetanus?

2009 ◽  
Vol 137 (7-8) ◽  
pp. 430-433 ◽  
Author(s):  
Djordje Alempijevic ◽  
Ivanka Baralic ◽  
Milosav Kiurski ◽  
Dragan Jecmenica ◽  
Snezana Pavlekic ◽  
...  
Keyword(s):  
Health Care ◽  
Surgical Treatment ◽  
Foreign Body ◽  
Health Care System ◽  
Medical Malpractice ◽  
Postmortem Examination ◽  
Postexposure Prophylaxis ◽  
Symptoms And Signs ◽  
Care System

Introduction. Currently, in our country (Republic of Serbia) tetanus is a rarely occurring disease, mainly affecting people older than 65 years of age. A small number of reported cases is mainly due to appropriate immunization. Therefore, each case of tetanus may be considered as failure of health care system to provide adequate immunization. Case outline. A 71-year-old woman was injured in her garden. She sustained laceration in the left coccygeal region. The next day the wound was treated by a surgeon, but tetanus postexposure prophylaxis was not administrated. On the fifth day following the incident, the symptoms and signs of tetanus became apparent, and the patient died two days later. Postmortem examination revealed the wound that was not adequately treated, since there was a foreign body and a dressing inserted in the wound. Signs of acute (aerobic) infection were also present. Conclusion. Tetanus is a severe, potentially lethal disease that is absolutely preventable. Mistakes in immunization and surgical treatment of the wound can be considered as medical malpractice.

Mediating Conflicts in the Medical Sector: General Considerations from the Italian Perspective

Global Jurist ◽  
2015 ◽  
Vol 15 (3) ◽  
Author(s):  
Grazia Mannozzi
Keyword(s):  
Health Care ◽  
Restorative Justice ◽  
Health Care System ◽  
Medical Malpractice ◽  
Statistical Data ◽  
Defensive Medicine ◽  
Criminal Cases ◽  
Medical Sector ◽  
Criminal Charges ◽  
Care System

AbstractThis paper focuses on the possibility of adopting a restorative justice approach and introducing mediation in dealing with conflicts that arise in the health care system due to medical malpractice. It moves from the observation that the steep increase in reported criminal cases (mainly negligent bodily injuries and negligent homicide) involving physicians has encouraged the development of “defensive medicine.” This is a questionable practice by which physicians and surgeons hope to avoid criminal charges or civil actions resulting from their professional behavior. After presenting the available statistical data on medical malpractice and on “defensive medicine” in Italy, this paper will seek to evaluate whether the introduction of mediation – which is allowed by the Italian Act 67/2014 – can delay the adoption of an attitude of defensive medicine and, in a wider perspective, discusses whether restorative justice and mediation in the health care system are feasible and desirable.

Both Symptom and Disease: Relating Medical Malpractice to Health-Care Costs

2012 ◽  
Vol 15 (3) ◽  
pp. 83-106 ◽  
Author(s):  
William M. Sage
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Medical Malpractice ◽  
Health Care Expenditures ◽  
Care Providers ◽  
Medical Spending ◽  
Defensive Responses ◽  
Tort System ◽  
Care System

Abstract Tort reformers blame the high cost of American health care on defensive responses to rampant medical malpractice litigation. Defenders of the tort system counter that holding health care providers liable for negligence improves safety and ensures compensation for injury. The relationship between medical malpractice and health care expenditures is more complex than either of these positions reflects. The existing medical malpractice system increases medical spending mainly because it has evolved in tandem with other inflationary features of the health care system and may make those features even more difficult to change. In other words, medical malpractice is both a symptom of a costly health care system and a costly disease in its own right.

Medical Malpractice and the US Health Care System

JAMA ◽  
2007 ◽  
Vol 297 (7) ◽  
pp. 748
Author(s):  
Gerard F. Anderson
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Malpractice ◽  
The Us ◽  
Care System

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

What is the best way to reform the U.S. health care system?

2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The U.S ◽  
Care System
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