主页 > 医学新闻 >
【medical-news】当医院出错,联邦医疗计划可以拒绝
Posted by Jacob Goldstein
One classic critique of health-care incentives: Certain common mistakes by a hospital’s doctors and nurses lead to worse outcomes for patients — but also to more revenue for hospitals, due to the longer patient stays and more complex interventions required to fix the errors. A new Medicare proposal aims to fix that, by ending payments for the care necessitated by certain common errors, according to a story in the AMA newsletter American Medical News.
The new rule, proposed last month, would go into effect in October 2008 and would cover pressure ulcers (more commonly known as bed sores) and two types of hospital-acquired infections. Also included would be three so-called “never events,” serious errors that should occur under no circumstances: blood incompatibility, when a patient is given the wrong type of blood; air embolism, which may occur when bubbles of air or gas enter the bloodstream during a medical procedure; and accidentally leaving an object inside a surgical patient.
In its response to the proposal, the American Hospital Association supports ending payments for the three “never events.” But the group argues that some hospital-acquired infections and bed sores may arise even if patients are given appropriate care. (For a Health Blog post on whether bed sores are preventable, click here.)
A representative from Consumers Union, which publishes Consumers Reports and has been lobbying for public reporting of hospital infection rates, suggested the Medicare proposal could drive change. “A lot of people believe things are not really going to change significantly until you start pulling on the hospitals’ purse strings,” she said. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 When Hospitals Err, Medicare Might Not Pay
当医院出错时，联邦医疗计划可以拒绝支付
Posted by Jacob Goldstein
Jacob Goldstein 报道
One classic critique of health-care incentives:
刺激医疗保健工作规范进行的经典措施
Certain common mistakes by a hospital’s doctors and nurses lead to worse outcomes for patients — but also to more revenue for hospitals, due to the longer patient stays and more complex interventions required to fix the errors.
刺激医疗保健工作规范进行的经典措施：病人长期住院并且接受比较复杂的治疗方案期间，医护人员工作失误，导致病人病情恶化，医院支出增加，此时，院方要对此承担责任。
A new Medicare proposal aims to fix that, by ending payments for the care necessitated by certain common errors, according to a story in the AMA newsletter American Medical News.
据美国医疗新闻中心美国医药协会时事通讯透露，新的医疗措施即将出台，即，当医院出错时，联邦医疗计划可以拒绝支付，其目的就是防止医护人员工作失误。
The new rule, proposed last month, would go into effect in October 2008 and would cover pressure ulcers (more commonly known as bed sores) and two types of hospital-acquired infections.
这条新规则，于上个月制定， 将于2008年10 月实施。此规则覆盖应急性溃疡（通常所说的食欲不振）和两种类型的院内获得性感染
Also included would be three so-called “never events,” serious errors that should occur under no circumstances: blood incompatibility, when a patient is given the wrong type of blood; air embolism, which may occur when bubbles of air or gas enter the bloodstream during a medical procedure; and accidentally leaving an object inside a surgical patient.
新规则还包括三种所谓的决不该发生的事，即严重过失任何情况下决不可发生：包括 血型错配，病人输血时输错了血型；空气栓塞，医疗操作不规范致使气泡进入血流；手术中不小心遗留异物于病人体内。
In its response to the proposal, the American Hospital Association supports ending payments for the three “never events.”
对此项规则的反应不一：美国医院协会同意在那三项严重的错误上实施此规则
But the group argues that some hospital-acquired infections and bed sores may arise even if patients are given appropriate care. (For a Health Blog post on whether bed sores are preventable, click here.)
但他们认为，即使精心护理，院内获得性感染和食欲不振也是会发生的（这有一个医疗博客，讨论食欲不振是否可以预防，点击看相关链接）。
A representative from Consumers Union, which publishes Consumers Reports and has been lobbying for public reporting of hospital infection rates, suggested the Medicare proposal could drive change.
来自消费者联盟的一个代表, 出版消费者报告而且一直游说争取医院传染率的公众报告,她认为此项措施充满可变性。
“A lot of people believe things are not really going to change significantly until you start pulling on the hospitals’ purse strings,” she said.
阅读本文的人还阅读：
作者:admin@医学,生命科学 2011-04-01 05:11
医学,生命科学网