Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


Vanderbilt Comments on Patient Error, CMS Corrective Action Plan


 
Following a medication error last December that resulted in a patient death, Vanderbilt University Medical Center faced scrutiny by CMS, which could have potentially impacted Medicare reimbursement. However, on Nov. 29, the federal agency accepted a corrective action plan submitted by the city's academic medical center.
John Howser, chief communications officer for VUMC, released the following statement regarding the incident: "VUMC was notified of an adverse finding by the Tennessee Department of Health after an on-site survey involving a patient who died in December 2017 following a medication error. In reviewing the event at the time it happened, we identified that the error occurred because a staff member had bypassed multiple safety mechanisms that were in place to prevent such errors. We disclosed the error to the patient's family as soon as we confirmed that an error had occurred, and immediately took necessary corrective actions (including appropriate personnel actions). We will continue to work closely with representatives of Tennessee Department of Health and Centers for Medicare and Medicaid Services to assure that any remaining concerns are fully resolved within the specified time frame."
According to a CMS report, in December 2017, a nurse went to the digital medication cabinet to pull midazolam - brand name Versed. When typing in 'VE' didn't pull up the drug, the nurse manually overrode the system, inadvertently dispensing vecuronium, a powerful anesthetic. Complicating matters, routine observation procedures weren't followed after dispensing the medication so it was estimated 30 minutes or more passed before staff realized the patient had lost consciousness.
With acceptance of the corrective action plan, VUMC's Medicare reimbursement status is no longer in jeopardy.
 
Share:

Related Articles:


Recent Articles

Amidst Growing Measles Outbreaks, AMA Urges Public to Get Vaccinated

Reminds physicians to discuss the safety and efficacy of vaccines with patients, as well as educate them on health risks associated with not vaccinating children

Read More

Pivotal Clinical Trial Investigates New Technology for Managing Uncontrolled Hypertension

Read More

The Biggest Threats to Public Health

Noted public health expert Dr. William Schaffner shares insights on three of his top public health threats.

Read More

Covering Kids

A new study finds higher rates of uninsured children in Tennessee and other non-expansion states.

Read More

Severe Asthma Disparities

A recent study found racial disparities in ED usage for severe asthma become statistically insignificant when factoring out socioeconomic elements, paving the way for more emphasis on differences in community than biology.

Read More

Mark Your Calendar for Music City SCALE

The 14th Annual Music City SCALE meeting featuring up to 22 hours of CME for medical practitioners is set for May 9-11 at the Music City Center.

Read More

Public Health Happens in the Community ... Not Just the Clinic

Public health continues to lead the way to eliminate health disparities and create a system that focuses not just on the absence of illness but the promotion of wellbeing.

Read More

Gum Disease and Tooth Loss Associated With Higher Risk of Pancreatic Cancer in African-American Women

Poor oral health was associated with increased risk of pancreatic cancer in African-American women.

Read More

A New Vision for Safety Net Care

After 14 months of study, the Indigent Care Stakeholder Work Team has released their vision for safety net care in Nashville.

Read More

Modern Healthcare & Critical Connections Present Social Determinants of Health Symposium

Read More

Email Print
 
 

 

 


Tags:
None
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: