Healthcare Associated Infections – litigation and reputation – MindMetre – January 2014

Posted on January 24, 2014. Filed under: Health Economics, Infection Control | Tags: |

Healthcare Associated Infections – litigation and reputation – MindMetre – January 2014

“A MindMetre research note on the reputational risk to healthcare institutions of litigation by patients suing as a result of an HCAI

Health economics studies of return on investment from screening for Healthcare Associated Infections (HCAIs) have tended to focus only on the consequent reduction in patient treatment costs. A few studies have also looked at the direct impact of patient lawsuits resulting from HCAIs, but here only in terms of the cost of damages and legal fees. This short research note suggests that, in the newly structured NHS, where groups of GPs – Clinical Commissioning Groups (CCGs) – are now commissioning acute services, where competition for service provision between trusts is overtly encouraged, and where there is a clear mandate to ‘ improve patient outcomes’, HCAI rates are likely to play an increasing role in the ability of a trust to attract patients and the funds that come with them.”

… continues on the site

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Australia’s public sector medical indemnity claims 2009-10 – AIHW – 18 May 2012

Posted on May 21, 2012. Filed under: Health Mgmt Policy Planning, Patient Safety | Tags: , |

Australia’s public sector medical indemnity claims 2009-10 – AIHW – 18 May 2012

“This report presents data on the number, nature and costs of public sector medical indemnity claims for 2005-06 to 2009-10, with a focus on 2009-10 claims. There were more new claims in 2009-10 (1,620) than in any of the three previous years (about 1,130 to 1,270 claims per year). As in previous years, the three health services most often implicated were Emergency department, General surgery and Obstetrics.”

ISSN 1833-7422; ISBN 978-1-74249-297-1; Cat. no. HSE 119; 117pp

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Building a Legal Framework for Aboriginal and Torres Strait Islander Health – Lowitja Institute – March 2012

Posted on April 16, 2012. Filed under: Aboriginal TI Health | Tags: , |

Building a Legal Framework for Aboriginal and Torres Strait Islander Health – Lowitja Institute – March 2012

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Commission on Assisted Dying – Demos – 5 January 2012

Posted on January 9, 2012. Filed under: Palliative Care | Tags: , , |

Commission on Assisted Dying – Demos – 5 January 2012

“The current legal status of assisted dying is inadequate and incoherent…”

ISBN   978-1-906693-92-3

“The Commission on Assisted Dying, launched in November 2010, was set up to consider whether the current legal and policy approach to assisted dying in England and Wales is fit for purpose. In addition to evaluating the strengths and weaknesses of the legal status quo, the Commission also set out to explore the question of what a framework for assisted dying might look like, if such a system were to be implemented in the UK, and what approach might be most acceptable to health and social care professionals and to the general public.

The Commission, chaired by Lord Falconer, includes members with expertise in law, medicine, social care, mental health, palliative care, theology, disability and policing. The Commission engaged in a wide-ranging inquiry into the subject, including a public call for evidence which received over 1,200 responses, public evidence hearings, international research visits, and original and commissioned research on the issues surrounding assisted dying.

In this report, the Commission concludes that the current legal status of assisted suicide is inadequate and incoherent. While the current legal regime can be distressing for the people affected and their families, it is also unclear for health and social care staff, and lays a deeply challenging burden on police and prosecutors, which could be eased by a new statutory framework. A proposed legal framework for assisted dying is laid out in detail in the report, including strict criteria to define who might be eligible to receive assistance and robust safeguards to prevent abuse of any new law.

Based on the evidence received, the Commission considers that substantial improvements to health and social care services would be needed in parallel with changes to the law to permit assisted dying. It proposes that the role of any future assisted dying legislation must be to provide all people with access to high quality end of life care and protect potentially vulnerable people from any form of social pressure to end their lives, at the same time as providing people with greater choice and control regarding how and when they die.”

… continues on the site

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The Reference Manual on Scientific Evidence, Third Edition – National Academies Press [US] – 2011

Posted on September 30, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

The Reference Manual on Scientific Evidence, Third Edition – National Academies Press [US] – 2011
ISBN-10: 0-309-21421-1
ISBN-13: 978-0-309-21421-6

“The Reference Manual on Scientific Evidence, Third Edition assists judges in managing cases involving complex scientific and technical evidence by describing the basic tenets of key scientific fields from which legal evidence is typically derived and by providing examples of cases in which that evidence has been used.

First published in 1994 by the Federal Judicial Center, the Reference Manual on Scientific Evidence has been relied upon in the legal and academic communities and is often cited by various courts and others. Judges faced with disputes over the admissibility of scientific and technical evidence refer to the manual to help them better understand and evaluate the relevance, reliability and usefulness of the evidence being proffered. The manual is not intended to tell judges what is good science and what is not. Instead, it serves to help judges identify issues on which experts are likely to differ and to guide the inquiry of the court in seeking an informed resolution of the conflict.

The core of the manual consists of a series of chapters (reference guides) on various scientific topics, each authored by an expert in that field. The topics have been chosen by an oversight committee because of their complexity and frequency in litigation. Each chapter is intended to provide a general overview of the topic in lay terms, identifying issues that will be useful to judges and others in the legal profession. They are written for a non-technical audience and are not intended as exhaustive presentations of the topic. Rather, the chapters seek to provide judges with the basic information in an area of science, to allow them to have an informed conversation with the experts and attorneys.”

Front Matter
Introduction
The Admissibility of Expert Testimony
How Science Works
Reference Guide on Forensic Identification Expertise
Reference Guide on DNA Identification Evidence
Reference Guide on Statistics
Reference Guide on Multiple Regression
Reference Guide on Survey Research
Reference Guide on Estimation of Economic Damages
Reference Guide on Exposure Science
Reference Guide on Epidemiology
Reference Guide on Toxicology
Reference Guide on Medical Testimony
Reference Guide on Neuroscience
Reference Guide on Mental Health Evidence
Reference Guide on Engineering

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Australia’s public sector medical indemnity claims 2008-09 – AIHW – released 20 September 2011

Posted on September 22, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Australia’s public sector medical indemnity claims 2008-09 – AIHW –  released 20 September 2011

“This report presents data on the number, nature and costs of public sector medical indemnity claims for the period 2004-05 to 2008-09, with a focus on 2008-09 claims. There were fewer new claims in 2008-09 (1,231) than in any of the four previous years (about 1,330 to 2,000 claims per year). As in previous years, the three health service contexts most often implicated were Accident and emergency, Obstetrics and General surgery.”

ISSN 1833-7422; ISBN 978-1-74249-198-1; Cat. no. HSE 111; 118pp

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Public and private sector medical indemnity claims in Australia 2008-09 – AIHW – released 20 September 2011

Posted on September 22, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Public and private sector medical indemnity claims in Australia 2008-09 – AIHW – released 20 September 2011

“This report presents information on public and private sector medical indemnity claims for 2008-09. There were 9,173 medical indemnity claims open at some point during the year, including 5,072 from the public sector and 4,101 from the private sector. The main clinician specialties allegedly involved in the incidents giving rise to claims were General practice and Obstetrics and Gynaecology.”

ISSN 1833-7422; ISBN 978-1-74249-199-8; Cat. no. HSE 112; 58pp

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