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When doctors make mistakes gawande
When doctors make mistakes essay
When doctors make mistakes essay
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Doctors Are Human Too
“Are doctors who make mistakes villains? No, because then we all are.”
-Atul Gawande, Better: A Surgeon’s Notes on Performance, 2007
Atul Gawande suggests that people should not be frowned upon for making mistakes, including doctors. Mistakes are inevitable in any field of study. Doctors have an extremely difficult job; therefore, when they make mistakes, it does not mean they are incompetent or lazy, it simply means they’re human. Doctors should not be castigated for their mistakes, rather they should be welcomed to share them. The mistakes that doctors make cannot be deterred; however, the machines that they use and the policies that are enforced in medical settings can be revised in order to reduce the amount of mistakes
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Instead of criticizing the doctors who make mistakes, an environment should be made where the doctor feels comfortable enough to share his or her mistakes and he or she, together with his or her coworkers, should devise a plan to improve. As Brian Goldman says, “...backups that make it easier to detect those mistakes that humans inevitably make and also fosters in a loving, supportive way, places where everybody who is observing in the health care system can actually point out things that could be potential mistakes and is rewarded for doing so, and especially people like me, when we do make mistakes, we're rewarded for coming clean” (Goldman). Doctors should not be severely punished for the mistakes they make. Rather than focusing on the negative outcome of the doctor’s mistake, it is important to focus on preventing that specific mistake from happening again. Updating technology and procedures is a key role in reducing the repetition of mistakes. Instead of ostracizing the doctors who make mistakes, an environment should be created in which the doctors are free to voice their mistakes without severe punishment in order to move forward with an advanced and updated way of doing
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).
“When Doctors Make Mistakes” narrates an event where the author Atul Gawande, a doctor, made a mistake that cost a women her life. He relates that it is hard to talk about the mistakes that occurred with the patient's family lest it be brought up in court. In that instance the family and doctor are either wrong or right, there is no middle ground in a “black-and-white mortality case”(658). Even the most educated doctors make simple mistakes that hold immense consequences but can only speak about them with fellow doctors during a Morbidity and Mortality Conference.
In the essay “When Doctors Make Mistakes” written by Atul Gawande, he writes a first-hand account of mistakes made by himself and his colleagues. The essay is divided into five parts, each named to the narrative and emotions of the story he would tell. In each story he tells, he uses such vivid language that we as readers feel as if we are one of his colleagues. Each section has its own importance to the whole point he was trying to get across, ““All doctors make terrible mistakes” (657).
The Advisory Board Company claims, “A recent review of clinical trials reveals that a doctor's bedside manner can greatly impact patients' health, aiding their efforts to lose weight, lower their blood pressure, or manage painful symptoms.” When doctors are treating patients poorly, it will cause anxiety and stress, which in turn causes physical health problems. Harm is not only caused by the manner in which a doctor treats their patient, but also by the way a doctor is treating other medical professional. Arrogant doctors can get so caught up with pride that they completely disregard the advice of other people in the medical field. That pride causes mistakes, which can severely harm patients. To put it simply, better bedside manner equals better patient health. In fact, “Some communication techniques have proven to make people feel better and help them heal faster.” ("Study: Physicians' Bedside Manner Affects Patients'
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
Roger Higgs, in “On Telling Patients the Truth” supplies commonly used arguments for paternalistic deception. For the purposes of this paper, paternalism will be defined as, “interference with one’s autonomy or self determination for their own good.” The first argument for paternalistic deception is founded on the idea that medicine is a technical subject where there are very few guarantees (613). Thus, Higgs supplies the argument that not only is it impossible for a patient to understand the true breadth of their diagnosis and prognosis, but additionally that medical predictions are not medical truths. The second argument for paternalistic deception comes from the belief that patients do not actually want to know the truth about their condition, and could suffer from worse health outcomes if they are told the truth (614, 615).
He said, “Studies of specific types of error, too, have found that repeat offenders are not the problem. The fact is that virtually everyone who cares for hospital patients will make serious mistakes, and even commit acts of negligence, every year. For this reason, doctors are seldom outraged when the press reports yet another medical horror story. They usually have a different reaction: This could be me. The important question isn’t how to keep bad physicians from harming patients; it’s how to keep good physicians from harming patients” (658). Like Gawande asked—how do you keep good physicians from harming patients? Even the best of doctors and surgeons manage to make mistakes that led to being sued or even worst—they get to experience the death of their
Even the best physicians have committed malpractice on their patients, but people believe that it is because of poor communication. Scientists believe there are ways that will help you with prevent malpractice from happening to you or another doctor. One way would be to do your homework and pay attention in class. Communicate with your patient, talk to them about their day or what they are like. Lastly, one of the most important ways would be to listen and learn from your patient. Understand what they are speaking to you about because it may have to do with your health. These are some great ways to prevent malpractice and everyone should follow this no matter what kind of job because it always helps to communicate, listen, and learn from your client, patient, or business partner.
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
Should doctors tell the truth to their patients? How much information should the patient know about a certain ill or operation? These controversial questions are asked more frequently in our society. Patients nowadays,. are very sensitive to certain diseases more than before. This paper argues against telling the truth in doctor-patient relationship. Not by defending the idea directly but, by presenting first how truth can be harmful to the patient and by giving Higgs’ objection to it, then by giving my own objection to Higgs’ argument.
Firstly, every year there are many deaths associated with medical errors. Sarah Loughran writes, “An average of 195,000 people in the USA died due to potentially preventable, in-hospital medical errors in each of the years 2000, 2001 and 2002…” (medicalnewstoday.com) and this was just in 2000, 2001, and 2002 with the numbers bouncing higher or lower each year; nevertheless, there seems to be no end in sight for errors in the medical field. There is a way to lower these numbers drastically. The way to do this is by leveling the doctor to nurse ratio in hospitals thereby eliminating the stress factors on most nurses whom often have several patients to attend by themselves but no help in doing so. While demand for nurses may be high, there also comes a breaking point for any human being, “…factors including the high acuity of patients, inadequate nurse to patient ratios, increased work demand, and decreased resources.” (American
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).
INTRODUCTION It is well noted that when doctors have genetic information that may be helpful to the family members of their patients’, they face an ethical dilemma. Often the problem is posed as a dilemma between their duty to safeguard the privacy of their patients, and the interest they have, as physicians, to prevent disease when possible. This essay will look at the uissue beginning with the Hippocratic oath, considered to be the cornerstone of doctors’ ethical practice, and, in particular, will look at some of the liberal arguments made against disclosure, and argues thatthey do not pass the scrutiny of other liberal ideas, and that the “spirit” of liberalism” favours a duty to warn at least in an extreme circumstance. This essay does
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...