In Search of a Common Definition of Dx Error

Vic Nicholls nichollsvi2 at GMAIL.COM
Fri May 6 17:36:23 UTC 2016


List members another something for you to consider when we talk about 
medical errors/mistakes/whatever.

I submit that it isn't just deaths we need to look at. In my case 
multiple records mistakes are made (for starters). Everyone gets into a 
huff & deny/defend when I ask to fix them. I've yet to sue any one, not 
threatening lawyers either. I'm saying fix this in a way that doctors 
who are doing my treatment forward can make the best decisions/judgement 
on my care. Work together as a team.

How are we going to help other doctors when they have to wade through 
screens/pages of stuff that isn't true or they don't know what is and 
what isn't? Either they get wrong assumptions or have to start from 
scratch.

WHY are doctors doing this to each other (much less patients)? Why hurt 
your own?? Surgeons eat their own and look where it got them.  :)

Seriously, the attitude of deny/defend and hide only makes things worse. 
Why? Because the mistakes are pretty obvious and the attitude towards 
fixing them, to listening to the patient, only gives the medical 
profession a worse black in the eye. If you think, like I do, admin are 
stiffing you in the back in many ways, this is another way they help to 
fuel major distrust in doctors AND the system. That means doctors who 
are in this list (and others I know) who are trying to figure out 
how/what/when/why for errors. When I say the system, it is doctors who 
are the face of it.

And yes, I've told admin to get front and center for their mistakes, and 
they copped out. Every time. Don't think we don't know some of your pain.

Consider that we could have the health care profession and patients 
working together, who would be a more efficient, cost cutting, and you'd 
get the better reputation for dealing with the problems, without all 
that (overbloating, $$$$ wasting IMO) admin.

Victoria


On 5/6/2016 10:55 AM, Leonard Berlin wrote:
> Over the past several days I have enjoyed reading the long list of 
> commentaries submitted by very bright and caring physicians. 
>  medical-associated people,  and researchers,  on the subject of the 
> frequency of medical errors and their  role in causing death of 
> patients. This has led me to conclude the following undeniable 
> */_fact:_/*
>
> _*NOBODY KNOWS HOW MANY MEDICAL ERRORS ARE COMMITTED, AND NOBODY KNOWS 
> HOW MANY PEOPLE ARE KILLED BY MEDICAL ERRORS!*_
> **
> The articles by Makary and others that calculate numbers related to 
> medical errors and patient injury _are nothing more than statistical 
> projections,  extrapolations, estimates, and conjectures. _
>
> Makary, Johns Hopkins, and the BMJ got great international headlines 
> by "estimating" that 251,454 patients die of medical mistakes 
> annually. Needless to say, the word "estimating" doesn't appear very 
> much,  if at all, in the headlines and limited text proclaimed  in 
> newspaper and TV news reports.
>
> Today, physicians  in all specialties are presumably  practicing   
> "evidence-based-medicine."
>
> When it comes to medical errors, there is no "evidence!"
>
> Yes, focusing attention on medical errors is certainly productive, and 
> indeed encourages all of us to improve medical care safety and reduce 
> errors.  And clearly, supporting organizations such as  SIDM is a step 
> in the right direction.
>
> We should be transparent to the public, but frightening everyone and 
> causing them to lose confidence in their physicians is 
> counterproductive. Our message to the public should be an honest one: 
>  MEDICAL ERRORS DO OCCUR, BUT WE DO NOT KNOW, AND WILL NEVER KNOW, HOW 
> MANY PATIENTS DIE DUE TO A MEDICAL ERROR; HOWEVER, WE ARE WORKING ON 
> WAYS TO REDUCE THEM.
>






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