Higher error in certain groups?

robert bell rmsbell at ESEDONA.NET
Mon Oct 6 06:18:17 UTC 2014


Good points David, but I would guess that with MDs something like 50% of errors are either not communicated to HCPs or not identified as an error in the record at the hospital/facility involved. There would seem to be a big problem if that figure is correct and we only know about 50% or less of the errors, with this depending on various standards used. 

Such events would presumably have had a mainly favorable outcomes with possibly some injury but this not being too severely incapacitating. However, one missed diagnosis in another patient may be fatal.  A pulmonary embolus comes to mind.

Only surveys after hospitalization, surgery, treatment, etc. (this assuming that some errors only become apparent later) would be likely uncover this vast hidden "Gold Mine" of error.  

Doing a survey(s) with Physicians/HCPs , who may better understand medicine and all the possible error situations, might be a good way to plumb the depths of the problem!

I really ike the way you have migrated from the problem to action. 

Rob Bell, M.D.





On Oct 1, 2014, at 7:32 AM, David Meyers <dm0015 at ICLOUD.COM> wrote:

> It won't be easy to answer the question, "are doctors more often victims of medical error that the general population?", though I know of unfortunate examples of the doctor/VIP syndrome.  But, with respect to those physicians/victims, I'd like to know 1) how did the physician react to the error, e.g., reported at the time to the individual who committed the error and/or to another individual or institutional resource, took other actions, including legal; 2) whether the physician participated in or followed up to see if any corrective or preventive actions were taken; 3) recognizing the potential for committing a similar error, successfully changed his or her own practices or behaviors; 4) if in a teaching setting, translated the error event into lessons for trainees; 5) became more involved in efforts to address medical errors on an institutional or societal level.  Or were these events more often than not just lost opportunities.
> 
> My own experiences as one who has committed errors and who has been involved in professional liability actions (not necessarily related) both as defendant and expert, but not yet as plaintiff, gave me insights which influenced how I addressed errors as a practitioner, department chair, corporate risk manager. They also led to my long term involvement in larger settings to develop public policy and strategies to reduce errors and improve clinical practice. I suspect many other physicians have done the same, just like patient/victims are motivated to press for change.
> 
> David L Meyers, MD, FACEP
> 
> 
> 
> 
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
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Robert M. Bell, M.D., Ph.C.
P.O. Box 3668
West Sedona, AZ  86340-3668
USA
Tel: Fax: 928 203-4517

I am changing my e-mail address to rmsbell200 at yahoo.com  

Kindly change the e-sedona e-mail above in your address book so we stay in touch.














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