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Errors in healthcare
Errors in healthcare
Prevent surgery errors essay
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According to the Journal of Patient Safety, “Between 210,000 and 440,000 patients each year who got to the hospital for care suffer some type of preventable harm that contributes to their death.” Doctors are not perfect, but with some of the harms being preventable they should pay greater attention to what they are doing. To help prevent harm that could have been prevented they could check they have the right patient, double check they give the right medicine, and they could wash their hands. Doctors and nurses should check the body part of the person they are planning on operating on to make sure they are doing the right procedure on the right body part. According to Joint Commission “wrong-site surgery occurs 40 times a week in U.S. hospitals and clinics.” That makes 1,920 wrong-site surgeries per year. Amputation of the wrong body part has caused many to live without either their arms or legs when they could have had only one side amputated. For example, when Bill (last name is not given) had to have his left leg amputated after a car accident the x-ray technician mixed left for right and had both his legs amputated. According to archive.riskreviewonline.com, 76% of wrong-site surgery happens from the lack of procedural compliance. A checklist, as recommended by Atul …show more content…
Doctors and nurses should be more careful with the simple things because those are the things that could end up saving lives. Washing hands, for example, saved thousands of lives. Paying attention to medicines given can easily be prevented by checking over the patient’s condition and which medicine is made for the disease. Patients getting the wrong side amputated is also a medical mistake that can be easily prevented by paying a little more attention. Simply giving all the attention needed could save so many lives everywhere in the medical
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).
Surgical errors are seen in every hospital; however, hospitals are not required to report such incidents. Unintended retained foreign objects, often abbreviated as URFOs, are among those events that are often not reported.
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
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.
Summary: Preventing surgical errors brochure discussed the importance of patients to communicate any concerns, questions and problems they may have to the health care providers involved in their surgery such as the surgeon, nurses, nutritionist, physical therapists, social worker, and occupational therapist. A Patient’s ability to communicate helps to prevent more surgical errors,
The treatment could be a medication, surgical procedure or some kind of therapy has an undesirable secondary effect which occurs in addition to the desired therapeutic effect. The causes of adverse effects vary for each patient, and depend largely on their general health, the state of their disease, age, weight, and gender. There are 3 main causes of adverse effects in procedural care. They are poor infection control, inadequate patient's management and failure of health care provider to communicate effectively before, during and after procedure. In poor infection control, a study found that surgical wound infections consider as the second largest category of adverse events. However, administration of prophylactic antibiotics has reduced the incidence of postoperative infections. In the second cause which is inadequate patient's management, the operating room and environment involve intensely complex activities involving a range of health professionals and should always include the patient when conscious. This may explain why more adverse events are associated with surgical departments than with other hospital departments. Also there are other factors contribute in a lot of adverse events in surgical care like inadequate implementation of protocols, poor leadership; poor teamwork, conflict between different departments/groups within the organization, inadequate training and preparation of staff, inadequate resources, lack of evidence based practice, poor work culture, overwork and lack of a system for managing performance. In the third cause, Miscommunication is one of the biggest problems in the operating environment. Miscommunication has been responsible for the wrong patients having surgery, patients having operations on the wrong side or site, and the wrong procedure being
Hospital Management “…I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.” (Tyson) these words are part of an oath that is spoken by those entering in the medical field, an oath to fulfill to the best judgment and capabilities ethically and morally to treat all people that come in their care; this is the Hippocratic Oath. All those in the medical field, particularly in a hospital setting, are familiar with the Hippocratic Oath and it is used day in and day out. As managers of a company or organizations you apply similar methods in
Defensive medicine could be defined as tests and treatments that are not always in the best interest for the patient but force the physician not to miss anything. Defensive medicine rules the world of medicine, patients are always sent for tests they truly do not need. It poses potential health risks to the patient and actually increases the cost of healthcare. As Dr. Sandeep Jauhar says “We want to practice medicine the right way, but too many forces today are propelling us away from the bench or the bedside. No one ever goes into medicine to do unnecessary testing but this sort of behavior is rampant”. Medicine was considered a very noble profession; no one imagines themselves as a doctor sending people for useless tests, they always picture themselves saving someone’s life “Many chose medicine because it is thought to be noble and worthwhile...”; but the profession has been changed by the game. Dr. Sandeep Jauhar, author of Doctored: The disillusionment of an American Physician, said “I have become the kind of doctor I never thought I’d be: impatient, occasionally indifferent, at times dismissive or paternalistic...”, this is a reality that many doctors will face throughout their careers. Dr. Sandeep Jauhar is not the only one to express his opinion regarding the medical profession, another doctor said “ I would not do it again, and it has nothing to do with the money… Working up patients in the ER these
In the story "The Adventure of the Speckled Band" Sherlock Holmes believed that "doctor's make the greatest criminals." Holmes said "When a doctor does go wrong he is the first of criminals, He has nerve and he has knowledge." This is true because doctors are trained to know how the human body works. They know what can kill a person and what can keep them alive. Knowingly, one with this type of knowledge can be very dangerous.
Operating on the wrong body part is probably just as tragic as the wrong patient. If a doctor reads the chart wrong or worse if the chart is incorrect then devastating effects could occur. Most doctors now confirm with the patient verbally which part they are operating on and mark with an indelible marker. The most devastating case
This could possibly lead to death depending on how serious the procedure was or if they messed something up. This is very common and happens more often than you think they would. Wrong site surgery happens at least 40 times a week nationwide according to the Joint Commission Center for Transforming Health. Because they are rare, they are hard to study. Dr. Mark Chassin says “There’s no silver bullet or easy answer.” Meaning it just has to happen and there’s no easy way to do it (Crane). $1.3 billion in settlements total up over a course of 20 years to surgeons of all ages (O’Reilly). There are many ways to prevent wrong-site surgeries. For instance: make a checklist, watch for miscommunication during handoffs, mark patient before and during surgery and let the patient know where they are being marked (Fields). “You think we can sew it back on?” This would be awful and could possibly happen if they performed wrong-site surgery. Wrong-site surgery can be a terrible thing. This can cause external and internal damage due to the nervous system. This can cause problems all over your body due to the nervous system being messed with if you don’t put things back like they are supposed to be. This can cause part of your body to shut down and make things worse for you. “What do you mean he wasn't in for a sex change?!” The doctor could also be performing on the wrong patient if he or she isn’t
Studies have shown that doctors are at fault simply due to the fact that they are the ones in charge of the prescribed narcotics (painkillers). Doctors have heavily given out pain killers due to
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
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...
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).