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Errors in healthcare
Errors in healthcare
Nursing errors in a clinical setting
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Josie’s Story Josie’s story was painful to watch as a mother. I can only try to imagine the pain and anger her family has had to endure. It saddens and angers me personally to know a mother’s concerns were dismissed without a second thought when she knows her daughter better than anyone else. I cannot understand why the nurses and doctors would not address her concerns, no harm comes from taking a few moments to re-analyze the situation. I do not think I could partner with the same people that caused the untimely death of my child. I understand Josie’s family did so to implement a safety protocol to prevent other families from the same fate, and I admire their bravery in doing so. No one should be in a situation where their wellbeing is at risk due to a medical error. I have been aware of medical errors for some time now. While in nursing school I have heard many stories from classmates and instructors of instances where people they knew, or loved ones had been either harmed or died because of a medical error. I have had experiences with medical errors. When I was in the hospital for the birth of my first child, the nurse that came to change out my IV bag did not check the …show more content…
Although I respect and trust nurses and doctors, I always carefully observe what is being done with myself or my family members. After watching Josie’s story and being in the process of becoming a medical assistant, I feel this story has given me an initiative to ensure patients and their families are kept safe. The generation we live in is technological, there are many resources for patients and families to utilize to educate themselves when it comes to medical conditions. Some people like to self-diagnose and it makes it harder for doctors and healthcare workers to work with those patients. This is when communication and active listening becomes especially important to work through what is fact and what is misplaced
The Institute of Medicine (IOM) reported in 1999 that between 44,000 and 98,000 people die each year in the United States due to a preventable medical error. A report written by the National Quality Forum (NQF) found that over a decade after the IOM report the prevalence of medical errors remains very high (2010). In fact a study done by the Hearst Corporation found that the number of deaths due to medical error and post surgical infections has increased since the IOM first highlighted the problem and recommended actions to reduce the number of events (Dyess, 2009).
For anyone who has ever worked in healthcare, or simply for someone who has watched a popular hit television show such as Grey’s Anatomy, General Hospital, House or ER know that there can be times when a doctor or health care provider is placed in extremely difficult situations. Often times, those situations are something that we watch from the sidelines and hope for the best in the patient’s interest. However, what happens when you place yourself inside the doctors, nurses, or any other of the medical provider’s shoes? What if you were placed in charge of a patient who had an ethically challenging situation? What you would you do then? That is precisely what Lisa Belkin accomplishes in her book “First Do No Harm”. Belkin takes the reader on
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
They were part of the healthcare team and went along with the beliefs of their team. The team should have directly included the patient and parents. I cannot help but wonder if this legal battle would never have taken place had an ethics committee been assigned to this case. Ethics committees provide structure and guidelines for potential problems, serve as an open forum for discussion, and function as a true patient advocate by placing the patient at the core of the committee discussions (Guido,
...mprovement in communication between the healthcare team responsible for Josie's care and through healthcare providers providing increased advocacy for patient safety. Moral courage did not play a role in Josie's medical care because the nurse administered the methadone to her despite her mother's wishes and had caused her a life-threatening complication. Pain, suffering, and compassion were all relevant to Josie's case. I learned a lot by reading Josie's Story which includes the importance of patient advocacy, communication between healthcare professionals, and the disclosure of adverse events. I was thoroughly enjoyed reading this story because it helped me to understand my role as a healthcare provider in advocating for patient safety and reducing medical errors. I plan to use everything that I learned from this story to implement into my future nursing practice.
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
In the vignette, the relationship between the physician and patient was authoritarian, and there was no patient-physician relationship to truly understand the concerns and the impact of his illness on the patient’s life. It almost seems that the physician did not take the patient’s concerns seriously. In addition, as his symptoms were worsening, although he consulted other physicians and he received contradictory answers, thus confusing the patient and decreasing the trust in the physician’s abilities. A patient centered relationship allows patient to build trust in the provider. I think that if the physician were more empathetic to the patient, the patient would not have had to look for answers to his questions in medical texts and other physicians. In fact, if there were open communication, maybe the doctors would have been able to find the injury and provide the necessary treatments, before it was too late.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
A norm in society is when an individual sees danger they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient to others who are not authorized to know about the patients personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure pati...
The health care is extremely important to society because without health care it would not be possible for individuals to remain healthy. The health care administers care, treats, and diagnoses millions of individual’s everyday from newborn to fatal illness patients. The health care consists of hospitals, outpatient care, doctors, employees, and nurses. Within the health care there are always changes occurring because of advance technology and without advance technology the health care would not be as successful as it is today. Technology has played a big role in the health care and will continue in the coming years with new methods and procedures of diagnosis and treatment to help safe lives of the American people. However, with plenty of advance technology the health care still manages to make an excessive amount of medical errors. Health care organizations face many issues and these issues have a negative impact on the health care system. There are different ways medical errors can occur within the health care. Medical errors are mistakes that are made by health care providers with no intention of harming patients. These errors rang from communication error, surgical error, manufacture error, diagnostic error, and wrong medication error. There are hundreds of thousands of patients that die every year due to medical error. With medical errors on the rise it has caused the United States to be the third leading cause of death. (Allen.M, 2013) Throughout the United States there are many issues the he...