Preventable medical errors are a leading cause
of death in America. According to the Institute of Medicine, up to
98,000 patients a year die in U.S. hospitals due to preventable errors.
Last year, Pennsylvania hospitals reported more than 200,000 patient
safety incidents, more than 7,000 of which resulted in serious injury or
death, according to the state’s Patient Safety Authority.
Published: Friday, July 25, 2008 4:11 AM EDT
Preventable medical errors are a leading
cause of death in America. According to the Institute of Medicine, up
to 98,000 patients a year die in U.S. hospitals due to preventable
errors. Last year, Pennsylvania hospitals reported more than 200,000
patient safety incidents, more than 7,000 of which resulted in serious
injury or death, according to the state’s Patient Safety Authority.
While doctors and hospitals across the country pursue various ways to
treat the epidemic of medical errors, many experts believe the best
prescription is vigilance by patients and their families. In
observance of National Patient Safety Day, which is today, we have
compiled a list of the “Top 10 Tips to Get Out of the Hospital
Alive.”
1. Educate yourself. Although the malpractice records of individual
health-care providers are often kept secret, you can check out doctors
and hospitals through the Pennsylvania State Board of Medicine; the
fee-based HealthGrades (www.healthgrades.com); the Leapfrog Group (www.leapfroggroup.org);
and the U.S. Department of Health and Human Services (www.hospitalcompare.hhs.gov).
Also, ask your friends (especially lawyers, if you know any), family,
co-workers, and neighbors.
2. Educate your doctor. Make sure your doctor knows about your medical
history, blood type and any allergies, pre-existing conditions or
adverse reactions to medications. Bring a list of all medications and
supplements you take.
3. Ask a lot of questions. Use the Internet to find out as much as
possible about your condition and treatments options.
4. Take an advocate with you. Ask a family member or friend to
accompany you during your hospital stay.
5. Take notes or bring a tape recorder, so you can remember what your
doctors told you. If you are expecting a doctor visit, make a list of
questions you want to ask.
6. Double-check all your medications before accepting them. Medication
errors are the most common kind of hospital error. Each time someone
brings you medication, ask: What is this medicine for? Who prescribed
it? When am I supposed to take it? How am I supposed to take it? What
are the side effects? Is it safe to take with other medications or
food?
7. Be friendly, but not too friendly. Save the chitchat until after
the staff has administered medications or checked your vitals. Even
little interruptions can be distracting enough to cause a slipup.
8. Wash hands. Hospital-borne infections are a major problem, even in
the best facilities. Ask doctors, nurses and hospital staff to wash
their hands before touching you or anything you will be touching.
After you use the bathroom, wash your hands. Simple hand washing can
save you from contracting a deadly infection during your hospital
stay.
9. Avoid wrong-site surgery.
This has become such a serious problem that Medicare, many private
insurers and the state of Pennsylvania have begun refusing to pay for
wrong-site surgeries. Prior to any operation, surgeons should sign or
mark the body part to be operated on, and the hospital should have a
procedure for verifying the surgical site before the operation begins.
Ask your advocate to verify that the surgeon and operating room staff
know the correct site.
10. Follow up. Ask when your test results will be available and follow
up if your doctor or nurse doesn’t call. Also, don’t leave the
hospital without fully understanding all post-treatment instructions,
including what medication to take, proper dosages, when to schedule
follow-up appointments and when you can return to normal activities.
Remember, an ounce of prevention is worth a pound of cure.
David I. Fallk, Esq., is a Scranton attorney and president of The
Committee for Justice for All in Kingston.