Re: Brain damaged baby case (long)

From: Joe Cutchin (forcep@intercom.net)
Wed Mar 29 09:47:55 2006

Lynn: I'll bet that most of us have similar stories. Hospitals are little kingdoms unto themselves ,supported by a national and state hospital associations ,made legit by JACHO,herd MD's with hy-laws that the hospital uses for its own purposes,etc. Oh my, here I am getting cynical. Joe C

Lynn Montgomery, MD wrote:

> Now I am not advocating suing physicians, but let me play the devil’s
> advocate here based on my personal experience:
>
> -Current hospital setting without ANY quality assurance in the OB
> Section for eight years.
>
> -Two JCAHO inspections during that time and
> passed with flying colors.
>
> -Several previous hospitals with QA programs, but when deficiencies
> identified, no action is taken.
>
> -At least two instances where a significant problem was identified with
> patient management where the physician refused to respond to any inquiry
> on advice from his counsel – despite the supposed confidentiality of
> peer review. No action taken regarding the cases.
>
> -Two and now possibly three physicians with a literal stack of charts
> with untoward outcomes. QA recommendation that privileges be suspended
> pending additional training, etc, only to be laughed at by hospital
> counsel who state that we will all be sued and the suspension will not
> likely stand.
>
> So, given these issues, how are we supposed to accomplish “Physician
> police thy self”. And if we cannot police ourselves, which we have
> apparently shown we can’t; who is going to?
>
> It is easy to be critical of lawyers suing us, but I feel that we bear a
> good share of the responsibility by engendering a “good ole boys club”
> and rubber stamping our peer's practice patterns, whether appropriate or
> not – fearing that if we are critical of a peer's practice patterns, we
> may be next…
>
> I learned quality assurance from Bob Carpenter and Ray Kaufman and have
> been struggling my entire career to duplicate their approach, only to be
> met with frustration at every turn.
>
> Lynn
>

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