So this is an interesting piece on medical errors in Oregon. According to a summary on Oregon Live, 83 reported medical mistakes killed at least 24 people in Oregon hospitals in 2007. By all accounts, the numbers underreported. The numbers have increased since the 2006 report (65 cases reported).

The mistakes range from medication errors to wrong-site surgeries to objects left in patients during surgery. Of the reported errors, 30 resulted in serious injury, though “serious” is not defined.

Perhaps the biggest concern is the increase in numbers. While the numbers look low, the number of reported mistakes increased by 25 percent. Perhaps this means only that more are being reported. Still, you have to hope that we’re getting better at identifying and eliminating causes of preventable error.

The good news is that reporting systems can help increase patient safety, as long as they are properly used. Let’s hope that the reporting process starts to take the trend of cases downward.

David F. Sugerman

I have to say that Steve Duin’s column in today’s Oregonian (24 January 2008) is a breath of fresh air. Here is the link: www.oregonlive.com/news/oregonian/steve_duin/index.ssf?/base/news/1201137918314500.xml&coll=7&thispage=1

The back story is that the Oregon Supreme Court ruled recently that Oregon Health Sciences cannot cap a child’s damages at $200,000 when OHSU’s negligent treatment causes profound brain damage.

Rather than take responsibility, OHSU started up the scare machine. We were treated to a parade of horribles. OHSU will be forced to limit or cut care, it will be closing clinics, and it will be laying off many people all because of–they claimed–Jordaan Clarke.

Steve Duin’s column debunks the myth. I mean, for crying out loud, can you say, “Aerial tram”? And don’t even get me started on the OHSU waterfront developments. Or how about the recent loss of the biotech research group to Florida? The reality is that OHSU hides from public scrutiny by claiming to be private and hides from market reality by claiming to be public.

The best part of Steve Duin’s article is this quote from Sen. Walker (Eugene): “They’ve finally found a way for people to overlook years of financial mismanagement,” state Sen. Vicki Walker, D-Eugene said, “and it’s Jordaan Michael Clarke. It’s a great PR move, but it’s ridiculous. And it’s a snow job.”

Couldn’t agree with her more.

David F. Sugerman