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Blog posts about avoidable errors and high costs
1 MAY, 2014 Surgeons who own clinics they operate in Day surgeries with high turn over Children and anaesthetics Conflict of interest between business profits and clinical safety In an Australian private day clinic, patients were being pushed through theatre, late...
Australia has the third highest out of pocket medical costs in the western world.
Good clinical standards require transparency about errors and accepting new procedures when they give better outcomes.
Dissatisfaction with out of pocket costs and private hospitals is rising.
It’s time to replace over priced and error-prone hospitals with well-run community services.
Instead of using technology to make hospitals safer and more efficient, bureaucrats are tying people up with red tape.
Most people who fall ill, just want to be taken care of in an efficient and caring manner. Hospital profits are the last thing on their minds.
Few Australians are brave enough to talk about the millions being made from healthcare over servicing and over charging.
It’s time to stop the cliche’s about ‘not enough hospital beds’. And start looking at the wrong care being given to the wrong patient at the wrong time.
Private hospitals continue demanding their right to receive money that is not linked to outcomes.
Australians receive “appropriate” health care in only 57 % of medical consultations. Fragmented records, stressed staff and over servicing are linked.
Australian patients are going into hospital blind to health costs and quality. Meanwhile, USA and UK patients can access high quality data.
Overseas, the health transparency movement is growing. US and UK sites now expose the cost and quality of different hospitals. When will Australia catch up?
Better nursing assessments and cheap blood tests could help pick up potential hospital errors.
Sometimes keeping people comfortable and dignified, is better than aggressive medical intervention that has a small chance of success.
‘Best Practice’ has no legal status. Clinical standards and staffing levels can vary substantially from one hospital to another.
Statistics indicating major trends
- Discharge summaries found to be missing significant clinical information – Australian study 50%
- Hospital discharge summaries found to have an incorrect diagnosis – Australian study 10%
- GP referral letters found to have a written medication error for type 2 diabetic patients – Australian study 80%
- Australians who have had a Government Electronic Health Record created for them 20%
- Percent of GP clinics using the Government’s EHR system every week 0.01%
A brief summary
Major problems to avoid
Small hospitals that don’t have the money to buy modern technology and qualified, specialist staff to manage it
Outdated mentalities like ‘big data doesn’t matter’, ‘Doctor knows best’ and ‘if it ain’t broke don’t fix it’
Smaller isolated hospitals and clinics, not closely related to Universities and committed to ongoing education
Positive things to seek out
Involving patients in their own data, with apps, smart devices and trials
Interest in social media and getting constant feedback from patients
Trials of home monitoring using home nursing services, robots, artificial intelligence and 24/7 monitoring