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Maryland Study: Nurses’ Long Hours Linked to Risks to Patients

Maryland Study: Nurses’ Long Hours Linked to Risks to Patients

Medical malpractice can have terrible consequences for a patient. While many medical mistakes can be reversed, many medical errors result in permanent injury or death. There are many types of medical malpractice and medical malpractice has many causes including physician errors, surgical errors, and medication errors. Often times, medication result from mistakes made by hospital workers who are fatigued. While the medical profession has taken steps to limit the number of hours a physician in training can work, the same cannot be said for nurses. A recent study by the University of Maryland School of Nursing and The Johns Hopkins University School of Medicine in Baltimore has found that patients in hospitals where nurses work long hours are much more likely to die from pneumonia and heart attack. The researchers found that the patient mortality was most frequently related to long work hours and lack of time off the job. The study, which will be published in the January-February issue of the journal Nursing Research, found that most U.S. hospitals use 12-hour shifts for nurses. This began in the 1980s amid a nationwide shortage of nurses. Additionally, the 12-hour shift affects both the quality and duration of nurses’ sleep and this affects the alertness and vigilance that are so necessary to prevent medical mistakes. “Although many nurses like these schedules because of the compressed nature of the work week, the long schedule, as well as shift work in general, leads to sleep deprivation,” said Alison Trinkoff, a professor at the University of Maryland School of Nursing and co-author of the study. Trinkoff added, “The finding that work schedule can impact patient outcomes is important and should lead to further study and examination of nursing work schedules.” Sources: Bloomberg Businessweek, “Nurses’ Long Shifts May Put Hospital Patients at Risk: Study,” Robert Preidt, 1/19/2011 Infection Control Today, “Nurses’ Long Work Hours, Scheduling Can Increase Patient Mortality,” 1/17/2011

The Cases Against Doctor Conrad Murray Move Forward

The Cases Against Doctor Conrad Murray Move Forward

Many of our readers will be familiar with the notion that medical malpractice can lead to a civil lawsuit for damages. In egregious cases however, medical malpractice can also lead to criminal prosecution. The civil and criminal cases against Dr. Conrad Murray illustrate this principle. Dr. Murray was Michael Jackson’s physician in 2009 as the singer rehearsed and trained for his comeback tour. Unfortunately, Michael Jackson’s comeback tour never came to fruition as he died of a drug overdose in June 2009. He was 50 years old. Dr. Murray has been at the heart of controversy surrounding Michael Jackson’s death and is facing both a civil suit and a criminal prosecution for his actions while Michael Jackson was in his care. Coroners ruled that Jackson died of an overdose of a combination propofol, a drug used to relieve anxiety and to induce anesthesia, and sedatives including lorazepam. Propofol is most commonly used in hospitals, but Dr. Murray has admitted to giving it to Jackson to help him sleep. Dr. Murray’s attorneys have suggested that Michael Jackson delivered the fatal dose to himself. However, medical experts testified that even if that were true, Dr. Murray still might be responsible because he supplied Jackson with the drug. Deputy District Attorney David Walgren argued, “The standard of care was breached, unfortunately and tragically, over and over again because of Dr. Murray’s actions. That is why Michael Jackson is no longer here.” This week, the judge handling a preliminary hearing in the criminal case against Dr. Murray ruled that the prosecution will go forward. Because of this week’s ruling, Dr. Murray will stand trial for manslaughter. At the same time, Michael Jackson’s family has filed a separate wrongful death lawsuit for damages, which is presently pending in Los Angeles Superior Court. Although there are differing standards of proof in civil and criminal cases, the outcome of the criminal prosecution will likely have a significant influence on how the civil case proceeds. Source: Westlaw News and Insight, “Michael Jackson doctor ordered to stand trial for manslaughter,” Alex Dobuzinskis, Bob Tourtellotte, and Jeff Roberts, 1/12/2011

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