A range of hospital staff including physicians, nurses, and administrators may commit negligence, and a Harvard Study of New York Hospitals revealed that one of every 100 hospital patients leaves with an injury caused by medical negligence. Hospitals are generally held responsible for malpractice that is committed by a hospital employee. However, nurses and physicians who are attending a surgery and are not hospital employees may be responsible for their negligence.
Frequency and Types of Hospital Negligence
Four out of every 100 hospital patients are injured by avoidable medical mistakes, and the Institute of Medicine estimates that avoidable mistakes cause about 100,000 deaths annually.
Common negligence that results in lawsuits against a hospital includes the following: childbirth injuries, anesthesia errors, surgical infections and errors, misdiagnosis, and delayed waiting time in the emergency department.
Physician’s negligence during the delivery of a child can lead to devastating long-term consequences for the baby and the family. Many incidents are avoidable if the physician uses ultrasonography and fetal monitoring to assess risk factors prior to attempting vaginal deliveries. Physicians that overlook common risk factors for childbirth injuries may be at fault for medical malpractice. Risk factors and examples of negligence include the following:
- Rapid or delayed delivery
- Instrumental delivers that require the use of forceps or vacuums
- Fetal anomalies
- Failure to identify ectopic pregnancies
- Delayed cesarean section procedure
- Failure to anticipate birth complications due to size of the child and size of the mother’s pelvis
Birth related trauma and birth injuries may result if the physician does not properly take risk factors into account and handle them in a timely manner. Trauma and injury during childbirth can lead to long-term and permanent damage, such as:
- Soft tissue injury
- Brachial plexus injury
- Cranial nerve injury
- Laryngeal nerve injury
- Spinal cord injury
- Cerebral palsy
- Bone injuries, fractures and displacements
- Intra-abdominal injury
Medical staff that fails to give patients the correct type of anesthetic and the correct dosage, at the proper rate of injection may cause anesthesia overdose in the patient. Anesthesiologists must consider the patient’s age, weight, state of health, and other medications when administering anesthesia. One in 20 patients die from general anesthesia within a year. Medical staff that fails to properly monitor a patient or causes an anesthesia overdose in the patient or doctors who do not take action to reduce anesthesia toxicity put the patient at risk for serious injury or even death. Overdose may result from the following factors:
- Injecting the wrong anesthetic
- Injecting the anesthetic at an improper rate
- Injecting too much anesthetic
Surgical Infections and Errors
Doctors and surgeons are still performing errors in the medical room that can lead to infections and serious health complications or even death. Surgical error mistakes were estimated to occur in 40 patients per week in the United States. Several factors, such as physician fatigue, poor staff communication, and surgeon inexperience can lead to errors. Injuries that may result from such negligence include the following:
- Amputation error
- Operation on wrong patient, wrong side of patient or wrong part of patient
- Foreign instrument left in patient
- Nerve damage and injury
Patients who are misdiagnosed may suffer further problems if they were not properly treated for their initial health problem. Doctors who misdiagnose the patient and give them unnecessary treatment can cause a new medical issue and/or cause the initial health concern to worsen.
Delayed Wait Time In Emergency Department
Some hospitals that consistently exceed bed capacity and are improperly staffed compromise patient safety and lead to long waits in the emergency department. Management that does not respond to serious conditions can lead patients’ conditions to worsen as they wait to be seen by medical personnel. Several lawsuits have noted excessive wait times in which a patient’s infection spread and caused the need for amputation.