“Because Never Events are devastating and preventable, healthcare organizations are under increasing pressure to eliminate them completely. The Centers for Medicare and Medicaid Services (CMS) announced in August 2007 that Medicare would no longer pay for additional costs associated with many preventable errors, including those considered Never Events,” states the Department of Health & Human [...]
“Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU LOS in critically ill adult patients,” states Adriano J. Pereira, MD, PhD, Brazilian Research in Intensive Care Network, San Paulo, Brazil. Greg Vigna, MD, JD, national malpractice attorney, states, “There are various points of care critical to rendering safe and effective [...]
“Complications of restraints include documented falls, decubitus ulcers, fractures, and death," states John Ellis Agens, MD, Internal Medicine, Geriatrics. Dr. Greg Vigna, MD, JD, physician, and national malpractice attorney, states, “Serious injuries caused by physical restraints is considered by the National Quality Forum as a never event. The National Quality Forum considers any Stage III, [...]
“We describe treatments and outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction or coverage … 44% patients were readmitted due to complications from osteomyelitis, and 17% died," states Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. Greg Vigna, MD, JD, national decubitus ulcer attorney, [...]
“Among patients with decubitus-related osteomyelitis who did not undergo myocutaneous flapping, outcomes were generally poor regardless of treatment, and not significantly improved with prolonged antibiotics," states Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. Greg Vigna, MD, JD, national decubitus ulcer attorney, explains, “Our client was newly injured and paralyzed [...]
“Our client was admitted to Capistrano Beach Care Center for rehabilitation care following repair of a hip fracture. She was discharged with Stage IV right and left heel sores. These are ‘Never Events’ because they are preventable with routine, standard bed-side care”…Greg Vigna, MD, JD, national pharmaceutical injury attorney Dr. Greg Vigna, MD, JD states, [...]
“Of the 19 (48%) patients who were ambulatory prior to bilateral amputation, only 2 (11%) remained ambulatory after the second amputation, while 17 (89%) patients lost ambulatory capabilities,” states Dr. Helene Henson, M.D., Michael E. DeBakey, VA Medical Center, Houston, TX. What did Dr. Henson report in “Ambulation and independence among Veterans with nontraumatic bilateral [...]
“List of Serious Reportable Events (aka ” Never Events” ) … 4F. Any Stage III, Stage IV, and unstageable pressure ulcer acquired after admission/presentation to a healthcare setting … 5D. Patient death or serious injury associated with the use of physical restraints or bedrails while being cared for in a healthcare setting,” according to the [...]
“Hypertonia-related contractures in the severe dementia population are significant risk factors for heel and trochanteric decubitus ulcers that lead to predictable morbidity and mortality. There are several possible mechanisms for the contracture. The most likely primary cause is chronic central nervous system pathology, and this diagnosis is part of the upper motor neuron syndrome,” states Greg [...]
“The effect of comorbidities on the location showed, among those with comorbidities beyond spinal cord injury, sacral ulcers were the most common primary ulcers, whereas ischial ulcers accounted for nearly 90% of all the recurrent ulcers. In patients without significant additional incapacitations, there were no differences in ulcer location in either primary or recurrent ulcers," [...]
