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Prevent surgery errors essay
Prevent surgery errors essay
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Often, people in New York, and elsewhere, require surgery to relieve the symptoms of certain conditions, repair internal damage or address other ailments. When they go in for such procedures, patients put their lives and their health in their surgeons’ hands. Unfortunately, however, surgery errors commonly occur, putting patients at risk for worsened conditions, additional medical problems or death. All too often, such mistakes are preventable. What are surgical never events? There is a group of surgical errors, which are believed to be completely avoidable. Since they are considered preventable, these mistakes are often referred to as surgical never events. This is because they should never happen. However, surgical never events do occur …show more content…
almost 80 times each week across the U.S., according to American Medical News. A number of medical mistakes are classified as surgical never events. The Agency for Healthcare Research and Quality points out that some of the most common of these include the following: • Performing surgery on the wrong body part • Unintentionally leaving a foreign object in a patient • Executing a procedure on the wrong patient • Performing the wrong procedure Additionally, administering the wrong medication, the wrong dosage or contaminated medications may also be considered surgical never events.
How do surgical never events affect patients? Patients who experience this type of medical negligence may suffer a range of effects. Surgical never events may cause broken bones, infections or sepsis, among other conditions. This may be especially dangerous for those who are already suffering from serious medical ailments. As a result of these effects, patients may require additional medical treatment and, in some cases, they may to undergo subsequent surgical procedures. Sometimes, the effects of surgical never events may cause death for patients. What causes surgical never events? Preventable surgical mistakes may be caused by a number of factors. According to the Mayo Clinic, poor hand-offs, distractions, stress and mental fatigue are all common contributors. Additionally, poor communication also frequently plays a part in causing surgical never events. These types of mistakes may also occur as a result of issues at the facility level. When medical professionals bend, brake or fail to understand the rules, it may result in preventable surgical errors. Furthermore, inadequate supervision, not enough staff and problems with the operational processes may also lead to surgical never
events. Obtaining legal guidance When surgical never events occur in New York, and elsewhere, the effects may be devastating for patients. They may incur unexpected medical costs and, in some cases, may be forced to take additional time off of work to recover. This may lead to lost wages, which may affect their ability to support their families. If these mistakes could have been prevented, the health care professional responsible may be held liable for these, and other damages. Therefore, those who have experienced this type of surgical mistake may benefit from consulting with an attorney to understand their rights for seeking financial compensation.
Chasing Zero is a documentary which was meant to both educate the viewer on the prevalence of medical harm as well as to enlighten both the public and health care providers on the preventability of these events (Discovery, 2010). The documentary expounded on the fact each year more people die each year from a preventable medical error than die due to breast cancer, motor vehicle accidents or AIDS (Institute of Medicine, 1999). Medical harm can result from adverse drug events, surgical injuries, wrong-site surgery, suicides, restraint-related injuries, falls, burns, pressure ulcers and mistaken patient identities (Institute of Medicine, 1999). Incidences of medical error have been reported in the media for many years. The most startling revelation in the documentary is how common medical errors are and how preventable they are.
In the plaintiff’s suit, he alleged the surgery did not go well because the hospital had hired a surgeon, who was not competent or qualified enough to perform the surgery therefore; the hospital was just as negligent as the doctor was. Before the trial date, Dr. Salinsky and his insurance company, Employers Mutual Liability Insurance Company of Wisconsin, settled with plantiff out of court on the basis they will be released from the suit upon payment of $140,000 (Johnson v. Misericordia Community Hospital). Although, Salinsky settled with plaintiff prior to trial, there was still “question of whether he was negligent in the manner in which he performed the operation on July 11, 1975, remained an issue at trial, as it was incumbent upon the plaintiff to prove that Salinsky was negligent in this respect to establish a
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
Unintended retained foreign objects are a problem for the patient and the patient’s family because the complications the patient will experience puts even more strain on the caregivers. Physicians, surgeons, and other healthcare providers are also negatively impacted, because URFOs further complicate the patient’s care plan leading to more time being allotted to patient care. As a result, hospital administrators and insurance companies will also lose money through indemnity payments, compensation, and legal fees. Surgical errors may also affect all of the taxpayers in the nation if a surgical error occurs with a patient who is on state insurance.
National Health Service (NHS) England. (n.d.). Five Steps to Safer Surgery Film [Video File]. Retrieved from http://www.nrls.npsa.nhs.uk/patient-safety-videos/five-steps-to-safer-surgery/
...untable, and can face a malpractice lawsuit, for causing a visceral perforation because he or she was not careful enough, made a mistake, or tried to perform something blind, causing the patient to get more complicated procedure, and possibly die.
The risks that the patients could suffer were irreversible effects such as malformations in their bodies, loss of speech or vision, even the death was an option.
Wrong site, wrong procedure, and wrong patient errors are avoidable safety issues. Nearly 1.9 trillion dollars are spent on medical errors each year in the United States (Catalano & Fickenscher, 2008). Between 1995 and 2007, 691 wrong-site surgeries have been reported to The Joint Commission's Sentinel Event data repository (AHC Media LLC, 2008). In 2003 in response to the outcry for better patient safety The Joint Commission published their National Patient Safety Goals. Among the goals was the Universal Protocol. The Universal Protocol is actually drawn from several of the National Patient Safety Goals. It relies on multiple check points and the involvement of the entire surgical team to avoid such errors. Wrong site, wrong procedure, and wrong patient surgeries should never happen. The Universal Protocol is an evolving process which reflects the success and failures of healthcare practice, thus it requires periodic updates and policy revisions.
Surgical Never Events can happen very easily if procedures to prevent them are not used. Surgical Never Events include foreign objects left inside the patient, wrong site surgery, and performing the wrong surgery on a patient. “There were 148 surgical never events in England between April and September 2013, including one woman who had a fallopian tube removed instead of her appendix” (Nursing Standard, 2014, p.10). It is crucial for these surgical errors to never happen because they are often never caught and can potentially result in a fatality. When patients do not have complications in a reasonable amount of time after surgery the errors are often never found because when they start to cause an issue it is often too late.
Most medical errors come from human errors. Before defining medical error, we should have a good understanding of human error. As a human in our everyday life we are prone to make mistakes such as using ointment...
The preferred outcome after a mistake is made is for the physician and hospital to collaborate, and develop a solution that will eliminate the occurrence of the same mistake or negative outcome from happening again. An example of how collaboration among health professionals can promote positive patient outcomes is when there was a significantly low number of bypass surgery patients having a positive outcome. Unfortunately, the physicians did not willingly seek to change the surgical method until the mortality statistic were publicly available. However, it did encourage providers to collaborate, share data, and do site visits to other hospitals. Learning from other health professionals helped to continuously improve medical teaching
This was very unsanitary and many people became ill because of infection after having surgery
It is important to consider the patient’s experiences and fears related to having a major surgery. A small risk to medical professionals may evoke fear and anxiety in the individual expected to go through the surgery. “In the presence of nonjudgment and unconditional regard, clients often feel affirmed and accepted.
Review of Literature Preventing the retention of foreign bodies and wrong site surgery Patient’s safety is important when they are having any surgical procedures performed. Many of the harms associated with healthcare are preventable. A report from Institute of Medicine in the United States (Kohn et al 1999) estimated that as many as one million people were injured and 98,000 individuals died annually as a result of medical error. (McCaughan & Kaufman) (2013) (p.48). There are always risk when having any kind of medical procedure done, but the outcome depends on the medical staff and how they handle the patient and take the right steps to prevent any harm to the patient.
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...