PDF-(BOOK)-When We Do Harm: A Doctor Confronts Medical Error

Patients enter the medical system with faith that they will receive the best care possible so when things go wrong its a profound and painful breach Medical science has made enormous strides in decreasing mortality and suffering but theres no doubt that treatment can also cause harm a significant portion of which is preventable In When We Do Harm practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversationDrawing on current research professional experience and extensive interviews with nurses physicians administrators researchers patients and families Dr Ofri explores the diagnostic systemic and cognitive causes of medical error She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record but focuses on the fullscale cultural and cognitive shifts required to make a meaningful dent in medical error Woven throughout the book are the powerfully human stories that Dr Ofri is renowned for The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. Prof.(Dr) . Litan. Naha . Biswas. Senior Consultant Oncologist. Apollo . Gleanagles. Cancer Hospital. Kolkata. . One patient in the . peri. -menopausal age group was diagnosed with T2N1MO Breast cancer and referred to the clinical oncologist after MRM, for adjuvant systemic therapy. ICH had revealed that the pt. was ER-. Tim Shoen, MD. Campaign for Quality. October 17, 2014. Disclosure. No financial interest to disclose. Thanks to Mark Graber, MD, President, SIDM.. Sue Sheridan. Wall Street Journal. The Biggest Mistake Doctors Make. John D. Banja, PhD. Center For Ethics. Emory University. jbanja@emory.edu. 20/20 Special in 1982 on lethal anesthesia errors . Resulted in creation of Anesthesia Patient Safety Foundation in 1985;. Pulse oximetry and electronic monitoring became standardized . How well you and your doctor talk to each other is one of the most important parts of getting good health care But talking to your doctor isn146t always easy It takes time and effort on your part as w THERELATIONSHIPANDITSHISTORICALCONTEXT1THOMASSSZASZMDWILLIAMFKNOFFMDMARCHHOLLENDERMD2522Thedoctor-patientrelationshipinitshistoricalcontextdependsonthemedicalorpsychiatricsituationandthesocialsceneBym The New York Times Science Bestseller from Robert Wachter, Modern Healthcare\'s #1 Most Influential Physician-Executive in the USWhile modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare\'s ills.But medicine stubbornly resisted computerization - until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America\'s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?Logically enough, we\'ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation\'s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story.We need to recognize that computers in healthcare don\'t simply replace my doctor\'s scrawl with Helvetica 12, writes the author Dr. Robert Wachter. Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it\'s not too late to get it right.This riveting book offers the prescription for getting it right, making it essential reading for everyone - patient and provider alike - who cares about our healthcare system. Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS.While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models.In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers. Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS.While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models.In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers. The New York Times Science Bestseller from Robert Wachter, Modern Healthcare\'s #1 Most Influential Physician-Executive in the USWhile modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare\'s ills.But medicine stubbornly resisted computerization - until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America\'s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?Logically enough, we\'ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation\'s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story.We need to recognize that computers in healthcare don\'t simply replace my doctor\'s scrawl with Helvetica 12, writes the author Dr. Robert Wachter. Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it\'s not too late to get it right.This riveting book offers the prescription for getting it right, making it essential reading for everyone - patient and provider alike - who cares about our healthcare system. Dr. James Burt believed women’s bodies were broken, and only he could fix them. In the 1950s, this Ohio OB-GYN developed what he called “love surgery,” a unique procedure he maintained enhanced the sexual responses of a new mother, transforming her into “a horny little house mouse.” Burt did so without first getting the consent of his patients. Yet he was allowed to practice for over thirty years, mutilating hundreds of women in the process. It would be easy to dismiss Dr. Burt as a monstrous aberration, a modern-day Dr. Frankenstein. Yet as medical historian Sarah Rodriguez reveals, that’s not the whole story. The Love Surgeon asks tough questions about Burt’s heinous acts and what they reveal about the failures of the medical establishment: How was he able to perform an untested surgical procedure? Why wasn’t he obliged to get informed consent from his patients? And why did it take his peers so long to take action?The Love Surgeon is both a medical horror story and a cautionary tale about the limits of professional self-regulation. A humanistic account of the changing role of technology in society, by a historian and a former Dean of Students and Undergraduate Education at MIT.When Warren Kendall Lewis left Spring Garden Farm in Delaware in 1901 to enter MIT, he had no idea that he was becoming part of a profession that would bring untold good to his country but would also contribute to the death of his family\'s farm. In this book written a century later, Professor Lewis\'s granddaughter, a cultural historian who has served in the administration of MIT, uses her grandfather\'s and her own experience to make sense of the rapidly changing role of technology in contemporary life.Rosalind Williams served as Dean of Students and Undergraduate Education at MIT from 1995 through 2000. From this vantage point, she watched a wave of changes, some planned and some unexpected, transform many aspects of social and working life--from how students are taught to how research and accounting are done--at this major site of technological innovation. In Retooling, she uses this local knowledge to draw more general insights into contemporary society\'s obsession with technology.Today technology-driven change defines human desires, anxieties, memories, imagination, and experiences of time and space in unprecedented ways. But technology, and specifically information technology, does not simply influence culture and society it is itself inherently cultural and social. If there is to be any reconciliation between technological change and community, Williams argues, it will come from connecting technological and social innovation--a connection demonstrated in the history that unfolds in this absorbing book. Rationale. medication use has become increasingly complex in recent times. medication error is a major cause of preventable patient harm. as future doctors, you will have an important role in making medication use safe. Batch 28. What Is Medical Ethics, and Why Is It Important?. Medical ethics involves examining a specific problem, usually a clinical case, and using values, facts, and logic to decide what the best course of action should be. . Webinar Housekeeping. Everyone is in “listen-only” mode.. Two listen options: phone or web (phone tends to be better!) . 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