Multi-Disciplinary Scientific Approach to Detection of Mass Repeated Fatal Errors in Standard Medical Orthopedic Processes

Editorial The frequency of fatal medical errors in Diagnosis and choosing the right individual treatment is tragic fatal by 10% of all workflow-today’s ex-waiting fatal medical mistakes in OECD by The World Research Message WHO 2010. This means an immense amount of unnecessarily severely injured patients annually, with a substantial reduction in the rest of their lives for many years in all OECD countries. I very much appreciate the findings of medicine in the US, where it has been proven in 2016 that medical errors are the third most common cause of enforced Patient death in the US, although it is very difficult to demonstrate from standard structural patient medical records. I have therefore decided, on the basis of the standard criminalistic multidisciplinary methods used in the United States to analyse catastrophic falls of each transport aircraft, it was my origin inspiration: - to demonstrate how similar criminal analyses of statistical Patient samples can be performed a key to description random clusters of patients with comparable orthopedic diagnosis with comparable standard choice treatment with a comparable choice of orthopedic implants with detection many false similar repeated fatal medical mistakes. The basis of the demonstrative approach is the problem of a model description of the history of at least One Statistical Unit - the elementary first case of at least one patient in the selected “first learning sample”. We are begin with FIRST more explanatory case description of the Orthopedic case in next Clusters - with this new patented approach, Utility model S_T_A_R_S-Statistical Retrieval and Search of sufficient information to Mass reuse for similar repeated strategic decision making, it opens


Editorial
The frequency of fatal medical errors in Diagnosis and choosing the right individual treatment is tragic fatal by 10% of all workflow-today's ex-waiting fatal medical mistakes in OECD by The World Research Message WHO 2010. This means an immense amount of unnecessarily severely injured patients annually, with a substantial reduction in the rest of their lives for many years in all OECD countries. I very much appreciate the findings of medicine in the US, where it has been proven in 2016 that medical errors are the third most common cause of enforced Patient death in the US, although it is very difficult to demonstrate from standard structural patient medical records. I have therefore decided, on the basis of the standard criminalistic multidisciplinary methods used in the United States to analyse catastrophic falls of each transport aircraft, it was my origin inspiration: -to demonstrate how similar criminal analyses of statistical Patient samples can be performed a key to description random clusters of patients with comparable orthopedic diagnosis with comparable standard choice treatment with a comparable choice of orthopedic implants with detection many false similar repeated fatal medical mistakes.
The basis of the demonstrative approach is the problem of a model description of the history of at least One Statistical Unit -the elementary first case of at least one patient in the selected "first learning sample". We are begin with FIRST more explanatory case description of the Orthopedic case in next Clusters -with this new patented approach, Utility model S_T_A_R_S-Statistical Retrieval and Search of sufficient information to Mass reuse for similar repeated strategic decision making, it opens a crucial World discussion among all the members of the evaluating multidisciplinary scientific next working team-i.e., criminologists, orthopedists, radiologists, forensic doctors, patients, lawyers, statistics, biostatistics, experts in databases for the Clusters from clever selected records from used EHRs.
Experienced and well-structured motivated qualificator decision team by patented principles Utility model "S_T_A_R_S", 21532 CZ, 2010. The problem of proper collective decision making in a team that uses multidisciplinary scientific approaches should be based on the reasonable professional and well-motivated staffing of the entire team, but they must go through a common initial "run-in" to make clear what decisive phenomena they must be able to recognize to evaluate and how to learn from the individual evaluations of the individual team members to come to the joint partial conclusions and to the final interpreting statistic representative conclusions, estimates of statistic parameters with statistic accuracy and statistic defined reliabilities -on the individual monitored phenomena, on the critical illegal situations of the patient Health care, the individual statistical units evaluated ... i.e. when checking the correct processing in diagnosis, checking the correct processing in choice the right individual treatment by the modern medical knowledge's interdisciplinary of Encyclopaedic Literature , assessing the illegal consequences of medical errors in diagnosis and in the choice of false individual treatment, evaluating the consequences of fatal unlawful medical errors by the decisions making on the Providers Health care and medical staff by the Health care for patient, the probable development of his / her status of Health, the growth of fatal patient risks in next time and a biostatic probable enumerable effects on the likely median estimate of shortening the rest of the patient's life for a significant number of years to legal financial satisfactions including the Life assurance for worse mental and Physical Health status, Loss of Patient Lives.
We should to understand to the casual history of a few individual Patient tragic growing the fatum to begin with next clever usage the Statistic method to detect similar medical mistakes EX POST, later so as for prevency to repeat medical mistakes EX ANTE. In Orthopady  Since there are never seen any fatal official medical errors in Czech Orthopaedics CZ, it is not real possible or desirable to detect or efficiency to prevent such massive medical orthopaedic errors in medical orthopadic workflow, namely we don´t solve tragic Fatums of Patient CZ in the Czech Republic, we don´t count the yearly needless Patient Victims CZ. We are taking the false definition, LEGE ARTIS CZ "regardless It has covered namely in Mass frequent repeated trivial technical medical fatal errors in Mass Medical processing CZ.
The needless Loss of Orthopedic Patient Life CZ has NONE of financial evaluating. Providers Health care CZ and medical staff are absolute Scot-free for even-in the secret continual civic war the Physicians CZ contrary Patients CZ with Mass yearly repeated similar Mass Medical errors in the standard medical orthopadic processing. In this my explanatory Article, I am deciding solitaire scientist-one-man cz only-because the scientific Truth is interesting for US Medicine only, never for CZ Medicine. Namely I am explaining the next Explanatory Orthopadic Case about false Diagnostics and with false choice the Treatments Necrosis of femoral Head both my legs -as an pensioner The State investigator of mortal occupational cases of Ministry for Labour and Social Affairs Czech Republic, so as a needless crippled too and just dying orthopadic Patient "LEGE ARTIS CZ" too-after to late diagnostics Necroses of Femoral Head with the false choice 3 needless following Treatments of illegal Orthopadic surgeries THA when there were recommended advanced more carefully and safety recommended NON-surgical treatments in time -by the World Encyclopaedic Orthopadic Literature. As I unnecessarily lost my left hip in Dg. the femoral head necrosis. At the beginning of 2004, I was 59 years old, I was poorly trained with a new Surface Sleigh sweep in the snow-I dropped from the height of my buttock where there was a big blood swelling about 7 centimetres in diameter. The pains did not lose even after a few months, it had only solid edges. After a few months, my left hip began to collapse, sometimes I was eliminated for a few minutes from locomotion, then it managed to overcome the light massage and another attack of pain inside my hip was repeated until the next day. As an inquisitive patient, I lectured at the Prague Municipal Library to study the Orthopedic Medical Encyclopaedia, where I personally suspected that it might be Necrosis of the left femoral head, according to the typical symptoms of the patient's troubles.
So, I went to the ambulance of my practical Mrs. Dr. Physician and I asked her to provide me with a request for X-ray examination of the hip at the Orthopedic Clinic of the Faculty Hospital Královské Vinohrady in Prague 10. The X-ray analyst carefully listened to me and looked at the X-ray image from the beginning of September 2004, there are no obvious destructive changes on the X-ray of the hip, but that does not mean that my patient's situation is very serious. She did not ask me to bring a new order for the Distant Magnetic Resonance to detect the initial phase of Femoral Necrosis, but she sent me for further examination at the Neurology Clinic of the same hospital. The Prime Dr. of Neurology, me signed carefully scratched the hip and skeletal functions, but he did not send me again to the desired differential diagnosis of femoral head necrosis using MRI-because he was mistakenly assumed-that it was the cause of spinal nerve ending-with casual both-hip and back pains. Procedure Neurology was not expertly wrong but ignored my initial suspicion about of Necrosis of left femoral head.
The neurologist has decided Treatment-that the painful state should bridle local anaesthesia with a syringe inserted directly at the end of the spine-in the hope that painful inflammation in the spine, as well as the left hips will calm down and the hip joint will functionally revitalize again. The origin premise of neurologist was wrong for always worse Patient Health status in duration of 4 weeks. There was a clear mistake that Neurology kept on his primary hypothesis about Diagnosis, but my patient hypothesis did not at least do the additional differential diagnosis with MRI, my patient council did not take seriously. It is for these reasons that during the tragic 4 weeks the surface sliding surface of the hip joint was destroyed. On the next X-ray image at the beginning of November 2004, the revitalization of the joint function was completely impossible without at least a shorter surgical orthopedic procedure.
According to the Orthopaedics Encyclopaedia, the first stages of the development of necrosis of the femoral head are easily naturally revitalized-only the basic limitations of locomotion with bedtime and the use of revitalizing dietary and medical supplements, with hip autosomes and controlling effects by MRI after 5 weeks. In my private case of orthopedic and already significant damage of the hip joint, the application of Total endoprosthesis is possible only in the highest stage of the 5 th stage, but the Orthopedic Clinic of the Faculty Hospital Královské Vinohrady, Prague 10 CZ, offered me the term of Surgeon THA till in May 2005, when I could not walk from the place. That made me looks for a next Orthopedic Promotion at the Regional Regional Hospital Mladá Boleslav where I was implanted with an artificial joint contact S, non-cemented, already on January 4, 2005.
The operation of the hip TEP was performed properly and functionally, but unnecessarily about 5 years earlier before it was for me Patient-friendly -because none of the Orthopedists, Radiologists and Healers-could not use the recommended advanced diagnostic and therapeutic procedures for the diagnosis of femoral head necrosis by Orthopedic Encyclopaedia-nor on the scale and knowledge's of a typical orthopedic educated patient with a right František Vurm, who has already operated the left hip-He recommended only hip pain pills to limit, which did not solve the essence of the orthopedic principal problem. His fundamental view was -to passively wait until the advanced necrosis of the femur destroys the right hip joint too -and then, finally to use the THA again. He did not think of any more moderate rescue carefully procedures for my hip -I suppose, probably because he did not use any nonsurgical healing processes or mild curative surgical arthroplastic processes. Of course, he did not manage them practically with skills -and perhaps He never read anything about them from the last Czech Orthopadic Encyclopedia since 2005.
The orthopedic encyclopaedia literally describes full List of orthopadic diagnoses and full variants of treatment methodswhich the unique orthopedic routine does not manage with skills and therefore cannot recommend to its patients for else Orthopedic concurrency in medical Branch. If you want to make a good next profit by next hip Total Hip Arthroplasty. No professional critic from the position of his experienced colleagues-the Orthopedists, does not expect it. Especially in the elderly, it is often with much more advantageous to replicate about number about 200 TEP hip annually from the point of view of the older Orthopaedist to older Patient in the region-rather than trying to risk the easier and cheaper light surgeon repairing of the hip joint for the individual Patient-maybe which he saw similar extraordinary problems twice times about 20 years ago -when he was studying Orthopedics firstly.
All Orthopaedist are keeping mostly trendy-to more frequent the large surgeon standard HIP with Total Arthroplasty, despite there are for Patients frequently growing risks from full Anesthesia, worse rehabilitation, more risks on the Surgeon hall, etc. The fatal legal, technical, medical mistakes of my Orthopaedic MUDr.
František Vurm-it was ignoration my preliminary declination the femoral neck on the right femoral bone, which was diagnosed by the Radiolog from the Central Medical Radiology Clinic of the Faculty Hospital Královské Vinohrady Praha 10-about 3 weeks before Surgery THA-it means before date November 13, 2007 in the Regional Hospital Mladá Boleslav with explicit results by written too! By the Directive 93/42/EEC Medical Devices, there are technical requirements including mandatory duties to create "Individual Clinic Processing Plan of Surgery THA", because the individual qualities of the Forms, Positional placement and the individual structure of hip bones-there are limiting Input mandatory information about Patient Health Status including, we should probe the useable fitted placement of the choice components set THA on the preliminary RTG Hip images with mandatory comparison with the firm radiologic etalons of components in Geometry 3D on the Orthopedic screen, with the same scaling…there are mandatory specific planning processing by the Dysplastic Declination of femoral neck….because the separation of dysfunctional forms the natural Head of joint….must be with individual surgeon cat, there must be regards to rasping the specific socket on the proximal femoral cavity…for planning the placement of the stem…Only idiot or Murder…could be able to begin the illegal Surgeon Work THA on the Surgeon Hall "blendy"! Only Group of Murders with graduating as Orthopads MUDrs, could say…it is working Lage artist CZ, including when the MUDr. František Vurm wasn´t able to detect the false rasped the proximal femoral socket with false hole -with Illegal destruction integrity of my femoral bone …despite he should been mandatory controlling by the Product in void with specific Orthopedic instrument full integrity by details in Certification of Users THA Contact S Non-cemented, but he didn´t diagnosed tragic hole in the femoral socket.
When MUDr. František Vurm illegal finished the assembling the set THA-Bi contact S, Non-cemented, Dimension 13 mm, Type N from the B. Braun Germany…out of mandatory accuracy in coaxial ties the femoral bone and there Stem….out of tolerance +/-1 grads… when he placed the stem illegally crummy ….with declination in the sagittal Direction (the same Plaine and declination of the axes of the Stem on 13,68 grads-Direction as the Imaging RTG since the November 16, 2007). Only Idiots or Murders could say "It is no to detect-illegal declination on the RTG since the date November 16, 2007". We should observe the post operational Image not illegally "in the hand and with intuitive views "! We should take always the Firm installing radiological masks and on the Orthopaedic screen, we should comparing the placement on the Image with this radiologic firm etalons….and when the spice of the used stem in the coordinates Xi, Yi, Zi we were controlling….by the Preliminary Planning….