Articles Posted in Medical Negligence

Yesterday I wrote about the decrease in the number of medical malpractice case filings since the new law requiring pre-suit notice and a certificate of good faith went into effect October 1,2008.    As I mentioned, the total number of medical malpractice lawsuits filed for the one-year period ending September 30, 2010 was 313.

Tennessee has approximately 6,100,000 people.  Assuming that there was a single plaintiff in each case (which is almost always true except for loss of consortium claims in injury cases) simple math tells us that there was one claim filed for every 20,000 Tennesseans.

There are 137 hospitals in the state with about 20,000 hospital beds.  There are 317 nursing homes with 36,276 beds.  There are about 18,560 non-federal licensed physicians. There are also almost 62,000 registered nurses.    There are 954 physicians’ assistants, 4853 nurse practitioners and 4,196 dentists.  Each of these providers is a potential defendant in a malpractice case.   Add to this some number of x-ray techs, ambulance drivers, etc.

The preliminary numbers are in for 2010 and demonstrate that the statute providing for the giving of notice and filing a certificate of good faith has dramatically decreased the number of medical malpractice filings in Tennessee.  The new law came in to effect on October 1, 2008 and was modified effective July 1, 2009.

You may remember that for the 12-month period ending September 30, 2008, 644  medical malpractice lawsuits were filed in Tennessee.   A whooping 140 of those were filed in September 2008, some of which were filed  as lawyers took action to avoid the burden and risks of filing cases under the new law.  

 For the year ending September 30, 2009,  the first year that the new law was in effect, available data indicates that only 263 medical malpractice lawsuits had been filed.  Because  there were a larger-than-usual number of filings before the new law came into effect,  it is fair to say that filings were lower than one would expect in an ordinary year.

This is Part 4 of my report on medical malpractice filings in Tennessee for 2010.  (Here is Part 1, Part 2, and Part 3.) Today, I examine the county where I live, Williamson County.    

Williamson County, Tennessee is on the southern border of Davidson County, which is the home of our state capital, Nashville.  In 2010 Williamson County had 180,891 residents.  Almost 90 percent of those residents were white and about 5% of them were African-American.  The average household income was almost $122,000 per year and the per capita annual income was about $42,000.    Over 56% of the people in the county have attained at least one college degree.

Williamson Medical Center is a 185-bed hospital in Franklin.  It provides comprehensive inpatient and outpatient care.  It has an active emergency room and has physicians on-staff in some 36 specialties.

This is Part 3 of my report on medical malpractice case filings in Tennessee.  (Click to read Part 1 and Part 2.)  Here are the case filings for some of the larger counties in the state for the year ended September 30, 2010:

 

County                                                          

Shelby                         88                                   

The preliminary numbers are in for 2010 and demonstrate that the statute providing for the giving of notice and filing a certificate of good faith has dramatically decreased the number of medical malpractice filings in Tennessee.  The new law came in to effect on October 1, 2008 and was modified effective July 1, 2009.

You may remember that for the 12-month period ending September 30, 2008, 644  medical malpractice lawsuits were filed in Tennessee.   A whooping 140 of those were filed in September 2008, some of which were filed  as lawyers took action to avoid the burden and risks of filing cases under the new law.  

 For the year ending September 30, 2009,  the first year that the new law was in effect, available data indicates that only 263 medical malpractice lawsuits had been filed.  Because  there were a larger-than-usual number of filings before the new law came into effect,  it is fair to say that filings were lower than one would expect in an ordinary year.

This article from Newsweek reveals some interesting information on medical errors.

An excerpt:

Undoing a culture is hard, especially one steeped in hierarchy and intimidation, where doctors tend to reign supreme and nurses, pharmacists, and technicians fall into the ranks below. “What underlies it is arrogance,” says Pronovost, an anesthesiologist and director of Hopkins’s Quality and Safety Research Group. In his book he describes a run-in with a surgeon who refused to switch from latex to non-latex gloves during a hernia operation, despite Pronovost’s concern that the patient was having a potentially fatal latex-allergy reaction. It was only after a nurse picked up the phone to call the hospital president that the surgeon relented. “This patient,” Pronovost writes, “could have died from ignorance and arrogance—a lethal combination.”

This article from NPR caught my eye.  Rep. Tom Price (R-GA), a physician, said recently on the House Republican website America Speaking Out that the tab runs "an astounding $650 billion each year. That’s 26 percent of all money spent on health care."  

As the article notes, 

 a series of studies published in the current issue of the policy journal Health Affairs suggests that number is not only dramatically too high, but that most of the popular proposals for addressing the medical malpractice problem — particularly capping damages for "pain and suffering" would do little to reduce the practice of defensive medicine.

If you have a potential claim for professional misconduct against a therapist for sexually abusing or inappropriately touching a patient, don’t forget that Tennessee has a special act for such torts. 

The act is known as the "Therapist Sexual Misconduct Victims Compensation Act."  It is codified at T.C.A. Section 29-26-201 et seq.  

Under the Act a therapist is "any person who performs therapy regardless of whether the person is licensed by the state."

The government of Thailand wants to have a scheme to compensate victims of medical malpractice. Many Thai doctors are opposed to the law.  Here is an argument made by the physicians, as reported in Taiwan News:

It means our staff would have to be extra careful during work, which would decrease efficiency," said Somkid Auapisithwong of Thai Federation of Doctors, Main Hospitals and General Hospitals, which looks after the interests of medical practitioners in state hospitals. "We’re already very stretched. Some of our nurses have to work almost 365 days. This would add more stress to our staff. They would have to be extra careful with all sorts of risks  and this will hinder their work.

Thanks to Torts Prof for informing me about this article.

A recent study gives yet another reason of why it is difficult for a plaintiff to win a medical malpractice case in Nashville.

MTSU’s Business and Economic Research Center has released a study that states that puts health care industry’s annual economic impact in Nashville at $30 billion. That represents  an increase of 60 percent since 2004.  The number of jobs in teh Nashville MSA directly tied to the health care industry has grown from 94,000 to more than 110,000.

The study reports that "[m]ore than 56 major health care companies (public and private) have chosen Nashville as their home, and seven of the nation’s 12 leading for-profit acute care hospital companies are located in Nashville, controlling more than one-third of the investor-owned hospitals in the United States."

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