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Hospital Bed Rail Traps Nursing Home Resident


A Llangollen, Wales nursing home has been fined following the suffocation of an elderly woman after she become trapped between her mattress and bed rails intended to stop her falling.
 
 
Elizabeth Roberts, 89, was found suffocated in her room at the Headlands Nursing Home in August of 2008. Her upper body had slid down to the floor between the bed mattresses and bed rails where she had become trapped. (WCxKit)
 
Mold Crown Court heard Roberts had suffered from a previous entrapment incident three weeks before but no alternative bedding arrangements had been made.
 
 
A Health and Safety Executive (HSE) investigation revealed care staff at the home engaged bedside rails after Roberts repeatedly fell from her bed, however employees had not been provided with up-to-date training on the safe use of bed rails, in particular the risk of entrapment created by beds. HSE found the home also failed to complete a suitable and sufficient risk assessment on the use of bed rails for Roberts, which should have identified that they may have been unsuitable in her case. There was no company policy on the safe use of bed rails and no system for routine inspection, monitoring and maintenance. (WCxKit)
 
 
Deevale Homecare and Services Ltd of Grosvenor Road, Wrexham, who own and operate the Headlands Nursing Home in Llangollen, pleaded guilty to breaching Section 3(1) of the Health & Safety at Work etc. Act 1974, and Regulation 3 (1) Management of Health & Safety at Work Regulations 1999.
 
 
They were sentenced at Mold Crown Court and fined $114,525.6, with $3,569,691.02 in costs.
 
This could easily become a products liability case against the bed manufacturer. Ask first, could the hazard have been designed out of the product? Why wasn't the product recalled and retrofitted with safer rails or guarding system? A warning clearly would not have been sufficent given users of a hospital bed are frequently ill and infirm thus cannot be read warning labels. On discovery for a suit against the manufacturer, find out how many prior injuries (near misses) there have been on this product.
 
 
Author Robert Elliott, executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers Compensation costs, including airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. See www.LowerWC.com for more information. Contact:Info@ReduceYourWorkersComp.com or 860-553-6604.

 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com.
Posted in Product Liability, Safety and Loss Control, WC in Other Countries (International) |


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7 Things Brokers Wish Employers Knew


Your insurance broker is in business, just like you are in business. The first rule of any business is to make a profit. Therefore, while insurance brokers have the employers best interest at heart in most situations, there are times brokers wish employers knew more about their workers compensation program, but in the effort to protect their own business interest, they “bite their tongues” and “keep their mouths shut.”
 
 
In fairness to insurance brokers, they mention most of the following areas in their sales presentations, but when employers ignore their advice, they move on to the next subject in the interest of their own business. Here are seven areas your broker wishes every employer knew more about. (WCxKit)
 
 
1.      Premiums & Price Decisions
Many employers will shop for both their insurance broker and their workers compensation insurance based solely on the price. In workers compensation, this can be a major mistake because future workers compensation premiums are based partially on what is paid out on claims. If the insurance broker puts you with the “cheapest” insurance company, and poor claim service is provided and pays out more than necessary on claims, the overall cost of your workers compensation insurance program will be higher – sometimes much higher - in the long run. The knowledgeable broker will know which insurance companies provide the best claims service, resulting in your company paying a little bit more in premium now, but a lot less over time.
 
 
2.      Claims Management Help
The insurance broker often assists with claims management. This can include everything from reporting the claims to the state workers comp board and to the insurance carrier, to being sure the employer has met all state imposed reporting obligations. The broker may also arrange for loss runs that identify the information your company needs to set benchmarks and performance goals. The broker may be able to help facilitate better settlements and help work out problems with the insurance company.
 
 
3.      Customer Service Keeps Business
Smart brokers know that while price may get them in the door, it is customer service that keeps your business coming back. The level of professionalism of the account executive assigned to your program is key to your happiness with the customer service. The broker's account executive will often do a comprehensive analysis of your business and strive to place your workers comp coverage with the insurance company that provides you with both strong claims management and good customer service.
 
 
4.      Employer Loyalty to Broker
The broker is counting on your loyalty to their company. The cost associated with recruiting new business, setting up new accounts and getting a new account off to a good start often exceeds the commission the broker earns from a new account in the first year. What the broker is counting on is keeping your business, as the cost of renewing your program each year is substantially less than the cost of obtaining your new business. Your loyalty and renewals are the broker's profit. A thank you to your broker would be much appreciated.
 
 
5.      New Business vs Retained Business
Even though the first year of an insurance program is often not profitable for a broker, the broker continues to search and solicit new business to increase future profits. The broker walks a fine line between promising too much service and providing plenty of service to get new business from the employers who shop for more than price. There is an expression … "Treat your clients as if they were prospects." Clients should expect to receive the same level of service after they have given the broker their business as they did when they were a prospect.
 
 
6.      Broker Assistance Expertise
If you will listen to your broker, there are many ways the broker can assist you in reducing your workers comp claim costs. The broker will be familiar with many services that can help you. Just because they are telling you (educating you) about those services, doesn't mean the services are not necessary or you are being sold a bill of goods. Don't make a buying decision either becuase your broker is telling you about it or not. Brokers have oodles of valuable experience so it behooves you to take advantage of the expertise. And, ask brokers if they have specialized personel such as cost containment experts you can work with.  
a. Claim cost reduction:
-      Safety programs including safety manuals, guidelines, and bulletins
-      Loss Control/Prevention programs
-      Return to work programs
-   Fraud prevention
-   Medical networks including both triage and case management
b. Financial cost control:
-     Flexible payment programs
-     Pay-as-you-go programs
c. Administrative issues:
-      Loss reporting
-      On-line policy information
-      Claim assistance
-      State reports
-      Loss runs
 
 
6.      Broker Size and Fit
Your insurance broker can be of almost any size from the national heavyweights who have an office in every major city, to the regional powerhouses dominating the local market or their section of the country, to the boutique brokers specializing in one or a few industries. (WCxKit)
 
 
A small employer with a limited number of employees can place business with the giant insurance agencies, the regional brokers, or the local specialty broker but the large employer has more clout with their broker if they represent a larger piece of their broker's pie. No broker will tell you your account is too big or too small. Brokers want all business they can get, but a business wants a broker that's the right size for their business. Having said that, most brokers work very hard for their clients. 
 

Author Rebecca Shafer
, JD, President of Amaxx Risks Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and website publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality, and manufacturing. See www.LowerWC.com for more information. Contact: RShafer@ReduceYourWorkersComp.com.

 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com.
Posted in Broker Issues & Relationships |


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Cold Therapy Lawsuit Alleges Tissue and Nerve Damage


A Louisiana woman has filed a cold therapy lawsuit against DeRoyal Industries, Inc., alleging that using one of the company’s devices led her to suffering permanent tissue damage injury. 
 
 
The product liability lawsuit was filed by Toleda Rotolo in the U.S. District Court for the Eastern District of Louisiana earlier this month. (WCxKit)
 
 
Rotolo, who used a DeRoyal T505 cold therapy unit for her left knee from November 2009 to January 2010 claims the machine led her to suffer an injury that will necessitate extensive and ongoing medical care.
 
 
According to the lawsuit, the DeRoyal T505 Cold Therapy Unit (CTU) is a defective medical device, which can lead to tissue and nerve damage. Rotolo alleges that company released an unreasonably dangerous product and failed to provide adequate warnings for patients or health care professionals about the risk of cold therapy problems. She is seeking damages for pain, suffering, emotional distress, medical expenses, disfigurement and physical impairment.
 
 
The claim is one of an increasing number of lawsuits regarding cold therapy, or cryotherapy, that have been filed in courts throughout the United States, particularly involving issues with consumer-operated machines designed for home use.
 
 
The charges are much like a cold therapy lawsuit filed in April by another woman in Texas, who dealt with damage to her foot after using the DeRoyal T600. Cold therapy units are made to treat pain and swelling by exposing the injured areas to hours of heat and cold. The machines are designed to work in a variety of ways.
 
 
Cold therapy restricts blood flow to the injured area, slows down nerve impulses that tell you that you are in pain and also works as distraction pain, pulling the mind’s focus away from the injury to the sensation of cold.
 
 
However, there have been a number of reports of cold therapy problems associated with the devices, including frostbite, skin damage, nerve damage, and a risk of limb amputation. (WCxKit)
 
 
In addition to DeRoyal Cold Therapy Units, several similar products are available from different manufacturers, including DonJoy Iceman, BREG PolarCare, EBIce, Aircase Cryo Cuff, and Game Ready
 
 
Author Robert Elliott, executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers Compensation costs, including airlines, healthcare, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. See www.LowerWC.com for more information. Contact:Info@ReduceYourWorkersComp.com or 860-553-6604.

 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com.
Posted in Safety and Loss Control |


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