Feel better about your healthcare provider – the number of serial killers is down!


I do not like thee, Doctor Fell,
The reason why – I cannot tell;
But this I know, and know full well,
I do not like thee, Doctor Fell.

The number of serial killings committed by healthcare providers has leveled off in the U.S. in recent decades, although it is rising internationally, Eindra Khin Khin, MD, said here at the annual meeting of the American Academy of Psychiatry and the Law.

According to the literature, the number of cases of healthcare serial killings overall rose from 10 in the 1970s to 21 in the 1980s, 23 in the 1990s, and then to 40 in the years 2000 to 2006, said Khin Khin, who along with her colleagues presented a poster on the topic.

One reason the rates of healthcare serial murders are rising internationally, but not in the U.S., is electronic medical records (EMR), Khin Khin, of George Washington University in Washington, told MedPage Today in a phone interview. She noted that several serial killers, including physician Michael Swango, first got into trouble in the U.S. and then went overseas…

“At least in the [United] States, because of incidents in 1990s and 2000s, we’ve really beefed up on the credentialing system, and institutions have started to communicate with each other better,” she continued. “People are not shedding enough light on the international phenomenon, and the global community has a little bit to catch up on in implementing guidelines and regulatory measures.”

In terms of the site, the vast majority of killings (72%) occurred in a hospital, with the remainder occurring in nursing homes (20%), patients’ homes (6%) and outpatient settings (2%)…

As to the method used, the majority of killings — 52% — were done via lethal injection, followed by unknown methods (25%), suffocation (11%), and water in the lungs (4%). Air embolus and oral medications were each used in another 3%, while equipment tampering and poisoning accounted for 1% each.

Followed by an entertaining segment describing motivation and telltale signs you may have a serial killer onboard.

The researchers recommended several steps for preventing healthcare serial killings, such as educating staff members on the issue, designating a national or international regulation and monitoring body, routine institutional monitoring of high-alert medication use and monthly mortality/cardiac arrest rates, and consensus guidelines for managing suspicious situations.

I imagine that the Feds can data mine the ACA digital record-keeping protocols for serial killers just as they now do for rip-off artists hustling Medicare. Every little bit helps, eh?

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