By Martin Makary
Dr. Marty Makary is co-developer of the life-saving list defined in Atul Gawande's bestselling The record Manifesto. As a hectic physician who has labored in lots of of the easiest hospitals within the country, he can testify to the fantastic energy of contemporary drugs to healing. yet he's additionally been a witness to a clinical tradition that generally leaves surgical sponges within sufferers, amputates the incorrect limbs, and overdoses childrens as a result of sloppy handwriting. during the last ten years, neither errors charges nor expenses have come down, regardless of medical growth and efforts to reduce charges. Why? To sufferers, the healthcare process is a black field. medical professionals and hospitals are unaccountable, and the inability of transparency leaves either undesirable medical professionals and systemic flaws unchecked. sufferers want to know extra of what healthcare staff recognize, to allow them to make trained offerings. responsibility in healthcare may divulge harmful medical professionals, gift reliable functionality, and strength optimistic switch nationally, utilizing the ability of the loose industry. Unaccountable is a robust, no-nonsense, non-partisan analysis for therapeutic our hospitals and reforming our damaged healthcare method.
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Additional resources for Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
Sample text
B. Runciman, W. J. Russell, A. Sellen, R. K. Webb and J. A. Williamson, `The ``wrong drug'' problem in anaesthesia: an analysis of 2000 incident reports' (1993) 21 Anaesthesia and Intensive Care 596±601. J. B. Cooper, R. S. Newbower and R. J. Kitz, `An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection' (1984) 60 Anesthesiology 34±42. G. D. Smellie, N. W. Lees and E. M. Smith, `Drug recognition by nurses and anaesthetists' (1982) 37 Anaesthesia 206±8.
J. ), Medical Accidents (New York, Oxford University Press, 1993), 116. 28 Errors, Medicine and the Law knocks over a pedestrian. In the latter case there may be no intention to harm the pedestrian, but in fact, apart from the technical duty of care on the part of the driver not to cause harm to the pedestrian, there is no intent either way in relation to the particular individual. When a doctor accepts responsibility for a patient, there is an explicit intent to help that patient or at the very least not to harm him or her.
Yet we can see that the facts belie this understandable assumption. The truth is that errors of drug administration occur in all medical and nursing disciplines in all countries. It is precisely because they are common but not immediately understandable that they are a good example of the type of error that pervades healthcare. In part, the issue is a lack of awareness of the complexity of some of the activities in question. Most people understand that a major surgical operation is a dif®cult undertaking, but it is perhaps less widely appreciated that an anaesthetic may often involve the administration of twenty, and in some cases more than ®fty, intravenous boluses of drug.