Medical errors don't always involve flashing neon mistakes. They often involve a cascade of omissions that never get acknowledged, much less counted. (WBUR)
The report draws on massive amounts of health insurance claims, studies on the frequency of errors that don’t show up in bills and a survey of 5,000 Massachusetts residents on their own experiences of medical injury, the largest statewide survey so far.
As a nurse, Mamouni knew the main danger for her mother was that fluid could build up in her lungs and throughout her body. So it was vital that she be weighed regularly — preferably every day — to see if fluid was accumulating. If it were, medicines could drain off excess fluid, ease breathing and lessen the burden on her heart.
At one point, Whitney began complaining of intestinal pain. But the problem wasn’t picked up until she ran a high fever — a sign of sepsis, or generalized infection. And that brings us to another important point in the new report. The 5,000 interviews the Betsy Lehman Center commissioned show that people who’ve suffered medical injuries, or are close to someone who has, experience long-term effects.
Dr. Thomas Gallagher of the University of Washington is a leading proponent of what he calls “disclosure and resolution” following medical harm. “We don’t do a good job in health care of responding to these events and communicating about them with patients,” he says. “And that just compounds their suffering.”
More than they realize, patients and those close to them can play an important role. Studies show they’re very good at spotting problems in their care, but often don’t speak up if something doesn’t seem right.
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