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The Michigan Daily - Monday, October 25. 1999 - 7A

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U' panel discusses adverse
events in medical profession

By Jon Zemke
Daily Staff Reporter
Hoping to help eliminate adverse
events - medical mishaps - the
Oversity Forum on Health Policy
organized a panel Friday to discuss
ways to curb such accidents.
"Those are the things that happen
that you don't want to happen,"
Director of the University Health
Forum Marilynn Rosenthal said.
The panel, which meets annually to
discusses various medical issues, invit-
ed Troy Brennan as the keynote speak-
er. Brennan, a Harvard Medical School
pofessor, spoke on adverse events in
medical community and how to
avoid them.
Brennan is "a very unusual individ-
ual," Rosenthal said. "He's trained as a
physician, a lawyer and an MPH. He's a
very nice and talented person."
Brennan co-authored and was the
principal investigator in a study on
adverse events in the medical commu-

nity. The study, released in 1990, took
random samples from New York hospi-
tals to see how long patients remained
hospitalized after an adverse event.
The study, repeatedin Colorado and
Utah, narrowed to find patterns of
adverse effects in epidemiology. The
study looked into the correlation of
adverse events and medical malpractice
suits.
"They found that there's not too
much of a connection between what
they uncovered and medical malprac-
tice," Rosenthal said.
The six-person panel included pro-
fessors from the University Medical
School and the School of Business
along with representatives from Blue
Cross/Blue Shield and the University
Associate Hospital Director and Chief
of Nursing.
"It was a wide ranging discussion
from a number of different points of
view," said Surgery Prof. Darrell
Campbell, a panel member. "The issue

we tried to use was to understand some
of the system-wide issues that con-
tribute to adverse events."
One of the other issues related to
adverse events that was discussed was
the relationship of physician burnout
and adverse events. A subject that isn't
touched on often Rosenthal said.
"We don't know the relation of
burnout and adverse events," Rosenthal
said. "Nobody has really studied that"
The panel also included a corporate
perspective. Panel members Derek Van
Amerongen, the medical director for
Blue Cross/Blue Shield in Ohio, and
Karl Weick, professor in the School of
Business, spoke about better communi-
cation between the medical and corpo-
rate communities.
"They used examples from airplane
and nuclear industries, industries that
are high risk, and found out what
they've been doing to make them safer,"
Rosenthal said. "What they did to build
a safer system around one another."

Engler's change in Dept. of
Education authority criticized

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LANSING (AP) - When Gov. John Engler transferred
responsibility for state assessment tests and adult education
away from the Department of Education last week, some
called it a senseless power grab. Others said it was merely an
'mpt to streamline government.
Either way, the executive order further shrinks a depart-
ment that has been severely downsized since Engler became
governor.
In 1989, the Michigan Department of Education had 2,058
employees. Nine executive orders later, it has 417. On Jan. 1,
2000, the latest order will move 79 Department of Education
employees to other departments, leaving it with 338.
The order renewed furor among some members of the
State Board of Education, which supervises the Department
~Education. Members of the board have been fighting
lers changes since a 1996 order significantly reduced the
board's powers.
Four board members sued over that order; they lost the case
earlier this year in the Michigan Supreme Court.
The newest order transfers career and technical ser-
vices and adult education to the Department of Career
Development. It also transfers responsibility for devel-

"There is no other reason
.except to consolidate
power in the governor's
hands."
- Marianne McGuire
State Board of Education member (D-Detroit)
oping and administering the Michigan Educational
Assessment Program tests to the Department of
Treasury, which also will oversee the new MEAP-based
scholarship program.
"There is no other reason for this happening except to con-
solidate power in the governor's hands," state board member
Marianne McGuire (D-Detroit) said during the board's meet-
ing last week.
Another board member, Macomb County Democrat
Sharon Gire, called the MEAP transfer "illogical" and "irra-
tional."


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