Higher error in certain groups?

Alan Shirley a.shirley at SHEFFIELD.AC.UK
Tue Sep 30 15:36:06 UTC 2014


Rob

You might be interested in this project

http://www.errordiary.org/?page_id=1322

Aims Errordiary has four main aims:

   - To raise awareness about the ubiquity of human error.
   - To promote a culture that learns from error rather than hides it.
   - To educate people about resilience strategies.
   - To bring research, teaching and public engagement


Alan


On 30 September 2014 01:10, Robert Bell <rmsbell at esedona.net> wrote:

> Ross, that has not been my general experience over 40 years. But I have no
> way of proving it.
>
> There is hardly a contact that I have with the medical profession that is
> not associated with some big or small problem, be it the wrong doctor's
> name on a urine specimen, lack of communication in a doctor's office
> (telling the staff you are there in the waiting room) being given someone
> else's paperwork for labwork, having crossed leads on an EKG read by the
> physician as normal, surgery that has unexpected negative results, or
> missed serious diagnoses, etc. And yes, many good things have happened.
>
> Prior to a talk I gave to staff at a local hospital, I collected my own
> errors in every day life that I made. My definition of an error was
> something that truly annoyed me. Like leaving my car keys in the house when
> jumping into the car in the garage, or doing four shopping tasks but
> forgetting the fifth. I seem to remember that on one day I had 8, and the
> next day 6 such events.
>
> Keeping a list of errors, both small and large, that happen with each
> personal medical contact might be valuable!
>
> That is why the 440,000 figure for annual deaths, for me, could well be
> correct.
>
> But in all of this Ross, we need good figures, not guesses.
>
> How do we get that information? Can we move very far forward without it?
>
> Rob Bell, M.D.
>
> Sent from my iPad
>
> On Sep 29, 2014, at 5:40 AM, Ross Koppel <rkoppel at SAS.UPENN.EDU> wrote:
>
> My guess is that health care professionals get better and safer care than
> most patients, *in general*.  The perceived "higher rates" of errors are
> a reflection of health care professionals ability to notice errors that
> occur to many patients.
>
>
>
> Ross Koppel, Ph.D. FACMI
> Sociology Dept and Sch. of Medicine
> Senior Fellow, LDI, Wharton
> University of Pennsylvania, Phila, PA 19104-6299215 576 8221 C: 215 518 0134
>
> On 9/28/2014 6:07 PM, Hoffer, Edward P.,M.D. wrote:
>
> Anecdotes abound - doctors and nurses caring for health care professionals, particularly those they know and/or who work at their institution, often cut corners or avoid unpleasant procedures. While this is intended as kindness, it often means appropriate care is withheld.
>
> Whether anecdotes truly reflect reality, I have no way of knowing.
>
> Ed
>
> Edward P Hoffer MD, FACP
>
> ________________________________________
> From: Teresa Graedon [ <terry.graedon at GMAIL.COM>terry.graedon at GMAIL.COM]
> Sent: Sunday, September 28, 2014 9:30 AM
> To:  <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: Re: [IMPROVEDX] Higher error in certain groups?
>
> Robert,
>
> That is an interesting idea. How would it work?
>
> I suspect that HCPs are simply more likely to detect errors than less (health-care-) educated patients. I'd be interested in data, though, or a plan to gather the evidence.
>
> Terry Graedon, PhD
> The People's Pharmacy
>
> On Sep 26, 2014, at 10:46 PM, Robert Bell < <rmsbell at ESEDONA.NET>rmsbell at ESEDONA.NET> wrote:
>
>
>  I have the idea that HCPs, particularly physicians, are more like to be exposed to errors in medicine when they are patients.
>
> Is there any truth to this and, also are there other groups of patients that are more likely to be involved in errors when patients?
>
> Rob Bell, M.D.
>
> Sent from my iPad
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