I know you’re trying to make GreenElf feel better, but false reassurances are still false.
440,000 people die of medical mistakes in hospitals every year. Tens of thousands more die from medical mistakes outside of hospitals. It’s the third leading cause of death in the United States.
Compared to the rest of the world, we’re about average.
If you want to help, offer some concrete advice as to how a patient can help the staff reduce medical errors:
Make sure they know your allergies and have placed an allergy band on your wrist - on the SAME wrist as your barcode, if the hospital has a barcode system. That makes it harder to miss it when they scan the barcode to give you your meds.
Insist that the nurse verify 2 patient identifiers before they give you meds, before they take you anywhere for a test, before they begin a surgery. Your name and birthdate are acceptable identifiers. I once had an Ann E. Smith and and Anne Smith in clinicals. Their rooms were back to back. Ann E. was allergic to one of Anne’s meds. My teacher watched me like a hawk, and I avoided killing either one, but it was the best lesson in patient identification I could have gotten.
If you’re getting surgery, ask them if they have a Surgical Safety Checklist and if they use it. At the very least, insist on a “Time-Out” before they begin. Everyone in the room should introduce themselves by role and name (“I’m Cindy, the circulating nurse”). That should include you (“I’m GreenElf, I’m here for a right knee replacement.”) They should verify your identity, the planned procedure and the site of the procedure including side of the body. The site of the surgery should be marked with an ink that doesn’t get rubbed off by anything they wipe you with to clean the area.
When you’re spending time laying around in a hospital room, try to have someone with you. If you don’t have to ring for the nurse every time you drop the kleenex, you’ll feel better about ringing the nurse when you actually need him, like when you’re in pain or you have to get up to pee and need help.
If the nurse is getting your medications ready or setting up tools for a procedure, don’t talk to her. Distractions are deadly. When everything is set up, then you can (and should) ask questions.
If you have a problem with your nurse, ask to speak to the Charge Nurse. If the Charge Nurse can’t help you, ask to speak to the Nursing Supervisor. If the Nursing Supervisor can’t help you, ask to speak to the Patient Advocate. Don’t ask to speak to the doctor to complain about a nurse. The doctors are not the boss of the nurses; they have their own chain of command.
(Likewise, if you have a problem with a doctor, ask to speak to the Attending Physician. If the Attending can’t help you, ask to speak to the Medical Director. If the Medical Director can’t help you, ask to speak to the Patient Advocate.)
Ask for a consultation with the Medical Social Worker before you go home. They can help explain many things and help you find community resources like home health care or rental services for walkers and wheelchairs, if you need them.
Do not let them discharge you until you know exactly what medications to take when you get home, exactly what your physical activity limitations are and when they expire, and exactly when to return to what doctor for follow up. Yes, you want to go home, but you don’t want to go home and accidentally create your own medical error because you didn’t understand your discharge instructions.
Do I know anyone who has died as the result of a medical error? Oh, yes. But this is one time when my professional code of ethics restrains me from sharing. They’re not my stories to share.