Most would say worse. And one of the many reasons is medical errors. Most Americans say the quality of care has not improved, and dissatisfaction among patients and caregivers has increased. The perceptions exist despite the efforts across the country to reduce medical errors.
The result of medical errors includes death, long-term disability, and pain. The causes of medical errors include, but are not limited to: poor communication among caregivers, inadequate staffing, stress, fatigue, and the nursing shortage, doctors not spending enough time with patients, order transcription errors, and adverse drug events. Health care providers want to delivery safe, high-quality health care to patients. Despite this, preventable errors occur causing harm to patients.
The Agency for Healthcare Research and Quality (AHRQ) and Joint Commission (JC) are two agencies that promote creating a culture of patient safety. This includes reporting events that have the potential to threaten the safety of patients while viewing these events as opportunities to better the health care system. Some of the safe practices endorsed by these organizations include:
Along with physicians, health care providers, and government agencies working together to make our health care system safer, providers should encourage patients to take responsibility to protect themselves. The best way to do that is for the patient to take an active role by becoming involved in all decisions regarding their health care. This includes keeping the health care team informed, asking for information and becoming informed on all treatments and procedures recommended.
In October, 2008, Medicare will no longer pay the costs of treating patients who develop serious, preventable conditions while they are hospitalized. These include pressure ulcers, falls from the bed, and catheter-associated urinary tract infections. Many insurers are heading toward following in Medicare's footsteps. Many hospitals are moving toward not billing patients and/or insurers for preventable errors that have occurred. However, some believe that waiving fees, along with apologizing, amounts to admitting liability, which could attract more lawsuits.
The bottom line is that though there is no all-encompassing solution to prevention of medical errors, health care providers are collaborating to improve patient safety and becoming accountable.
Resources
Agency for Healthcare Research and Quality - Fact Sheet. AHRQ Pub No. 05-P007, March, 2005.
Joint Commission - National Patient Safety Goals.
Copyright 2008- American Society of Registered Nurses (ASRN.ORG)-All Rights Reserved
Masthead
Editor-in Chief:
Kirsten Nicole
Editorial Staff:
Kirsten Nicole
Stan Kenyon
Robyn Bowman
Kimberly McNabb
Lisa Gordon
Stephanie Robinson
Contributors:
Kirsten Nicole
Stan Kenyon
Liz Di Bernardo
Cris Lobato
Elisa Howard
Susan Cramer
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