Sunday, December 23, 2012

"The three cases, which involved two neurosurgeons implanting bowel bacteria into patients' brains, received so little scrutiny that the agency concluded all UC Davis hospital patients were at increased risk for infections and even death."

this might be why UCSF wants to stand alone as much as possible, Sac Bee:

Evaluation of UC Davis Medical Center's handling of neurosurgeons is scathing

The university has not identified the three patients, but The Bee has learned that at least two of the families are pursuing legal action over their loved ones' unsuccessful treatments. Those families have not agreed to speak publicly about their cases.

The patients' unorthodox treatments might have remained an internal matter for the university if not for a complaint received by the Centers for Medicare and Medicaid Services. The agency regulates health care facilities and controls Medicare and other federal funding.

In late August, a team of investigators from the California Department of Public Health descended on the hospital at the request of the federal agency. A team returned to the hospital earlier this month for a survey of the entire hospital operation.
The actions and inactions of hospital staff are spelled out in an unredacted version of the report released to The Bee by federal officials. UC Davis previously had provided a version that had been redacted, shielding some details about the patients and their care.

Read the bullet point list at Sac Bee but this stands out "At least four nurses involved with the surgeries said they couldn't recall getting any information about "probiotics" or the wound-contaminating procedures. The chief of nursing services told investigators there was no need for the nurses to question the procedures because "nurses are not 'whistle-blowers.'"
In a one-hour meeting in November 2011, a committee of top leaders reviewed more than 200 patient complaints and competency concerns raised by other medical staff regarding Muizelaar.

"No action plan was documented," the report stated, noting that no plans were made to monitor Muizelaar's and Schrot's activities to "verify compliance."

"In November, Dr. Claire Pomeroy, dean of the UC Davis School of Medicine, announced she would be stepping down. Her boss, UC Davis Chancellor Linda P.B. Katehi, made no link between Pomeroy's departure and the investigation into the neurosurgeons, and praised Pomeroy for her "many contributions."

However, the federal watchdog agency came down hard on Pomeroy, stating that she and other top leaders had failed to hold medical staff accountable – and had thus placed all patients at increased risk.

In her interview with investigators, Pomeroy "acknowledged there had been no evaluation of the system that failed," according to the report.

out of respect to patients ... did not title this post 'Shit for Brains' but someone likely will- even the 'best of us' will try a new controversial treatment if given hope. Here is an earlier post on this issue when it first broke.

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