Articles Posted in Wrongful Death

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The federal government’s Food and Drug Administration announced recently that Beaverton-based King International has agreed to recall its ShoulderFlex Massager. The Oregon product recall was ordered after evidence emerged that ShoulderFlex use can lead to serious injuries or even a product liability-related Oregon wrongful death.

“One death and one near-strangulation have been reported after a necklace and piece of clothing became caught in a rotating component of the device. In other cases the FDA says people’s hair became caught in the ShoulderFlex,” Portland television station KATU reports.

The station notes that all 12,000 of the massagers the company has sold nationwide since 2003 are being recalled. It adds that efforts to obtain a comment from the Beaverton-based company were unsuccessful.

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The family of a Salem firefighter who killed himself after being offered the choice of resignation or being fired from the department have filed an Oregon wrongful death suit against the city, according to a recent report in the Salem Statesman-Journal. The paper says that his family believes Craig Warren, a 20-year veteran of the city fire department, was neither properly treated by the department’s medical personnel when he began manifesting signs of mental illness, nor was he humanely treated by the department when it decided to discipline and, later, fire him.

“It’s our opinion that the way the city conducted the investigation of Mr. Warren, especially when they became aware that he was having some emotional difficulties, was very cruel,” the paper quotes the family’s attorney as saying. It also quotes city officials declining comment on the grounds that they were still examining the particulars of the Oregon wrongful death lawsuit.

According to the Statesman-Journal, the path to this Salem wrongful death case began when Warren was interviewed three times in 2009 by his departmental commanders and ordered to utilize the department’s employee assistance program, after they noticed that “he was disturbed,” had begun making “inappropriate comments” to colleagues and exhibited a high level of anxiety. At about the same time, the department underwent “a switch in psychiatrists (which) resulted in a medication mistake and Warren was not fully treated,” the paper reports.

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It is one of the things we all most fear – and over which we have the least control – when entering the hospital: preventable errors. Recently, Portland’s main newspaper has been reporting on an equally disturbing problem related to preventable errors and Oregon medical malpractice: the fact that because some of the reporting hospitals do regarding their mistakes seems to be coming up short. As a result, there is not as much data available to doctors and medical administrators as there should be. That, in turn, may mean that some hospital errors are going unaddressed because word of them is not making its way through the state health system.

The issue was brought to light by a recent article in The Oregonian. The paper noted that “at least 34 patients died as a result of preventable mistakes in Oregon hospitals last year.” The real issue, however, is that fully one-third of Oregon’s hospitals “chose not to report a single error in 2010.” As the paper notes, “this strains credulity.”

Hospital reporting is an issue I’ve addressed before – and one that should command a lot more public attention than it does. It is, of course, natural that few people like to acknowledge error, but when reporting data could lead to better procedures and, eventually, a drop in Oregon hospital deaths we have entered a realm where pride has no place.

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Earlier this week Notre Dame University wrapped-up its investigation of an accident last October in which a 20-year-old student was killed when the mobile lift from which he was filming football practice toppled over amidst high winds. In a news conference the school’s president announced, in effect, that because everyone involved was partly to blame for Declan Sullivan’s death no one in particular was actually responsible, according to an account by sports columnist Mike McGovern.

The idea that universal blame for this tragedy means no one is individually responsible is disturbing – especially since, in many respects, it clashes with the findings of Indiana’s Occupational Health and Safety Administration. That organization fined the university for a list of workplace safety violations related to the accident. According to McGovern: “Notre Dame was cited for failure to properly train the students, failure to have the lift serviced and inspected as required, failure to have an operator’s manual on the lift and failure to have warning labels displayed.” IOHSA has levied over $77,000 in fines for these violations, which the university is contesting.

At a more basic level, however, someone made the decision to send Sullivan up an unsafe lift “in known adverse conditions.” Someone decided that videotaping football practice overrode legitimate concerns about a student’s safety.

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The US Supreme Court heard arguments this week in a case that raises important issues about personal privacy, patients relationships with their doctors and what some see as corporate America’s right to see people’s personal data because doing so may aid their marketing efforts.

According to the Burlington Free Press, the case turns on “a Vermont law that restricts the use of doctors’ prescription records for marketing purposes.” Pharmaceutical companies have challenged the law, arguing that they need to know which doctors are prescribing generic as opposed to brand-name drugs so that they can target their marketing to doctors who, they feel, should opt for generic medicines less often. The Free Press reports that 35 states, the District of Columbia, the US Justice Department and “organizations representing more than 100,000 physicians” back the law, while “numerous business and research groups, including the US Chamber of Commerce” oppose it. The measure went into effect last year. A Federal District judge upheld it, but was reversed by the 2nd US Circuit Court of Appeals.

From a patients’ perspective challenges to this law raise several potentially disturbing issues. As patients we presume our conversations with out doctors are private. It is unclear from the court arguments whether personally identifiable information is being shared with drug companies. Also, should patients have some right to know whether their doctor’s prescribing decisions were effected by a marketing hard-sell from drug manufacturers? Considering the number of scandals in recent years surrounding medical marketing these are very legitimate questions for patients to ask.

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Oregon parents of a 12-year old boy killed in a go-kart accident in Washington state have filed a Washington wrongful death suit against Benton County, the city of Richland (where the accident occurred) “and several other people and organizations whose negligence (the parents) claim contributed to their son’s death,” the Tacoma News-Tribune reports.

Kenneth McKinster died in 2008 “when his kart slid off the track while he was trying to navigate a hairpin turn during a weekend racing event,” the paper reports. His parents believe the kart itself was poorly designed, and was later improperly maintained by the Tri-City Kart Club and by the city and county which, at the time, owned the track itself. According to area TV station KEVW the case is expected to be heard in court before the end of the year.

Go-karts are motorized vehicles capable of traveling at fairly high speeds but including very few of the safety devices we all take for granted in ordinary cars. That places a special responsibility on the owners and operators of go-karts and similar vehicles when it comes to safety. Injuries to children here in Oregon and Washington can easily occur, as this case tragically demonstrates.

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Following up a story I wrote about in February, The Oregonian reports that federal regulators have cleared Portland Adventist Medical Center of wrongdoing in a high-profile case in which a man died of a heart attack in the hospital’s parking lot.

As regular readers will recall, 61-year-old Birgilio Marin-Fuentes suffered a heart attack as he drove into Adventist’s parking facility on February 10. He crashed his car into a wall, but lay in the vehicle unnoticed for more than 20 minutes despite the presence of surveillance cameras in the facility and the fact that the emergency room door was only a short distance away.

Police eventually arrived to help the stricken man. There is some dispute over how the hospital acted at this point. Some accounts say a police officer who ran to the emergency room was rebuffed by desk staff there and told the emergency needed to be telephoned in before hospital staff could respond – despite the emergency being on their own property. Hospital spokespersons have rejected that version of events. Martin-Fuentes died shortly after being moved inside the hospital building.

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A Florida judge has issued a key ruling in a closely watched wrongful death case that may have implications for student athletes here in Oregon and elsewhere.

The case concerns the death of Ereck Plancher, a 19-year-old student and football player at the University of Central Florida. Plancher died in March 2008 after collapsing during a spring workout that was being supervised by the university football coach. According to the Orlando Sentinel “an autopsy found that the stress of the workout triggered Plancher’s sickle cell trait, causing misshapen blood cells to damage his organs and shut down his body.”

Though the university “contends it did everything possible to save his life,” Plancher’s parents filed a wrongful death lawsuit against the school, its trustees and the UCF Athletics Association. Last week’s ruling allowed the parents to seek punitive damages in the case, but instructed the jury only to award such damages if the jurors “specifically find that no water and no athletic trainers were present for the final portion of Palncher’s workout.”

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A trial now underway in Washington is raising serious questions about railway safety. According to TV station KGW, the Longview, Washington trial focuses not only on safety policies at the Burlington Northern Santa Fe Railway Company, but on how carefully those policies are enforced.

The Washington rail crash trial stems from “a collision between a train and a shuttle van in which three people were killed and a forth was critically injured,” the station reports. At issue is a BNSF policy of parking all stationary trains at least 250 feet from a rail crossing. The victims in this particular case died after being struck by a train that apparently could not see their van as it crossed the tracks because another train was parked only 50 feet from the crossing, blocking the engineer’s view.

One complication facing the victims’ families, however, is the fact that the incident took place on the railway company’s property, where laws designed to protect the public at public crossings do not have effect. Private crossings, such as those on company property, have “no requirements for lights or a crossing arm,” the paper reports.

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A report released this week by the consumer watchdog organization Public Citizen raises serious questions about the conduct of state medical boards, according to an analysis published by the Los Angeles Times. The charges, in turn, raise broader questions about the conduct of hospitals and doctors and the prevalence in our health care system of doctors who are problematic at best. Here in Oregon it must make conscientious citizens wonder whether instances of medical malpractice or even wrongful deaths have been allowed to occur as a result of insufficient professional oversight.

As outlined by Public Citizen on the group’s website (see link below) the study examined 20 years of data (1990-2009) regarding doctors who have had “one or more clinical privilege actions,” meaning that they have had some or all of their hospital or emergency privileges withdrawn because of misconduct, incompetence or some other professional infraction. It then compared these numbers with the numbers of physicians sanctioned over the same period by state medical boards. The analysis yields a shocking result: nationwide, 55% of doctors disciplined by their hospitals suffered no further punishment from their state licensing board.

When thinking about the possible implications of this information for Oregon medical malpractice we can take some comfort from the fact that our state had one of the better records on this score. In Oregon, 41.48% of doctors who had some or all of their hospital privileges revoked over the study period suffered no state-imposed sanction. That number is obviously far too high, though it is better than what one finds in most other states (for comparative purposes: Colorado had the lowest rate of unsanctioned doctors at 31.63%; Hawaii was worst with a truly shocking 77.08%).

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