Stuck in a rut of negative despair?
ROBERT M BELL
rmsbell200 at YAHOO.COM
Wed May 30 03:19:48 UTC 2018
As many of you know I have been worried that, for more than 20 years, we seem to be making little progress in reducing errors in medicine, as a whole.
My recent thinking is that Error is such a negative word that everyone, for many reasons runs away from it! An error often causes such anger/hurt, financial loss, and lack of of prestige that it is not/never easily talked about. Consequently, errors are one way or another camouflaged or completely hidden from view.
And presumably this is all tied in many ways to litigation risk and/or financial loss.
This means that little happens to solve the basic problems. One could ask are we ever going to solve the problem if these barriers continue to exist?
So how do we make a break through? How to further help our patients?
Could we brainstorm several good ideas, or even a combination of these, to come up with a program/study that could be presented to one, two, or three State Legislatures that in exchange for altering/modifying the current litigation regulations WE provide reductions in errors in medicine with improved medical care.
Presumably one would need a well designed study to be undertaken and completed.
Also, hospitalization is not all bad, and if there were published accurate figures of success would the bad/error things tend to be drowned out, eventually letting one better concentrate on reducing all errors/adverse events? All this can occur by keeping better more accurate figures, doing more RCAs, understanding errors, and having a culture of excellence in all areas - and that more often comes from the top.
And I know that this occurs in many places but needs to be spread around, etc.
And I am sure/suspect there will be many other ways to move forward.
One could ask are we are stuck in a rut of unrelenting negativity?
Do we need defined time-related goals? Do we need to collaborate with other organizations for solutions? Do we need courteous and polite activism?
Do we need to be more BOLD?
Would welcome thoughts and ideas.
Rob Bell M.D.
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
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