John T. James Ph..D A new estimate of patient harms: Journal of Patient Safety September 2013 – Volume 9 – Issue 3 – p 122 128 (Abstract see below): http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx
Book by same author John T. James Ph.D.
A sea of broken hearts Patients Rights in a Dangerous, Profit-Driven Health Care System, 2007
John T. James, Ph.D medical scientist with 2 Master s degrees and a Doctor of Philosophy in pathology and works as a board-certified toxicologist at Nasa.
Book by father who lost 19 year old son son Alex James (sept. 24 1982 sept. 18 2002) due to severe medical negligence by cardiologists.
Although John James has been struck by unimaginable harsh grief he has been able to write an extremely clear book on serious individual and structural lacks in quality of medical care. At first he discusses and analyses the medical errors which led to his sons death.
Thereafter he researches the flaws in American healthcare, with a focus on the cardiology, and makes recommendations for improvement.
Alex was a student at at Texas college, an athlete who enjoyed running. Aug. 19th 2002 he collapsed (syncope) while running at his university, recovered spontaneously and was taken by ambulance to hospital 1. For 5 days until aug 23rd Alex was hospitalized and submitted to medical tests see pag.17-18 On aug. 28th he had a followup visit. There was no mention of a runningban in his medical records. Sept. 15th while running at university Alex had fatal collapse, CPR was administered, his heart was restarted by EMT s and his was taken by ambulance to hospital 1. After 3 days in deep coma, Alex passed away.
John James researched the cardiology protocols, medical scientific literature, the tests done on Alex, his medical records and correspondence meticulously, as a true scientist. He describes blatant medical errors based on his research of available medical literature and documents and comes to the conclusion p 70 Thus there is compelling evidence that if my sons cardiologists had recognized and treated his electrolyte problems according to the medical standards (Cohn et al 2000 or provided therapy in response to a diagnose of acquired LQTS (Khan, 2002 he would have been alive and well today
His conclusion is justified.
In vain, John James has tried to obtain justice, he contacted lawyers, cardiologists, had the medical records examined, as well as his son s heart He discovers the coverup of medical errors by the cardiologists and their colleagues in medical records, in correspondence, how physicians protect each other when one is accused: the irrelevance of truth He describes the whitewash by the Texas Medical Board.
Furthermore he researches medical care and the centrality of silence and secrecy concerning medical errors and their consequences for patients: death of harm. He debunks the myth of continuous medical education (CME) and emphasizes that a lifetime license to practise medicine is very dangerous for patients. Only 1percent of physicians CME in Texas is verified each year. James describes lessons to learn from the aviation industry to implement in medical care.
He formulates solutions to improve the quality of care oa the necessity to obtain a copy after each medical consultation and hospitalization to prevent that physicians change your medical record and emphasizes the importance of true informed consent in writing before each invasive procedure. John James formulates a bill of Patients Rights, guaranteed by law, based on the landmark book called To Err Is Human: Building a Safer Health System, published by the Institute of Medicine (IOM) of the National Academy of Sciences in 2000, pag. 63.
Alex James sadly died by uniformed, unattentive and unethical medical care. May all good memories of him be a consolation to his family and friends.
John James has written a impressive book a must-read for patients and physicians.
We also recommend his website www. http://patientsafetyamerica.com
Abstract John T. James Ph.D A new estimate of patient harms: Journal of Patient Safety September 2013 – Volume 9 – Issue 3 – p 122 128 (Abstract see below): http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx
Objectives: Based on 1984 data developed from reviews of medical records of patients treated in New York hospitals, the Institute of Medicine estimated that up to 98,000 Americans die each year from medical errors. The basis of this estimate is nearly 3 decades old; herein, an updated estimate is developed from modern studies published from 2008 to 2011.
Methods: A literature review identified 4 limited studies that used primarily the Global Trigger Tool to flag specific evidence in medical records, such as medication stop orders or abnormal laboratory results, which point to an adverse event that may have harmed a patient. Ultimately, a physician must concur on the findings of an adverse event and then classify the severity of patient harm.
Results: Using a weighted average of the 4 studies, a lower limit of 210,000 deaths per year was associated with preventable harm in hospitals. Given limitations in the search capability of the Global Trigger Tool and the incompleteness of medical records on which the Tool depends, the true number of premature deaths associated with preventable harm to patients was estimated at more than 400,000 per year. Serious harm seems to be 10- to 20-fold more common than lethal harm.
Conclusions: The epidemic of patient harm in hospitals must be taken more seriously if it is to be curtailed. Fully engaging patients and their advocates during hospital care, systematically seeking the patients’ voice in identifying harms, transparent accountability for harm, and intentional correction of root causes of harm will be necessary to accomplish this goal.