By Arnold Mackles, MD, MBA

By

Arnold Mackles, MD, MBA

The Sullivan Group - Author of on line CME courses - Volunteer member of Advisory Board Innovative Healthcare Compliance Group, Inc. - CME speaker - Consultant

State mandated Florida Medical Board to require a two hour CME in "Prevention of Medical Errors."

Course to cover 1) Root Cause Analysis 2) Error Reduction and Prevention 3) Patient Safety 4) Frequently Misdiagnosed Conditions

MD course: 1. Cancer related conditions 2. Gastroenterology related conditions 3. Ob/Gyn related conditions 4. Cardiology related conditions 5. Neurological conditions

DO course: 1. Inappropriate prescribing of controlled substances; 2. Failure to monitor the safety of prescribed medications; 3. Retained foreign objects in surgery and wrong site/patient surgery; 4. Surgical complications/errors and pre-operative evaluations,

including obtaining informed consent; and 5. Failure to timely diagnose sepsis.

November 1999 Published report entitled: "To Err is Human" Cited magnitude of medical error problem

Kohn, Corrigan and Donaldson. Institute of Medicine; To Err is Human: Building a Better Health System; National Academy Press:2000

Injury in 1:25 hospitalized patients Estimated 44,000-98,000 deaths per year Cost 17-29 billion $ per year

Kohn, Corrigan and Donaldson. Institute of Medicine; To Err is Human: Building a Better Health System; National Academy Press:2000

Adverse event:

"An injury caused by medical management rather than the underlying condition of the patient."

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