The Orlando Sentinel from Orlando, Florida • Page 135

FLORIDA I I ,1111 IL I I l.ll JILI I ,1 I.IDH.I The Orlando Sentinel, Tuesday, July 2, 1 985 D-3 Error, age cited in VA hospital deaths Factors appear 72 percent of time in some hospitals' heart surgery ASSOCIATED PRESS BU VS IeT EMERSON QUIET KOOL? percent of the cases. The results do not represent the entire VA system, said Robert Putnam of the VA Department of Medicine and Surgery in Washington. The report was distributed to 12 members of a review group formed by VA Director John Ditzler last year after The News and Sun-Sentinel reported that more than a dozen VA hospitals had reported excessive deaths after heart surgery. The VA has 43 heart-surgery programs. The audits occurred only at those hospitals that reported heart-surgery death rates above 10 percent, which is twice the VA's national average.

The report also showed that "in most instances" heart surgery was performed by residents "in various stages of training" at VA-affiliated medical schools. The students worked under "direct supervision" of fully trained surgeons. But despite the pattern of errors, the VA's system reported overall death rates similar to those at New York state hospitals for every type of heart surgery except heart-valve replacement, which was higher in VA hospitals. New York is the only state that collects such data. Comparable data from private hospitals is not available.

18.000 COOL ONLY 6.7 EER 2 speed fan 18.000 HEAT AND COOL 6.7 EER 2 speed fan SORT LAUDERDALE About 72 percent of the heart-surgery deaths at Veterans Administration hospitals can be attributed to a combination of medical error and the severity of the patient's disease, an agency report shows. The statistics are from an analysis of 119 cardiac-surgery deaths from 1980 to 1983 at VA hospitals with poor safety records, The Fort Lauderdale News and Sun-Sentinel reported Monday. 'Directors of cardiac programs at the hospitals were asked by auditors to assess factors affecting deaths within 30 days of heart surgery. The directors reported that: In 56 percent of the cases, the patient was old and had advanced illness or other diseases that increased the risk of surgery. In 38 percent of the cases, there was error in 'operative technique." In 29 percent of the cases, the patient's heart was not adequately preserved during surgery.

In 23 percent of the cases, there was error of judgment. A combination of these factors was cited in 72 SCDffl JHII 18EC4D 18EC4H AIR CONDITIONER SPECIALS UTTON'S TOP OF THE LINE MID-SIZE MICROWAVE EMERSON QUIET KOOdj Court refuses to hear 3 killers' appeals NOW $199 $349 $719 5,000 COOL 8,000 24,000 5K525 8LJ9H 24JC4H 5.9 EER J229 7.2 EER S389 6.7 EER $849 ASSOCIATED PRESS SANYO 5,000 COOL g- NOW $259 $399 $449 $609 sa-50u 8.0 EER J299 sa-90u 9.0 EER $479 SA125U 9.6 EER $549 SA181 8.3 EER $729 9,000 COOL 12,500 COOL 18,000 COOL Davis was convicted of the May 11, 1982, murders in Jacksonville of Nancy Weiler and her daughters Kristina, 10, and Katherine, 5. Prosecutors said the pregnant woman and her children were slain during a burglary at their home, next door to Davis' parents. Davis said he was denied a fair trial because of publicity about the case. Ft.

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