“Medicare reimburses providers for inpatient hospitalizationonly if “a physician certifies that such services are required to be given on an inpatient basis for such individual’s medical treatment, or that inpatient diagnostic study is medically required and such services are necessary for such purpose[.],” according to Centers for Medicare & Medicaid Services. 42 U.S.C. § 1395f(a)(3). [...]
“The first question I think that needs to be answered by hospitals that cause a Stage IV bedsores is if there is a plastic surgeon on staff that can fix the problem,” states Greg Vigna, MD, JD, malpractice attorney, Board Certified Physical Medicine and Rehabilitation. What does the study by Dr. Damioli say about Stage IV [...]
“Mortality rate is high, and hospital-acquired bacteremia, polymicrobial bacteremia, and serum albumin < 23 g/L are associated with increased mortality,” states Dr. Elena Espejo, Complex Wounds Working Group. Greg Vigna, MD, JD, national decubitus ulcer attorney explains, “Every hospital that discharges patients with a Stage IV decubitus ulcers, with or without osteomylitis, risks a bloodstream [...]
“The type of debridement should align with the treatment goals when managing a patient with a serious Stage III or Stage IV decubitus ulcer. Salvageable patients who desire flap closure require a debridement designed to get the wound ready for reconstructive surgery. That is best provided by the plastic surgeon,” states Greg Vigna, MD, JD, national [...]
“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 [...]
“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 explains, [...]
“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, [...]