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Re: Brain damaged baby case (long)From: Seele, Mona (Mseele@tmh.tmc.edu)Wed Mar 29 11:38:38 2006
In the hospitals I have worked at it is the Physician Peer Review Committee who decides what actions are taken for a physician problem. When that Committee has had people with the gumption to do something, then something has been done; however, often the Committee is made up of "good old boys" who don't want to anger their peers who they might need to cover, consult or whatever so nothing is done. Whether or not Administration of the hospital pushes this Committee to do what is right depends upon that hospital's culture, but the bottom line is that the physician's peers are the ones deciding. Mona Seele, RN, MSN, CNS ________________________________ =0A=0D=0AFrom: ob-gyn-l@obgyn=2Enet [mailto:ob-gyn-l@obgyn=2Enet] On Behalf= Seele, RN, MSN, CNS ________________________________ Of doctorjoe@aol.com Sent: Wednesday, March 29, 2006 10:48 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Brain damaged baby case (long) Couple of observations: 1) With regard to suspending hospital privileges and that NOT standing up - that's ridiculous. The Semmelweis Society's entire agenda is trying to overcome the massively uneven playing field in favor OF THE HOSPITAL when a physician is canned. What might be operative here is a fear that the physician, when suing to get his privileges back, might actually uncover the woefully inadequate QA process and open up a plaintiffs' Pandora's box. 2) Hospital "defense" teams routinely stonewall and try to bury the information you've outlined from plaintiffs. They KNOW they're wrong (or at least that their doctors have screwed up, nothing's been done, etc.), yet they cover up those documents on purpose (which action SHOULD be sanctionable in court, if the judge doesn't look the other way) and it's an uphill climb for the plaintiff to prove the very facts which you've outlined below. You can be critical of plaintiff attorneys. But in cases like this, the "defense" attorneys are anything but honest or ethical. And you can bet the local news media would like that information, too. Action Reporter, come on down! Joe P. -----Original Message----- From: Lynn Montgomery, MD <apgar10@qwest.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Wed, 29 Mar 2006 10:35:58 -0600 Subject: Re: Brain damaged baby case (long) 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 ----------------------------------------- Methodist. Leading Medicine=2E =0D=0A=0D=0ANamed by FORTUNE magazine=92s =93100 Best Comp= ----------------------------------------- Methodist. Leaanies to Work For=94 in 2006=0D=0ANamed by U=2ES=2ENews & World Report as o= ----------------------------------------- Methodist. Leane of “America’s Best Hospitals” ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or its relevant affiliates and may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you.
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