When Florida residents seek immediate medical care, they expect to be properly and timely evaluated, diagnosed and treated. Trust is one of the central features of patient-doctor relationships as patients rely on doctors to help them make life-saving decisions.
The worrying reality is that medical errors are the third-leading cause of death in the United States, researchers at Johns Hopkins say.
Simply put, your hospital may be hazardous to your health. In Miami-Dade, the Centers for Medicare & Medicaid Services rated three hospitals with the lowest rating of one star in 2016's overall hospital quality rating. The three hospitals were the University of Miami Hospital, North Shore Medical Center and Jackson Memorial Hospital.
Regarding emergency department operations, according to the Centers for Disease Control and Prevention, over 135 million Americans visit an emergency room each year. But what's missing from some emergency rooms is a danger sign. The emergency room is one of the top departments of a hospital where medical malpractice occurs, with medical errors affecting at least one in 20 Americans who visit the ER, according to BMJ Quality and Safety. It's important to understand what medical errors are and what steps you can take after medical errors occur.
Diagnostic error is "the failure to establish an accurate and timely explanation of a patient's health problems or communicate that explanation to the patient" (definition by the Academy of Medicine). Medical error is "an act of omission or commission in planning or execution that contributes or could contribute to an unintended result" (Grober, Ethan D., and Bohnen, John M.A, "Defining Medical Error", Canadian Journal of Surgery).
Pneumothorax and Medical Errors in Miami
Pneumothorax is a condition which occurs when air escapes from the lungs and gets trapped in the pleural cavity. More often than not, this will happen when on the surface of the lung bursts a small bleb or bulla like a blister. This, in turn, will leave a small tear on the outer part of the lung, allowing air to leak into the space between the lung and the chest wall. This condition is more accurately known as a spontaneous pneumothorax.
Pneumothorax may develop as a result of other health complications. This type of pneumothorax is known as a secondary spontaneous pneumothorax and can accompany other lung diseases such as pneumonia, cystic fibrosis, tuberculosis and lung cancer. Additionally, it can be the result of injury to the chest, which may be sustained by something such as a car crash or a surgical operation.
Symptoms of Pneumothorax
Pneumothorax will often materialize without much warning, the symptoms including:
- General appearance can range from normal to sharp, stabbing pain developing suddenly on one side of the chest
- An increase of pain when breathing in
- Shortness of breath, which is often worse the larger the pneumothorax is
- Anxiety, cough, and vague chest symptoms
Delayed Diagnosis in Miami Hospitals. Does This Amount to Medical Negligence?
Pneumothorax often does not need medical intervention. However, if the bulla does not heal, the pneumothorax will steadily increase in size. This could lead to a serious and potentially life-threatening condition. To prevent this from happening, a pneumothorax deemed to be significant in size should be treated by aspirating the air.
Spontaneous pneumothorax is usually recurrent, and a patient should be warned of the possibility of similar episodes occurring in the future. If someone does once again present with symptoms of pneumothorax, they should seek medical advice without delay, as their condition could have deteriorated.
When the spontaneous pneumothorax requires urgent management, patients receive advice to go immediately to ER. Medical errors can take place in the different stages of the emergency room procedures. We aim to illustrate the medical errors that can take place in the ER using the case of one of the clients we have successfully represented in a pneumothorax malpractice case:
1. Miami Emergency Room Medical Errors in the Performance and Interpretation of Diagnostic Tests
Medical errors can include failure to review previous documentation, problems with the history or physical examination and problems ordering the appropriate diagnostic tests for further workup.
Case study: Our client arrived at the ER with documents proving she suffered a spontaneous pneumothorax, diagnosis provided by her primary doctor. The check-in personnel refused to record the diagnosis because it didn't come directly from a doctor. Our client's urgent treatment was delayed more than an hour due to these administrative demands and to a shift change.
Our client's treatment was further delayed when the emergency physicians had difficulties interpreting the initial CT that came from her primary doctor and ordered a new set of tests.
2. Miami Medical Errors in the Procedures Performed by Emergency Physicians
Case study: The emergency physicians managed our client's spontaneous pneumothorax by insertion of a standard chest tube. This procedure was the wrong choice of treatment and it led to the lung re-expanding too fast, and the tube tearing the lung. Due to this mistake, our client underwent surgery to have her lung repaired.
The doctors who performed the emergency procedure on our client were not lung specialists. Emergency room doctors work around the clock, but they don't always have the expertise to treat patients with unique conditions. A patient's outcome can be even worse when suffering from brain injuries, serious burns, or rare heart conditions.
3. Follow-Up Errors
Case study: Our client's at-home recovery progressed well without any problems for about a month. After that, she was scheduled to travel to Guadalajara. Before traveling, she went for checkups to every single doctor the hospital required her to see, and they all assured her she was able to travel. The doctors said that her collapsed lung will not cause any future health complications. After two weeks in Guadalajara, just a day before being scheduled to fly back to the US, her lung collapsed for the second time. Our client had to go to the hospital in Guadalajara where she was hospitalized for 23 days and underwent two additional surgeries.
Common Causes of Medical Errors in Miami
Medical errors in the ER involve a large variety of common diseases and have significant potential for harm. The frequency of medical errors is not fully known; however, malpractice studies have found that 47% of ER claims are due to medical errors.
So what about the ER makes a misdiagnosis or medical error more likely to occur? The staff at many hospitals and other emergency medical care facilities must make critical decisions about which patients to see first, especially when waiting rooms get crowded. Assessing the relative condition of patients becomes more difficult and increases the risk of injury when emergency care facilities are understaffed, and they delay in obtaining full medical histories and ordering necessary tests. Shift changes can also cause delays in diagnosis and treatment. For patients who need specialty care in the emergency room, the dearth of specialists who are available on an on-call basis could force hospitals to delay care or to transfer patients to another hospital.
Contact Miami Medical Malpractice Attorney, Sean M. Cleary
It is often difficult for patients to evaluate whether they have grounds for a case. The number one way to find out is to consult with an attorney who has extensive experience in medical malpractice work.
At The Law Offices of Sean M. Cleary, given our expertise in the field, we can assess quickly if a person has a meritorious case. We always consult with experienced and highly qualified medical experts to obtain objective and unbiased opinions if there is a case to pursue. Contact The Law Offices of Sean M. Cleary today at 305.416.9805 for a free case evaluation.