Causes of death of Hawaii Foster children
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This document lists 25 causes of death for children who were active with child protective services at the time of their death. The causes range from medical issues such as prematurity, heart conditions, and cancer, to accidental deaths like car accidents and falls, to cases of abuse and neglect, and one suicide. Several infants died during sleep from unknown or undetermined causes.
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Patient Documentation Analysis
Due Date
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Case Study #1
Discharge Summary
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Admission Diagnosis
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Discharge Diagnosis
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Summary
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Review the Inpatient Discharge Summary of John Madison (Case Study 1) and provide the
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Discussion Topic
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6Medical Mistakes and
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After reading this chapter, you should be able to
1. Explain reasons for the prevalence of medical mistakes.
2. Describe mistakes that threaten patient safety.
3. Analyze how ethical health care organizations address the vexing problem of medical mistakes.
4. Examine the legal, regulatory, political, and administrative attempts to reduce threats to
patient safety.
5. Understand tort law and what is meant by tort reform.
6. Examine the ethical implications of health care organizations’ responses to medical mistakes.
7. Comprehend the significance of landmark legal cases that shape the current climate of quality
improvement and risk management.
© 2019 Bridgepoint Education, Inc. All rights reserved. Not for resale or redistribution.
Section 6.1The Extent of Medical Mistakes
Introduction
In this chapter we will analyze how ethical health care organizations address the serious
problem of medical mistakes. We will also take an in-depth look at some legal, regulatory,
political, and administrative solutions that may lessen the risk to patients while also protect-
ing organizations from legal liability. Throughout this chapter we will also explore the ethical
implications of this issue and how an awareness of the ultimate ends of health care can yield
practical solutions.
6.1 The Extent of Medical Mistakes
Until 1999, most Americans were unaware of the extent of medical errors in health care. That
year, the Institute of Medicine (IOM) released the report “To Err Is Human: Building a Safer
Health System” (IOM, 1999). Based on a series of studies, “To Err Is Human” concluded that up
to 100,000 people die from preventable medical errors every year in the United States (IOM,
1999). The shocking statistic thoroughly shook the collective trust in American health care.
Another IOM report, published in 2001 and titled “Crossing the Quality Chasm,” furthered
the point that health risks to patients from health care providers due to preventable human
errors were much too high. (See Figure 6.1 for a comparison of the percentage of medical
errors made in various countries.)
Figure 6.1: Medical, medication, or lab test errors, 2009–2011
This graph compares the percentage of medical errors made in various countries. Why do you think
that the United States has the highest percentage of medical errors of the seven countries listed?
Source: Schoen, C., Osborn, R., Squires, D., Doty, M. M., Pierson, R. & Applebaum, S. (2011). New 2011 survey of patients with complex
care needs in 11 countries finds that care is often poorly coordinated. Health Affairs. Data retrieved from https://www
.commonwealthfund.org/chart/medical-medication-or-lab-test-errors-past-two-years
Case Study: A Tragic Medical Mistake
In early December of 1995, a seven-year-old boy was admitted to a South Florida hospital
to undergo ear surgery to remove scar tissue resulting from two ea.
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73 cents, 21 days
This 3 sentence summary provides the high level information about the document:
The document tells the story of Fred Holliday's experience going through multiple hospital facilities and medical treatments over 11 weeks without consistent access to his electronic medical record, which led to delays, incomplete information being shared between providers, and an inability to get a full copy of the record for 21 days at a cost of 73 cents per page. It describes the impact this had on Fred and his family as they struggled to understand his condition and medical decisions being made without full access and transparency to the vital clinical information contained in his electronic record. The painting of Fred's medical information on the wall of a deli was intended to raise awareness about the importance of patients having access to
Delicate subject
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Lecture 2
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Interesting Case - Non-Accidental Injury
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