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Prevalence, Severity and Nature of Preventable Patient Harm Across Medical Care Settings

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Submitted by Dr. Gary G. Kohls MD

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By Maria Panagioti, et al – July 17, 2019 (Excerpted article: 480 words)

Full article, including author affiliations and references at: https://www.bmj.com/content/366/bmj.l4185

Objective 

To systematically quantify the prevalence, severity, and nature of preventable patient harm across a range of medical settings globally.

Introduction

Patient harm during healthcare is a leading cause of morbidity and mortality internationally.

The World Health Organization defines patient harm as “an incident that results in harm to a patient such as impairment of structure or function of the body and/or any deleterious effect arising therefrom or associated with plans or actions taken during the provision of healthcare, rather than an underlying disease or injury, and may be physical, social or psychological (eg, disease, injury, suffering, disability and death).” 

The health burden and patient experiencing healthcare-related patient harm has been reported to be comparable to chronic diseases such as multiple sclerosis and cervical cancer in developed countries, and tuberculosis and malaria in developing countries.

Harmful patient incidents are a major financial burden for healthcare systems across the globe.

It is estimated that 10-15% of healthcare expenditures are consumed by the direct sequelae of healthcare-related patient harm.

Early detection and prevention of patient harm in healthcare is an international policy priority.

In principle, zero harm would be the ideal goal. However, this goal is not feasible because some harms cannot be avoided in clinical practice.

For example, some adverse drug reactions which occur in the absence of any error in the prescription process and without the possibility of detection are less likely to be preventable.

Key sources of preventable patient harm could include the actions of healthcare professionals (errors of omission or commission), healthcare system failures, or involve a combination of errors made by individuals, system failures, and patient characteristics.

Key types of preventable harm were

  1. drug-related,
  2. diagnostic errors,
  3. medical procedure-related, and
  4. healthcare-acquired infections.

The excess length of hospital stays attributable to medical errors is estimated to be 2.4 million hospital days, which accounts for $9.3 billion excess charges in the US. More

Medical/Surgical Error and Prescription Drug Adverse Reactions: The 3rd Leading Cause of Death in the US

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Duty to Warn

By Gary G. Kohls, MD – 12-3-2019 (2590 words)

 

“2.6 million people die annually in low-and middle-income countries from medical errors, and that most of those deaths are related to misdiagnosis and administration of pharmaceutical products…Medication errors alone cost an estimated $42 billion (US dollars) annually. Unsafe surgical care procedures cause complications in up to 25% of patients resulting in 1 million deaths during or immediately after surgery annually…Four out of every ten patients are harmed during primary and ambulatory health care. The most detrimental errors are related to diagnosis, prescription and the use of medicines.” — The World Health Organization

Below are summaries of two medical journal articles and one online article that conclude that medical errors are the third leading cause of death in the US. The first study, published in 2016 in the British Medical Journal, was authored by researchers from the Johns Hopkins University School of Medicine. The authors calculated that medical errors accounted for > 250,000 deaths every year in the US, which made iatrogenic (= physician, drug or vaccine-caused) deaths the third leading cause of death in the US, surpassed only by #1 heart disease (647,457) and #2 cancer (599,108) (2018 CDC data). 

It is important to note that medical errors and adverse effects from prescription drugs that have caused deaths or illnesses are rarely listed by physicians on death certificates or in rankings of causes of death or illnesses. The journal articles call for better reporting by physicians.

Also be aware that the two studies – as has been the case of ALL such studies of causes of death, acute illnesses, chronic illnesses or adverse drug effects – did NOT evaluate vaccine-induced deaths or injuries, mainly because virtually every physician, in every country (where powerful, for-profit pharmaceutical/vaccine corporations control the practice of medicine, most medical school curricula and most major media outlets), consistently fails – or refuses to acknowledge – even the most obvious vaccine injuries or deaths as worthy of being reportable diseases or worthy of being listed in their differential diagnostic impressions, discharge diagnoses or death certifications.

Here is the British Medical Journal (2016) article: More

Time to Wake Up: International Community Moves to Force Vaccinations

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Note From Dr Gary Kohls: Fear of an imaginary measles crisis created by multi-billion-dollar companies like Merck, Glaxo, Pfizer, Sanofi, Eli Lilly – and then propagated by the mainstream media, which is funded largely by these very same companies

By Charlene Bollinger
May 8, 2019

 

Epic Medical Systems, a company that sells medical records software, has introduced a way to use patient information to identify and track down anyone who hasn’t been vaccinated. The software is used by thousands of hospitals in the U.S.

Jens Spahn, the German Health Minister, has recently introduced legislation that would require parents to vaccinate their children – or face government fines and exclusion from schools. The fines could be as much as 2,500 euros, or about $2,800 USD.

These moves come in the midst of a measles outbreak during which the death toll has skyrocketed from zero to… well, zero. And while the potential side effects are more extensive than the effects of the virus itself, public health officials here and abroad are making aggressive moves to invade our privacy, strip away our freedoms, and force vaccination upon us.

In 2018, Pharmaceutical giant Merck generated $1.8 BILLION in revenue from the MMR vaccine alone.

It’s time to wake up.

Your Private Information is Not Private

Doctors in the U.S. are utilizing your private medical records to identify unvaccinated patients and push them to receive the MMR vaccine. It is not exclusive to patients who may have been exposed. Family and friends of patients can be screened, and anyone who hasn’t received the vaccine may receive targeted messages about vaccination. More

When an entity like the VA mis-diagnoses (and therefore mis-treats) an illness, that entity will surely be unable to prevent the illness as well

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Submitted by: Dr. Gary Kohls, MD

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The VA (not to mention virtually every other psychiatric clinic in America) ignores the fact that American military veterans (just like most of America’s chronically-ill infants and children) are 1) seriously over-vaccinated with a multitude of neurotoxic vaccines that contain, among many other toxic substances, mercury, aluminum and live viruses.

Because any neurotoxic drug or neurotoxic vaccine ingredient WILL INVARIABLY cause neuropathological disorders which commonly manifest as mental health issues, most psychiatric clinics will mis-treat the brain-injured or brain-toxic patient with cocktails of seriously neurotoxic, addictive and/or dependency-inducing psych drugs that can cause both serious withdrawal symptoms as well as toxic effects). None of those psych drug (or vaccine) cocktails have been proven to be either safe long-term or even effective.

Treating a sickness (that has been totally mis-diagnosed) with an erroneous treatment regimen (that is highly likely to be toxic) is a recipe for disaster. The is likely to be worse than the original disease.

And, because those treatment toxicities are iatrogenic (doctor-, drug- or vaccine-caused) the VA (and virtually every psychiatric or medical clinic in America) prefers to blindly continue to rely on neurotoxic psychiatric drugs that are known to actually increase suicidality and depression rather than relieve those realities.

V.A. Officials, and the Nation, Battle an Unrelenting Tide of Veteran Suicides

By Jennifer SteinhauerApril 14, 2019

https://www.nytimes.com/2019/04/14/us/politics/veterans-suicide.html

WASHINGTON — Three veterans killed themselves last week on Department of Veterans Affairs health care properties, barely a month after President Trump announced an aggressive task force to address the unremitting problem of veteran suicide.

Mr. Trump’s executive order was a tacit acknowledgment of what the deaths rendered obvious: The department has not made a dent in stemming the approximately 20 suicide deaths every day among veterans, about one and a half times more often than those who have not served in the military, according to the most recent statistics available from the department.

A 2015 measure that required officials to provide annual reviews of mental health care and suicide prevention programs has found that veterans often receive good mental health care at many Department of Veterans Affairs centers — but that has not decreased suicide rates. A relatively new program, known as the Mayor’s Challenge, that helps city and state governments reach more veterans through more public health programs via Veterans Affairs partnerships has shown some promise, but no data exists yet demonstrating suicide reductions.

While the V.A. has been the public face of the issue, veterans are in many ways an amplification of the same factors that drive suicide in the broader American population: a fragmented health care system, a shortage of mental health resources, especially in rural areas, a lack of funding for suicide research and easy access to guns. All of these contribute to the drastically increased suicide rate among all Americans, which rose 33 percent from 1999 to 2017. More

Another Ecologic Open Pit Mine Catastrophe Happened Yesterday in Brazil (January 25, 2019): Lessons for Starry-eyed Minnesotan Politicians and Investors who Have Been Bamboozled by PolyMet and Glencore and Other Foreign Mining Corporations

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Duty to Warn

 By Gary G. Kohls, MD – January 26, 2019

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A solemn message to the residents of Hoyt Lakes, Aurora, Meadowlands, Floodwood, Brookston, Cloquet, Scanlon, Carlton, Thomson, Wrenshall, Duluth, Superior WI, Minnesota, Wisconsin, Michigan, Canada and most of all, Lake Superior, please seriously heed the warnings in the message below. 

Even state-of-the-art mine tailings ponds that use earthen dam walls (especially if they are intended to grow to become 250 feet tall like PolyMet’s!!) are subject to sudden, unexpected – and very catastrophic – breaches that could easily destroy for a generation every living thing in the watershed downstream. Even tributaries can be contaminated and even destroyed in the sudden deluge that can reverse the flow of the creeks temporarily. 

And be warned that foreign multinational mining corporations – just like every other profit-minded, multinational corporation that anybody can think of – has their profits as their number one goal; the long-term adverse environmental effects from their mining operations be damned!

Foreign multinational mining corporations have poisoned the environment – sometimes gradually, sometimes catastrophically – wherever on the planet they have extracted their minerals – NO EXCEPTIONS.

The giant multinational mining corporations Vale, BHP Billiton and Samarco (that have extensive operations in Brazil) have again demonstrated to the world why they can’t be trusted, for just yesterday (January 25, 2019) they have perpetrated another environmental catastrophe.

Read on and understand that similar disasters could (and probably will) happen downstream from the PolyMet/NorthMet/Glencore sulfuric acid-producing copper mine whose tailings pond dam is scheduled to rise to an eventually unstable height of 250 feet !!

Far more communities than the dozen towns named above could be devastated irreparably, despite what the starry-eyed and bamboozled (and/or paid off by political contributions) politicians like Senator Klobuchar, Senator Smith, US House member Stauber, ex-US House member Nolan, and practically every politician from either major political party that one can think of. The high potential for sudden environmental disasters similar to Samarco, Mount Polley (British Columbia) and now Brumadinho, Brazil (plus a hundred others since global mineral extractions by huge corporations began). 

“ALL tailings “ponds” are a problem. If they don’t breach and spill massive amounts of toxic sludge into the environment like at Mount Polley, they leach that contamination slowly, poisoning the waters and lands (and aquifers) around them for centuries.” — From: http://canadians.org/blog/update-mount-polley-mine-disaster-imperial-metals-and-government-focus-covering-instead.

Before reading further, click on https://www.minnpost.com/sites/default/files/attachments/St%20Louis%20River%20watershed%20map.pdf to examine what comprises the St Louis River watershed, considered sacred by our native American forerunners.

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Vaccine Realities that Big Pharma Doesn’t Teach Us Doctors (or our Patients)

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 Duty to Warn

By Gary G. Kohls, MD

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And Why America’s Mandated Over-vaccination Schedules are Unsafe and of Questionable Usefulness

“In 1986 a US law was passed that protected vaccine maker’s from ever being sued in a regular court regardless of how many babies or children were injured or killed from the aluminum, mercury (aka Thimerosal), formaldehyde, aborted fetal cells, deadly peanut byproducts, cells of pigs, cows, monkeys, dogs, insects, MSG (monosodium glutamate), ether and other toxins that make up normal vaccines. At that time 1 in 10,000 children had Autism. Children went from 7 vaccines to more than 70. Today as many as 1 in 25 boys over age 12 has autism-which is really a term to hide the real condition: vaccine-induced encephalitis (inflammation of the brain) and 1 in 5 high school kids have ADHD, Tourette’s syndrome, epilepsy, asthma, diabetes and cancer has gone sky high. No vaccine is ever looked at for its ability to cause cancer-surely not the combination of vaccines and cancer is now the leading cause of death ion little children. There is a federal Vaccine court that has paid 3.3 BILLION dollars to families bright enough to learn the system and were able to prove that the autism was from the vaccines.” — Shelley Tzorfas, author of Recovering Autism, ADHD, & Special Needs

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Over the several decades since I really started studying vaccine issues in some depth – much too late for many of my vulnerable patients – I have come to see through the pervasive Big Pharma/Big Vaccine/Big Medicine propaganda that falsely and repeatedly asserted that all vaccines are safe, effective and necessary for the public health. More

VIP Info!! (ME/SUB, ME) Vaccine-induced Acute Flaccid Myelitis (AFM): The best and most logical explanation for the outbreaks – which means that AFM is an iatrogenic illness (a taboo subject that must be suppressed at all costs)

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Duty to Warn

Submitted by: Dr Gary Kohls MD

The letter below is about what the CDC and many state Departments of Health (plus mainstream media outlets that take advertising [hush”] money from Big Pharma/Big Vaccine [plus every medical trade group such as the AAP and AMA]) has been calling “mysterious” outbreaks (ie, of unknown cause) of acute flaccid myelitis (AFM) among highly vaccinated-age-age pediatric patients. The letter was published in a recent issue of the British Medical Journal (in the “Rapid Response” section).

The author of the letter receives my periodic Duty to Warn columns, and he was kind enough to forward me the BMJ-published letter. We should be proud of him for writing it and also happy that the BMJ actually printed it. I suspect that most major US medical journals would refuse to publish such important information.

Perhaps some of the vaccine/Big Pharma-skeptic group receiving this forward could consider raising this important issue in the mainstream media and also challenge mainstream medical journals before the flood of misinformation about AFM falsely establishes in physician’s and people’s minds that intramuscular injections of neurotoxic ingredients in vaccines has nothing to do with the outbreaks. It should be mandatory for every physician or nurse even peripherally involved in AFM cases to document vaccination history, especially the history of pre-school vaccinations and fall influenza vaccinations. Gary

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INJECTIONS AND ACUTE FLACCID MYELITIS: THE DOG THAT HASN’T BARKED

 

The editorial and review of the US outbreaks of acute flaccid myelitis/AFM is timely, but it fails to mention a potentially important co-factor in the cause of this “mystery illness”—intramuscular injections and provocation paralysis. (Stelzer-Braid, BMJ, 19 Dec 2018) More

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