Do Hiv Infected People Get Ill More Often
Medical Errors: Are we ready to report them? The news today
, Well known in our city of Monterrey, but he came to go around the world, is about the kids graduate students from my university, Tecnológico de Monterrey, who died in an apparent crossfire between the Mexican army and a group of drug traffickers.
The sad thing, besides the loss of lives, is the
written recommendation by the National Human Rights Commission (NHRC
) on possible coverage and fabricating evidence by the soldiers who found themselves in the place of facts.
quote the article: "In the recommendation issued by the agency indicated that during the investigation of the case there were obstacles that prevented define who was the author of the deprivation of the lives of two young men. These obstacles relate to lack of cooperation from the State Attorney, the Attorney General and the Attorney General of Military Justice, which totally or partially blocked access to the proceedings of the previous investigations. "
The purpose of this post is not to judge anyone or make findings on that topic, but I wanted good place to make an analogy Was error of soldiers and covered up the same between them?
in the military and health, aviation and any other profession that lives in their hands errors occur, and these mistakes cost lives. Systems aviation safety, for example, determine to be reported errors or near misses that occur on any flight to the ASRS
, but have realized that the magnitude of the errors reported exceeds the capacity of harvesting. There were so many error reports that exceeded the system. Only in one hospital (the USCSF) were received over 20,000 reports a year. And that is a single hospital in the 6,000 that exist in the U.S., also These figures are errors that are reported, not to mention those not reported by doctors. It's amazing when I hear that a hospital security experts that a good percentage of suffering, it is safer to stay at home than in hospital.
recently heard a discussion on this work done by Dr. DesRoches, published in JAMA, on the grounds that doctors have to report to their colleagues when they feel they are unable to perform their job well incompetence. The feeling I had of my colleagues was "defensive" and strongly criticizing this work. Something
perceived: "How dare someone say to me that I am not competent or make mistakes?" "You're a doctor and you can also go wrong, it can happen to you" "The doctors told us we cover, it's fair" "That's spit pa'rriba"
All these comments was always thinking of oneself as a doctor, but NO I heard an opinion to think about patients. Would I want my doctor that if my father, mother or child makes a mistake, I tell? Should the health system of a country that errors are reported as happens in aviation?
I return to the case of graduate students of Tec There was probably a mistake which, instead of being reported, was very likely (to say the NHRC) hidden. Do not mean to denigrate our military forces have done an excellent job fighting and risking their lives every day, but why take down the good image hiding mistakes?
Can you make the analogy in medicine?
health system in the United States want to do something similar 
0 comments:
Post a Comment