Higher error in certain groups?
nichollsvi2 at GMAIL.COM
Mon Oct 6 12:35:35 UTC 2014
Dr. Bell et all,
I would agree with the assessment. I know in attempting to communicate
problems in my own care, it is a huge problem and production to try and
get these things resolved. Its not the attitude of I care about my
patients that is being telegraphed. Its not the attitude that I want to
learn from my mistakes and help others. It is the deny and defend, I am
perfect, just go somewhere else, I don't care attitude.
We all make mistakes and it is going to be better to work with people
and find out how to correct them and not treat the patient like the
pariah. I was asked straight out do you want me to fire the guy? by the
group I had problems with and I said no. I've never ever asked for that.
I've never asked for the guys' head on a platter. What am I asking for
is appropriate care for me and changes so that the health and welfare of
the patient is paramount.
Not all of us patients are dumb. Some of us actually read medical
research. We can actually understand it.
On 10/6/2014 2:18 AM, robert bell wrote:
> 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
> <mailto: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
>> 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
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> Robert M. Bell, M.D., Ph.C.
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