Methods
Design and setting
We performed a longitudinal retrospective patient record review study in 21 randomly sampled hospitals in 2004, and 20 in 2008 out of the total of 93 Dutch hospitals. Eight hospitals were studied in both years. Both samples were stratified for hospital type, university, tertiary teaching and general hospitals, and a proper representation of both urban and rural settings in the samples were verified. Tertiary teaching hospitals in The Netherlands provide specialised care and train doctors. The level of care given is between that given in a university hospital and in a general hospital. Generally speaking, university hospitals and, to some extent, tertiary teaching hospitals tend to treat more complex patients
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Below are the sections of our review form concerning these preparatory questions as well as the final judgement.
Causation, preparatory questions:
Is there a note in the medical record indicating that a healthcare professional, or healthcare management, caused the injury? (No/Yes/Not applicable)
Is there a note in the medical record suggesting the possibility of an unintended injury from the patient's disease? (No/Yes/Not applicable)
Does the timing of events suggest that the injury is related to the treatment? (Likely/Possibly/Unlikely/Not applicable)
Does the timing of events suggest that the injury was related to the lack of treatment? (Likely/Possibly/Unlikely/Not applicable)
Are there other reasonable explanations for the cause of the unintended injury? (No/Yes/Possibly/Not applicable)
Was there an opportunity prior to the occurrence of the injury for intervention which might have prevented it? (No/Yes/Possibly/Not applicable)
Is lack of treatment or delayed treatment a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not applicable)
Is the lack of diagnosis or delayed diagnosis a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not applicable)
Is the treatment given to the patient a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not
This condition is diagnosed with a physical exam. During the exam your health care provider will determine how severe the injury is and the best way to treat it. X-rays may be done to check for damage to the
All incidences of injury should be reported, promptly and correctly managed, in a compassionate way. This should be followed by a root cause analysis and an action plan to prevent recurrence which may include retraining staff, and providing necessary equipment among others. Care is offered free of charge to all staff whether paid or unpaid staff as long as they are working at the health facility.
A medical opinion is required to label if an injury is non-accidental or accidental. For example, an injury may result from a fall but it may not be clear whether the fall was the result of a push or an accidental trip. However, there are some clear
So they didn't know much about injures. If they thought it was an actual serious injure as in you'd
The hospital and physician were both found to be negligent. Elements of negligence are (injuryclaimcoach, 2017):
The first key issue was to determine whether PVYW 's injuries were inflicted during the course of her employment or not. Since PVYW's injuries were inflicted on a work trip and also that PVYW had taken the evening off on the day of her injuries and wasn't actually working, the question arises that whether the time period in which PVYW's injuries were incurred should be considered as an
Her physical exam was notable for a blood pressure of 105/56 mmHg, pulse of 87 beats/min, temperature of 37.7 C, respiratory rate of 20/min, and oxygen saturation of 100% on the ventilator. Her secondary survey revealed unequal pupils with discordant reactivity. Her right pupil was 8 mm and non-reactive to light and her left pupil was 3 mm and reactive to light. Ominously, she was noted to have decerebrate posturing (indicating severe brain damage) of both the upper and lower extremities bilaterally. On further examination, a five cm laceration to the right lower anterior thigh was identified and repaired. Her Focused Assessment Sonogram for Trauma (FAST) exam was negative.
The patient is a 50 year old male construction worker who sustained a work-related injury while lifting heavy boxes of metals. In an office visit dated 12/14/13, patient complaints of intermittent severe low back pain which radiates to bilateral lower extremities. The claimant had an epidural injection, which significantly alleviated right leg pain for a short period of time. Unfortunately pain has returned. It is in the right leg as well as severe pain in the lower back. The claimant wishes to consider surgical intervention due to severity of pain. Objective examination reveals weakness in the right extensor halucis longus and anterior tibialis which are 4+/5. The claimant has diminished sensation along the dorsum of right foot. The claimant has a positive straight leg raise.
I met Mr. Russell at the office of Covenant Occupational Medicine on 11/21/16. Mr. Russell reports his pain level at time is a 1 since stopping the work hardening program. When he is standing and walking for a period of time it will increase. He still has some numbness to his feet. The MRI showed a L4/L5 annular tear. There is no nerve root impingement. Dr. Zhang said there is no way to tell if the annular tear is old or new. He wants Mr. Russell to be seen by a Neurosurgeon. Dr. Zhang does not feel it is surgical but the doctor may have treatment suggestions.
My diagnosis for the patients injury is medial tibial stress syndrome. I believe this due to the positive special test and the palpation’s. The compression test was positive with pain on the medial distal one third of the tibia. The fulcrum test was the most positive out of the two with the patient pulling back from pain. Also with the palpation's, he had point tenderness over the medial distal one third of the tibia (1985).
The night of Mr O’Brien’s fall he had 3 bottles of wine but on average usually drinks 5. When leaving the RSL club Mr O’Brien suffered from a fall which caused a laceration on his left elbow which currently has 3 stiches and is covered with a simple dressing, when asked about the level of pain he was experiencing he replied with a 9 out of 10, when checked during the interview his wound was bleeding. His vital signs were taken the next morning at 0500 and they were: Blood pressure 120/60mmHg, Pulse 50 Beats/minute, temperature 37c and respiratory rate 14breaths per minute. At 1005 the same morning his vitals were taken again they were: Blood pressure 150/70mmHg, Pulse 110 Beats/minute, temperature 37.1c and respiratory rate 24 breaths per minute. Mr O’Brien has had previous
In order to properly diagnose this type of injury, Dr. Erik Nilssen and his medical staff take several things into consideration, including the patient’s:
In this case, the accident is the proximate cause of Mrs. Smith’s injuries and the medical providers are the intervening cause, as their breach of duty exacerbated Mrs. Smith’s injury to the point of permanent disability and disfigurement.
Given medical personnel being on hand, he would have been assessed on the spot and given the medical attention he needed. Because any type of injury is foreseeable during contact sport and the lack of medical care on hand, there is a proximate cause for Jim’s injuries thus fulfilling the third element of
Information was obtained from the patient involving his accident and a brief medical/ health history that indicated no concerns; yet a diagnosis of tetanus was rendered and the patient was treated with medications. At the end of treatment, the patient showed no signs of symptoms.