John Hopkins recently released a study identifying preventable medical error as the third leading cause of death. Did that statement immediately make you feel angry or conflicted? Not because you believe it's untrue but instead your experience as a hospital nurse may have proven to you it's true.Nurses struggle every day to put their patients first in unsafe environments often permeated with the threat of intimidation, bullying, and retaliation if they speak up. Nurses predominantly live in a culture of fear. We know why patients are often placed at risk. We are the eye witnesses to acts of negligence. Sleepless nights, fear, anxiety disorders. Do you find yourself trapped in a cycle of anxiety knowing what your Nurse Practice Act holds you independently accountable to and yet hospital administration putting you in a position where you can't adhere to your NPA by charting contemperaneosly, giving medications on time, finding someone available to waste controlled substances at the time you withdraw them, preventing failures to rescue, preventing that confused patient from falling while you are beyond busy with a completely unmanageable assignment, or forbid, forbid reporting as is your duty to do a Physcian who consistently practices with reckless disregard? We know the truth. Yet we are afraid to speak up. Afraid of loosing our job or worse finding ourselves charged with a felony like nurses in Texas found themselves when they dared to report a Doctor they had documented evidence of a pattern of malpractice. Years later, their lives destroyed they were vindicated. The end result, securing the cult of silence, changes were made by the Texas Medical Board forbidding anonymous reporting of impaired or dangerous practitioners. You do what you have a duty to do and report and you can be assured of having your career wiped out, blackballed (common practice by hospitals in Texas.) IT MUST STOP, WE MUST START TELLING OUR STORIES ABOUT WHY PATIENTS ARE HARMED OR KILLED IN HOSPITALS while nurses daily try to keep our patients safe. Let's start the conversation now. Tell me your stories. Our patients deserve that we start the conversation.
What were the most common mechanisms of preventable medical error according to the study you reference?
I can't read this. It's a jumbledy mess. Could you please break it into paragraphs? And fix the punctuation and usage? I'll check back in a couple days, cause it seems like you are passionate about it.
You are correct there are three spelling
errors and the fashion is conversational. You may find it more informative to read the research. The literature is replete with this recent finding regarding preventable medical errors. Thank you kindly.
The researchers caution that most of medical errors aren’t due to inherently bad doctors, and that reporting these errors shouldn’t be addressed by punishment or legal action. Rather, they say, most errors represent systemic problems, including poorly coordinated care, fragmented insurance networks, the absence or underuse of safety nets, and other protocols, in addition to unwarranted variation in physician practice patterns that lack accountability.
“Unwarranted variation is endemic in health care. Developing consensus protocols that streamline the delivery of medicine and reduce variability can improve quality and lower costs in health care. More research on preventing medical errors from occurring is needed to address the problem,” says Makary.
Michael Daniel of Johns Hopkins is a co-author on the study.
I as most nurses I suspect would agree the majority of unsafe conditions placing patients at risk have their inception in the hospital systems. Systems set up and manipulated to create maximum profit while utilizing minimal resources. Examples would be the use of emergency room metrics, failure to enforce specialist such as surgeons are available to come in to attend to patients in need of urgent intervention, deliberate nurse understaffing in a day of a surplus of nurses, boarding critically ill patients in regular ER beds for days, tolerance of horizontal violence, hospitialist covering several hospitals on one shift and often covering remotely even from their home in other cities and the cult of silence enforced by the cycle of intimidation. Consider the Baylor University Hospitals cover up and permitting of a grossly negligent neurosurgeon. Permitting him to harm and disable several patients amongst many reports from other concerned health care providers. Failures to hold him accountable and silencing those speaking up lead to many unnecessary catastrophic outcomes. A not so uncommon culture of cover up in many hospitals. Why???? Protecting profit and reputation of what most hospitals are now, huge coorperations. It's epidemic, pervasive, well protected and killing our patients. The question every healthcare provider must ask themselves is does it matter to them. Do protecting your patients matter enough to you that insist the minimal standard of care is adhered to simply because it is right and our first duty is to the patient....NOT OUR EMPLOYER
Last edit by guest7/31/17 on Sep 5
: Reason: My input after excerpt
In 2010, the Office of Inspector General for the Department of Health and Human Services said that bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year.
Now comes a study in the current issue of the Journal of Patient Safety that says the numbers may be much higher — between 210,000 and 440,000 patients each year who go to the hospital for care suffer some type of preventable harm that contributes to their death.
That would make medical errors the third-leading cause of death in America, behind heart disease, which is the first, and cancer, which is second
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