Error
in
medicine –
Error Factors in Medicine
Error
is
present in each
and every range of human activities. As human beings, we are bound to
make mistakes and what we first need to understand is that
they exist, that they are part of our lives. If we acknowledge this
–
we can research into the causes that can lead to error, and also into
its consequences, thus enabling ourselves to at least limit the
gravity of its effects. The
consequences of an error vary according to the domain of activity in
which it occurs. The
medical error does NOT have more serious consequences than the error
in other fields but it presents a higher degree of
‘sensitivity’
and of course a higher mediatization. The
latter statement can provoke controversies - but let us give it some
thought and draw a comparison: -
error occurs in transports: the mistake made by the driver of
a
vehicle can endanger in a single day more lives than the medical
check-ups carried out by a health care provider in one day; the same
applies to constructions and I do not think there is a field limit.
-
you
can imagine the most terrible mistake - in your own domain of
activity – compare it with the most terrible medical error
you have
ever been subjected to. You will realize that it can be worse.
The
causes of the medical error – in (romanian medical practice)
as far
as we have identified
all of them (the list remains open): -
lack
of communication between physician - patient;
Causes
which pertain to the health care
provider
/ medical
personnel: -
lack
of knowledge or temporary memory slips – these can be
extremely
easily compensated for by referring the patient to the speciality
colleague or to the one with a superior professional experience.
-
tiredness, overwork, stress – the most frequent cause of the
medical error; -
lack
of interest (romanian practice)– the medical personnel has
been
“demotivated” with
an almost diabolical persistence from 1945 and up to the present day
– I draw your attention to the fact that if in 1990 the
entrance
mark to a medical university was B+, at present D will suffice
– but
one can also do
without a mark. The situation seems to be getting better, but this is
only the beginning.
Causes
which pertain to the Sanitary System’s structure: -
lack
of necessary equipment (romanian practice) – caused by lack
of money –
which are
triggered by the economic situation and which is aggravated by other
extremely numerous factors. -
internal regulations known by the professionals but which are unknown
to the patient – who thinks that his problem is uselessly
“prolonged”; the explanations he receives are not
understandable
– and some of them have actually no meaning.
Causes
which are
linked to the patient: -
lack
of patience – I don’t know why, but lack of
patience becomes
manifest first of all at the consulting room door. One may think that
we are dealing here with the ill person; but paradoxically NO
– we
are dealing here especially with patients with administrative issues
(those who need a document) and who completely
“forget”
about the other patients’ time, who are still waiting.
-
the
demanding patient – is the one who has “absolutely
all the
rights” and who wishes to impose these in front of the
physician –
who is supposed to meet his demands, regardless of their immorality,
illegality or their frequently unmedical character. All
these causes
tend to (usually) occur together.
June,
4
2007 (english
version)
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