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Category: Hospital Errors

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New England Medical Malpractice Blog

Hospitals are where people usually go to address immediate medical emergencies. People involved in car crashes or who suspect that they just had a cardiac event head straight to the hospital. Many primary care physicians have admitting privileges at local hospitals and may send their patients for more intensive support when circumstances warrant aggressive interventions.

Staying in a hospital can lead to a better outcome for someone battling a major illness, recovering from an injury or in need of intensive support because of medical challenges. Unfortunately, not all hospitals provide the same standard of care.

According to a private analysis of hospitals across Rhode Island, some of them provide much better medical care than others. People intending to undergo surgery or facing inpatient care at the hospital may want to check on whether their hospital receives a competitive grade when compared with modern best practices.

Rhode Island has relatively safe hospitals

In many states, there are multiple hospitals that do not receive passing grades according to Leapfrog, a private organization that evaluates medical data about individual facilities to assign a letter grade to different hospitals.

Overall, no hospitals evaluated in Rhode Island received D grades or lower. The worst local hospitals received C grades based on reports from early 2025. This indicates that their services are simply average, and that there may be reason for concern for patients.

The Rhode Island hospitals with a C grade include Roger Williams Medical Center, Our Lady of Fatima Hospital and Kent Hospital. Individual reports about these hospitals identify post-surgical complications and hospital-borne infections as leading issues that resulted in lower scores.

South County Hospital received a B grade and was the only state hospital in that category. Multiple hospitals received an A, including Rhode Island Hospital, The Miriam Hospital, Landmark Medical Center, Newport Hospital and Westerly Hospital.

Even a hospital that currently has an A or B grade might only be one or two egregious errors away from a much worse score. Patients may want to select hospitals that have a reputation for better cleanliness and favorable surgical outcomes. They may also want to evaluate the score of a hospital where they or a loved one received seemingly substandard medical treatment recently.

Pursuing a medical malpractice lawsuit can compensate those harmed by poor care standards, preventable medical mistakes and hospital-borne infections. Not every hospital in Rhode Island provides ideal care standards for patients, but the patients affected by mediocre medical care still have rights.

Medication errors can occur in various forms, such as prescribing the wrong medication, dispensing the wrong dose, or administering a drug at the incorrect time. Understanding the causes of these errors can help patients protect themselves from the serious impact of these mistakes.

1. Poor communication

Good communication between healthcare workers is very important for safe medical care. Medication errors often come from miscommunication between doctors, nurses and pharmacists. Hard-to-read handwriting, confusing abbreviations and unclear spoken instructions are a few things that can cause serious mix-ups. Even small errors, like not recording that a nurse already gave a patient medication, can lead to giving the same medicine twice.

2. Human error

Human error is a big reason why medication mistakes happen. Things like being tired, stressed, or doing too many things at once can make it hard for healthcare workers to do their best. Mistakes are more likely when medical staff are too busy or distracted. For example, a nurse working a double shift might mix up patients or medicines because they are tired.

3. Lack of knowledge

Not knowing enough is another big reason for medication errors. This can happen with any healthcare team member, including doctors, nurses, and pharmacists. Not knowing enough about how drugs interact, contraindications and the specific needs of different types of patients can all lead to dangerous mistakes.

4. Systemic issues

Some errors happen because of problems in the healthcare system itself. This includes things like wrong drug labels, bad storage for drugs, and issues with prescribing systems. For example, patients or healthcare professionals could mistake one drug for another if they look alike, and problems with electronic prescribing systems can lead to giving the wrong doses.

Being aware and careful is key to preventing medication errors. When mistakes do happen, taking legal action against healthcare providers can make them take responsibility for their errors. In the end, knowing about the causes of medication errors and what to do if they happen helps keep our medical system safe for everyone.

Patient abandonment is a serious kind of medical malpractice that happens when a healthcare professional ends the doctor-patient relationship without reasonable notice or a suitable alternative for care. This abrupt termination of care can lead to the worsening of the patient’s condition and cause unnecessary harm. Abandonment is generally considered a breach of the provider’s ethical duty of care.

Types of patient abandonment

Patient abandonment can take many forms. Here are five examples:

  1. Premature discharge: Discharging a patient from the hospital before they are medically stable enough to leave.
  2. Failure to attend: This involves not attending scheduled appointments or surgeries without a valid reason or prior notice.
  3. Neglect in nursing homes: Ignoring the needs of a resident in a nursing home, which leads to physical or emotional harm.
  4. Refusal of treatment: This involves refusing to treat a patient when they are in immediate need, and no other healthcare provider is available.
  5. Lack of follow-up: Failing to provide necessary follow-up care or instructions after a procedure or treatment.

Proving patient abandonment in a lawsuit

To prove patient abandonment in a medical malpractice lawsuit, the plaintiff must establish these four elements:

  1. Existence of a doctor-patient relationship.
  2. The healthcare provider terminated the relationship without good reason or adequate notice.
  3. The patient needed medical attention at the time.
  4. The patient endured harm as a direct result of the abandonment.

If these elements are proven, the victim and their family may be entitled to damages for medical expenses, lost wages, pain and suffering and more.

Seek legal help

If you believe you’ve been a victim of patient abandonment, it’s crucial to contact an experienced personal injury attorney as soon as possible. They can help victims and families understand their rights, gather necessary evidence, and guide clients through the legal process.

Remember, patient abandonment is a serious issue and should not be taken lightly. Advocate for your rights and seek the justice you deserve.

Like in many other industries, Rhode Island’s healthcare sector is short of workers. Many hospitals and clinics are looking for nurses, aides and other key employees. If they have not hired enough people, they may force their staff to work long shifts and take overtime. Shifts themselves might be shorthanded, with doctors and nurses responsible for many more patients than they were just a few years ago.

All of this means that the next time you or a loved one goes to the hospital, you might not get the standard of care that you deserve. Severe shortages in nurses and other healthcare professionals are straining many facilities to the breaking point, putting patients in danger of becoming victims of medical malpractice.

Not enough nurses to cover the ICU

The standard for American ICUs is to have one nurse on duty per two patients. But if there are not enough nurses to keep up this ratio, there might be three or four patients per nurse for some shifts. This may not sound that bad, but it is considered to be a highly unsafe situation for patients sick or injured enough to require an ICU stay. The less time and attention a nurse has for each patient under their care, the more likely they are to make a potentially disastrous mistake. This is true no matter how well-meaning or experienced the nurse might be. Nurses who are exhausted or burned out from overwork are also more prone to errors.

Hospitals owe their patients a legal duty to provide a certain level of care. Falling below that level because they are short-staffed is the hospital’s fault. Nobody should lose a loved one or suffer unnecessary health problems because of errors or neglect caused by a lack of doctors or nurses on duty.

While U.S. hospitals continue to focus on the health of their patients, they sometimes overlook their nutritional needs. This may or may not come as a surprise, but malnutrition is a widespread problem among hospital patients, making them a higher mortality risk. So says a collaborative study from 2019 by nutritionDay and Abbott.

According to the study, roughly one-third of hospital patients are at risk for malnutrition. Such a fact places these patients at a higher risk for death compared with other patients. Researchers came up with their findings after reviewing information on 10,000 patients in 245 U.S. hospitals from 2009 to 2015.

Higher mortality rate when not eating

Among the study’s findings include:

  • A total of 51% of patients eat only half or less than half of their served meals.
  • Adult patients who failed to eat any of their food were six times more likely to die than patients who ate some food.
  • Of the patients allowed to eat but did not, just 11% received nutritional supplements from hospital staff.
  • Certain categories of patients were more at risk for malnutrition. The list includes almost half of long-term care and infectious disease patients as well as 40% of oncology patients.

What can hospitals do? Granted, many hospital patients may not have an appetite while admitted. But hospitals may offer more desirable and appetizing meals; better assist patients who have impairments and limited mobility; offer alternate food and nutrition choices; consult with registered dieticians regarding patients who have limited appetites; and provide supplements such as nutrition drinks for patients who have problems with solid food.

Patient advocacy

A hospital is a place where patients get better. However, if they are not receiving the right care – and that includes nutrition – they face an uphill battle for survival. This is another reason why patients and their families must advocate to improve nutrition within the confines of a hospital.

Electronic medical records have been widely touted as a way to maximize efficiency in the American health care system. Indeed, the push to abandon paper records is so strong that the federal government is spending $27 billion over the next 10 years to induce hospitals and doctors’ offices to purchase electronic record-keeping systems.

However, concerns are emerging that this transition may not be in patients’ best interests. Rhode Island medical malpractice lawyers and patient advocates are warning Americans that electronic medical records could subject them to increased risk of medical error.

Hospital errors kill between 44,000 and 98,000 people every year. Electronic medical records were initially sold as a way to reduce this number – for example, they can automatically notify a doctor who attempts to prescribe a drug a patient is allergic to and can warn of potential dangerous interactions between medicines.

Unfortunately, little evidence exists to suggest that electronic medical records have lead to increased safety across the American medical system. To the contrary, the Institute of Medicine recently published a report warning that electronic medical records systems add a layer of complexity to an already convoluted health care delivery system.

Technical glitches, software incompatibility and user error can lead medical professionals to overlook signs of a fatal illness and make medication errors. Problems with electronic medical records can also cause delays in needed treatment.

How Can Patients Protect Themselves?

The Department of Health and Human Services is developing a safety and surveillance plan to monitor issues with electronic medical records. However, this will take at least a year. Even then, the system is not expected to be without risk of error.

Good communication is the key to patient safety. Patients shouldn’t take it for granted that their doctor knows everything about their health history. They should be sure to tell their doctor about all the medicines they are taking and all the symptoms they are experiencing. Patients should not be shy about asking questions to ensure they fully understand their medical treatment.

Most importantly, if something doesn’t seem right, speak up. Many times, a patient will recognize an error that a doctor won’t.

If you or a loved one has been harmed by a medical error, you may have legal recourse. Contact an experienced Rhode Island medical malpractice lawyer who can advise you of your options.

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