How you can Safeguard Yourself Against Medical Errors

 

How To Prevent Becoming A Victim of Medication Errors | Dr. Lusia Fomuso | TEDxPleasantGrove

Video taken from the channel: TEDx Talks


 

“Never Again” | How a Medical Error led to Mike Armstrong’s Passion for Patient Safety

Video taken from the channel: Johns Hopkins Medicine


 

Tips for Preventing Medical Errors & Medication Mistakes

Video taken from the channel: Pfizer


 

How to protect yourself from medical errors

Video taken from the channel: John Bielinski


 

We make mistakes in Healthcare

Video taken from the channel: UHNToronto


 

Medical Errors: The Silent Killer in Medicine | Carol Gunn | TEDxFargo

Video taken from the channel: TEDx Talks


 

Recent Research on Medical Errors

Video taken from the channel: Institute for Healthcare Improvement IHI


Be an active participant on your team. Many medical decisions require input and decisions. Be involved directly in every Know—and share—your information, including your full medical history. Keep an updated list of the medicines you take—prescription, over-the-counter medicines, and vitamin.

Get into the habit of playing it safe with these medication tips: Keep an up-to-date list of all your medications, including nonprescription drugs and supplements. Store medications in their original labeled containers. Keep your medications organized by using a pillbox or an automatic pill dispenser. “Advocate for your body like you would a child’s, a husband’s, a best friend’s.” One of the best ways we can protect ourselves against medical errors and.

Become informed and ask questions. Learn about your condition and treatments by asking your health care provider and nurse and by using other reliable sources. The more you know, the better able you’ll be to track your recovery and recognize symptoms that could indicate a worsening of your condition. RNCentral has compiled a list of 25 tips to help protect yourself from medical errors. My personal favorites are: #2 Ask questions –you need to know what’s going on #4 Don’t forget the details –small details can matter, and your caregiver should be interested.

Protect Yourself From Hospital Errors Advocates agree that patients can minimize their risks by keeping a close eye on their care. Hospitals are. Arm yourself by asking hospital staff what you’re taking, how much, how often and why, Kiani says. That way, when someone from your medical team comes in to administer drugs, you can match your.

See ISMP’s consumer web page, ConsumerMedSafety.org, for helpful tools and resources to protect yourself from medication errors. Find out what drug you’re taking and what it is for. NPAF estimates that about half of all medical bills have some type of error, Donovan says, and they’re usually not errors that work in the patient’s favor.

Always request an itemized bill, and if you notice that something wasn’t covered, ask your insurance company why; your next step may be to appeal the denied claim. The simple preemptive measure of wearing a medical ID device helps keep minor injuries from turning fatal, reduces hospital error, and may improve.

List of related literature:

• Keep adequate clinical records and retain them in a manner that conforms to good practice and the law.

“Ethics in Psychology and the Mental Health Professions: Standards and Cases” by Gerald P. Koocher, Patricia Keith-Spiegel
from Ethics in Psychology and the Mental Health Professions: Standards and Cases
by Gerald P. Koocher, Patricia Keith-Spiegel
Oxford University Press, 2016

For example, to reduce chances for a medical error, it is essential that you check the patient’s identification by using two identifiers (e.g., name and birthday or name and medical record number) according to agency policy before beginning any procedure or administering a medication (see Chapter 32).

“Fundamentals of Nursing E-Book” by Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall
from Fundamentals of Nursing E-Book
by Patricia A. Potter, Anne Griffin Perry, et. al.
Elsevier Health Sciences, 2016

Utilize electronic medical records within your PIMS to eliminate errors due to illegible writing or print prescription labels out first and then give the label to someone to fill the medication.

“Blackwell's Five-Minute Veterinary Practice Management Consult” by Lowell Ackerman
from Blackwell’s Five-Minute Veterinary Practice Management Consult
by Lowell Ackerman
Wiley, 2013

Another way to help limit medical errors is to use “cheat sheets.”

“Advanced Emergency Care and Transportation of the Sick and Injured” by American Academy of Orthopaedic Surgeons
from Advanced Emergency Care and Transportation of the Sick and Injured
by American Academy of Orthopaedic Surgeons
Jones & Bartlett Learning, 2010

Six steps that mark an organization that really cares about medical errors.

“Leadership Roles and Management Functions in Nursing: Theory and Application” by Bessie L. Marquis, Carol Jorgensen Huston
from Leadership Roles and Management Functions in Nursing: Theory and Application
by Bessie L. Marquis, Carol Jorgensen Huston
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

• Prevent iatrogenic harm to the hospitalized client by following these guidelines for administering medications: ❍ Use at least two methods to identify the client before administering medications or blood products, such as the client’s name and medical record number or birth date.

“Mosby's Guide to Nursing Diagnosis E-Book” by Gail B. Ladwig, Betty J. Ackley, Mary Beth Makic
from Mosby’s Guide to Nursing Diagnosis E-Book
by Gail B. Ladwig, Betty J. Ackley, Mary Beth Makic
Elsevier Health Sciences, 2019

We start by discussing several different perspectives on medical errors.

“Human-Computer Interaction. Interacting in Various Application Domains: 13th International Conference, HCI International 2009, San Diego, CA, USA, July 19-24, 2009, Proceedings, Part IV” by Julie A. Jacko
from Human-Computer Interaction. Interacting in Various Application Domains: 13th International Conference, HCI International 2009, San Diego, CA, USA, July 19-24, 2009, Proceedings, Part IV
by Julie A. Jacko
Springer Berlin Heidelberg, 2009

Repeat vital signs and compare to client’s baseline, and assess the client for any unusual symptoms or complaints.

“Concept-Based Clinical Nursing Skills E-Book: Fundamental to Advanced” by Loren Stein, Connie J Hollen
from Concept-Based Clinical Nursing Skills E-Book: Fundamental to Advanced
by Loren Stein, Connie J Hollen
Elsevier Health Sciences, 2020

Be sensitive to common sources of patient injury such as falls and medication errors.

“Potter and Perry's Fundamentals of Nursing: Second South Asia Edition E-Book” by Sharma Suresh
from Potter and Perry’s Fundamentals of Nursing: Second South Asia Edition E-Book
by Sharma Suresh
Elsevier Health Sciences, 2017

To do this, you must be able to recognize the following common patient preparation and positioning errors and understand what you can do to prevent such errors from occurring.

“Modern Dental Assisting E-Book” by Doni L. Bird, Debbie S. Robinson
from Modern Dental Assisting E-Book
by Doni L. Bird, Debbie S. Robinson
Elsevier Health Sciences, 2020

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • For more form Derek on health care leadership, watch more from his “Line of Sight” video series here: https://www.youtube.com/playlist?list=PLHWxeEqcNV7zQtte92L826WFXhoBqrhuD

  • …and Americans still say theirs is the greatest in the world. Yes, if you’re rich. It’s the only western country without free national health care. You couldn’t pay me to live in the US, I don’t even have a desire to visit…

  • Dr’s and Nurses NEED to listen to the patient and family. NOT everyone is textbook. My husbands cardiologist and nurses ignored signs of a pulmonary embolism. I repeatedly asked them to do a CT scan to check for clots, he was spitting up blood, severe stabbing pain on his left side and chest area. The cardiologist said “We did a CT scan 3 days ago he was fine” The nurses never examined him and just said it’s probably from coughing so hard. I kept pushing to the point of yelling at the dr and telling him I want my husband moved to another hospital…within two hours my husband was crashing and we were taken by life flight to a large hospital in another state and guess what? First thing they did when he told them his symptoms, a CT scan, guess what? A LARGE clot in his saddle area of his pulmonary artery and multiple clots in his lungs. The DR immediately put a swan line in and started TPA for 24 hours to bust it up and put him on blood thinners after that. The DR brought the medical students into his room, held up a scan and asked them what their diagnosis was. One student said the patient should be dead. The Dr said Yes, he should be, but you are looking at him now. This is a reminder to listen to your patients and do the tests and never get a GOD complex or you will lose patients. Forget about insurance and treat the patient to save his or her life. This Dr was awesome, he actually didn’t bill our insurance for one test the insurance was refusing and the Dr ate the cost because my husband needed the test. Be your own advocate and don’t be afraid to ruffle some feathers, it’s called practicing medicine for a reason. They aren’t GOD and if they don’t listen, fire them and get a new Dr. They work for you.

  • If a doctor makes a mistake then they should never practice medicine ever again. That’s why they get so much schooling, so there’s no mistake in medicine just negligence

  • Great story, but still she really gives a PASS to the larger medical profession, treating it with gentle, kid gloves. Using the name “medical errors” makes it sound so innocent and benign…like there’s the “Medical Errors Fairy” who just lingers around hospitals and such, sprinkling it’s “Death Dust” here and there…as if there’s just been years-long series’ of “oopsies!” The reality is that if those of us outside the “larger medical profession” (government excepted, of course) were the “3rd leading cause of death,” we’d be charged for negligence and/or murder. Period. (Well, except for vaccine makers.)

  • I don’t understand how someone just walks past a body laying on the floor. That is unbelievable to me because especially at a hospital you’d think people would find her right away. I understand why Dr. Gunn’s sister would be so upset. She told her doctors for months about her heart pain but they didn’t take her seriously. If they did, maybe she could have been saved. I know we can’t expect doctors to always be correct and all humans make mistakes but it really surprises me that the third leading cause of death is medical errors. These doctors should take these as learning opportunities and not as critism. Health care should be saving lives and not the third leading cause of deaths. If this was more focused on I believe doctors would have more survivors and if patients made sure their doctors listened to their symptoms, it would really help. 200,000 americans dying every year due to medical errors is a huge number. I believe that if they focus on that then many of those lives could be saved. Also, there needs to be more communication between the nurses and doctors. Like Dr. Gunn’s example of the nurse not putting the right amount of dosage of drugs into their patient, she said no not to tell the patients doctor. Not telling the doctor could lead to other complications. They need to have better communication so both the doctor and other staff members are on the same page.

  • ♥️This is so true!!! you can bet on it if your Correct you will be ignored/lied about/resisted/denied/ defamed…No good deeds go unpunished ask Jesus Christ King of Kings and Lord of Lords…Yet do not turn your head the other way!!!

  • I can not afford to seek diagnosis from 1 Dr., let alone having to go to multiple for a diagnosis. Medical cost in the U.S. is absolutely crazy! $2,000.00 per C-Scan etc…..

  • Unfortunately or medical services are at least 20 years outdated they are working from a model that expired many years ago this is the problem information and knowledge grows with time. They stopped growing Generations ago.

  • I have often wondered why one doctor is so reluctant to say another doctor was wrong or made a mistake when you get to their office with problems stemming from misdiagnosed or mistreated ailments. I’ve heard it called professional courtesy, but is it courteous to let a doctor go on with their erroneous ways?
    How can they be better if they don’t know they are making errors?
    And why are so many so arrogant? Heaven forbid a nurse points out something they missed. Even when a patient is just questioning their judgment, the hackles go up.

    My own experience with doctors in hospital settings is they have little time for you and are mostly dismissive of complaints or concerns with other areas of the body. Maybe the biggest issue is there aren’t enough on staff to do the work the way the job really requires. Spending time with them, listening, looking at the patient as a whole, not just their specialty.

    How can we change this?

  • This isn’t medical error… it is negligence!!!! As women age, the more we are medically neglected.
    In youth, all our symptoms are said to be from “stress/anxiety”. In senior years, it’s said to be from “aging”. There is no point in saying more!!!

  • It is always devastating when a doctor makes a mistake or a medical error that may lead to an early death in someone’s life. Doctors practice the ethical principle of beneficence, where they try to seek what is best for the patient. They attempt to always give the patient the best care they possibly can in order to benefit them to the best of their ability. However, doctors do occasionally fall short. I believe that in the case of Carol’s sister, the physician committed negligence to her. In order to be negligent, the patient must have been harmed, the physician must have breached a duty, and the breach of duty must have caused the harm. In this scenario, her sister was harmed since she died as a result of the lack of treatment she received for her heart attack. The normal standard of care for someone coming in with the symptoms of heavy chest pain that Carol’s sister had would be to recommend a cardiologist or at least get imaging done. The doctor failed to listen to his patient and understand her symptoms enough to get further testing, and as a result, Carol’s sister was misdiagnosed and eventually passed away. Like Carol says, doctors like her focus on giving patient’s the best care they can, but unfortunately, mistakes still happen resulting in medical errors.

  • 2013 my girl lost her bowel…it was avoidable. 5 years later…they deliberately killed her because her underlying diagnosis…trisomy 18…was incompatible with life…Brennagh had a full life, she was 11. Genocide is a silent practise in New Zealand and our officials are turning a blind eye. I begged for help and was silenced…but i can’t shut up. I miss her so much…they kill them late in pregnancy, the day or week they’re born. They make sure their lethal stats stand.

  • REWARD PEOPLE WHO REPORT INCIDENTS? Omg Im laughing here. Do you have any real idea the evil gaslighting drs really do? How they lie and traumatize patients??? Honestly what a load of baloney. Im physically sick watching this.

  • A STEMI is quite easy to diagnose…..if someone dared to do an ECG. Even a nurse can do one and show a doctor to reassure…. If a patient told me of her symptoms I would have done one within 5 minutes and ran for aspirin. There is a machine literally on every ward if not more…..so every nurse can grab one every moment if needed. And here in Austria of course the doctor would be told if he prescribed a wrong dose, as a nurse I would even correct it and let it sign him and look over it 4 eye protocol….

  • What exactly could’ve the doctors done about the chest pain in Anna? I ask because I actually want to know concretely what thye shouldve done.

  • Healthcare workers are suppose to work as a team to give their patients the best care possible. Yes we are all humans and we make mistakes, but why not do anything to help lessen those mistakes? When Dr. Gunn mentioned that another doctor noticed someone else’s mistake but did nothing about it threw a red flag for me. How can doctors let their colleagues continue to make mistakes that they know are occurring. People’s lives are on the line in the medical profession and no one can afford to continue to make the same mistakes over and over. It is the healthcare worker’s duty to alert the people that work with when they spot a mistake. They must realize that no one is perfect, and that covering up wrong doings will only make things worse. If no one owned up to the mistakes they have made, can you imagine what the healthcare system would be like? No one would want to go to the doctor knowing that they may make a mistake and not ever bother to tell them. Yes it may be hard to own up to mistakes and may make you feel less powerful, but whatever the reason may be one must push them aside and realize it can only make them better. Being in a hospital is a very fast faced environment but if you think about it, healthcare is the one area where nothing should be rushed. Doctors jump to conclusions right away to save time, but they should take the time to make sure what they have decided is correct. Dr. Gunn’s example of the doctor who said “Then I would have to refer all my patients to cardiologists”, brought something to my attention. Why is referring a problem? Yes it will save time to try to figure it out yourself, but is it really the correct thing to do? If having a cardiologist assess a patient helps aid in the process of finding a correct diagnosis then by all means it should be done. ‘Saving time’ should not be something that’s said in the healthcare field. If doctors told their patients to their face “I’m doing this to save time”, how do you think that would make them feel? I would be terrified. But of course they don’t disclose that information with the patient. Being transparent as Dr. Gunn mentioned is a great way to change what is happening. Doctors should let their patients know they made a mistake, they should be open to criticism, they should be willing to accept that sometimes referrals are a must, and they should accept that they can’t always figure out the diagnosis on their own. All of those things are their duty as doctors. Now of course not every error is known, but shouldn’t someone inform that person as soon as they find out? its easier said than done and may even cost someone their job. That’s why mistakes continue to happen in the healthcare system everyday.

  • Dr. Gunn’s story about her sister is very sad and troubling. Even more troubling is the statistic that medical errors are in the top 5 leading causes of death in the United States (200,000 + per year). It is a problem. I believe the best way to avoid preventable errors is to establish transparent lines of communication between health care workers without losing confidentiality and to establish protocols for potentially life threatening conditions. For example, if an individual who is post bone marrow transplant has persistent chest pain, they get an EKG. It may sound trivial but obviously it is not. In fact, I recently watched a different Ted Talk video in which the speaker mentions that physicians once thought it insulting to be forced to wash their hands before dealing with pregnant women. Today, this is common practice and common sense.

    Without a doubt, negligence plays a role in cases like Dr. Gunn’s sister’s. Negligence is defined by three distinct parts in “Resolving Ethical Dilemmas: A Guide for Clinicians” by Bernard Lo, MD: a physician breached duty to a patient, the patient was harmed, and the breach in duty caused the harm. These types of errors are inexcusable and should be eliminated by establishing specific protocols and creating dialogue about the issue like we are right now. Of course mistakes happen, but encouraging health care providers to slow down and error on the safe side will prevent major forms of negligence from occurring.

    I also want to encourage others watching this video to not lose faith in the health care system or in doctors. Although there are many, many preventable deaths that occur in hospitals each year, there are also many, many miraculous stories of doctors saving lives. Every medical student begins medical school wanting to help others. No one wants to make a fatal mistake. What is important is teaching medical students early on about communication, teamwork, and being detail oriented to minimize breaches in duties to patients.

  • These stories are truly tragic. I feel for those that were affected by these mistakes and hope that my thoughts will not offend those that have been personally affected by medical errors during their lives. As a studying physician, however, I not only feel for the patients in these instances, but I feel for the doctors who were at fault as well. I fear that these physicians are considered “bad doctors” or are being labeled as “murderers” because a patient died while in their care. The medical education process is very strenuous and intensive. Not only is the science involved in medicine a dominating portion of a training physician’s education, but many ethical principles are learned and practiced as well. In fact, in order for a student physician to become board certified, they must demonstrate an understanding of many ethical principles, policies and laws in order to keep the patients they serve as safe and healthy as possible. That being said, doctors at times fall short of these standards. The two main ethical principles specifically that come to mind while watching this video are non-maleficence and beneficence. For those reading that are not aware, non-maleficence is the practice of not causing a patient intentional harm, while beneficence is the act of trying to do what is best for the patient. During a physician’s medical education and while taking the Hippocratic Oath, physicians learn and commit to these principles. Based on these principles, believe that physicians (for the most part) are not out to harm people. I believe the majority are intending to help as many people as possible. Do mistakes occur? Absolutely. But I think it is important to remember that abiding by the ethical principles of beneficence, non-maleficence and many others is an important part of a physician’s duty.

  • Physicians have a primary charge to not only care for patients, but to avoid harming them in the process. Dr. Carol Gunn’s knowledge as a physician and her personal experience of losing her sister to a medical error makes this video both powerful and memorable. Her story illustrates the ethical principle of nonmaleficence (i.e., do no harm) and clearly shows that not harming patients requires more than simply being experienced and having a strong knowledge of medicine; physicians must also treat patient concerns as valid, even if the doctor doesn’t consider them a problem (as in this instance). As Dr. Gunn explains, ‘For months, she [her sister] had told her doctors about her chest pain, and no one took her seriously.’ It’s pretty incredible that not one doctor took a closer look at the chest pain; instead they prescribed or took away medications to treat the issue. By the time doctors did look, it was too late. I in no way wish to demean the physicians who serve our society. I think we can all appreciate the hectic schedules that most doctors deal with daily, and I’m sure the doctors treating Gunn’s sister were doing what they thought was best at the time. Yet a physician’s good intentions don’t erase what happened. Nor do they justify the roughly 200,000 other deaths caused each year by preventable medical errors, as cited by Gunn. In fact, what happened to Dr. Gunn’s sister equates to medical negligence.

    Negligence, another principle of medical ethics, occurs when a physician breaches his or her duty to the patient, and results in the patient being harmed. (Bernard Lo, Resolving Ethical Dilemmas: A Guide for Clinicians). Dr. Gunn’s sister’s unfortunate passing appears to be a result of medical negligence, as her heart was permanently damaged due to the dismissiveness of her physicians. Had one of her physicians listened and recommended she visit a cardiologist sooner, it seems reasonable to assume she may be alive today, or at least lived a longer and healthier life.

  • To begin, I would like to extend my deepest condolences to Dr. Gunn and her family for the suffering they endured when they lost Ana. Her death was brought about by the tragic consequences of negligence and medical errors. In this comment, I would like to expand on the necessity for transparency regarding medical errors as introduced by Dr. Gunn. Medical providers, regardless of whether they are physicians, physician assistants, nurse practitioners, nurses, MAs, EMTs, CNAs, are held to a higher standard because their patients trust them with their health and at times with their lives. All medical providers are obligated to follow the four principles of medical ethics: autonomy, beneficence, non-maleficence and justice. For those who are not familiar with the four principles, autonomy refers to respect for patient’s decision regarding their healthcare, beneficence indicates that the provider must act in patient’s best interest, non-maleficent dictates that the provider must not harm the patient, and justice directs providers to practice quality healthcare with all of their patients regardless of the patients’ gender, religion, socioeconomic status, race, and ideologies. The aspect of being held to a higher standard creates an illusionary perception of perfection in patient’s mind regarding their providers. In patient’s mind, a provider must know all and make no mistakes. However, providers are imperfect and often make mistakes on diagnosis, lab and imaging tests, as well as treatment. As Dr. Gunn informed, “200,000 die each year due to medical errors.” The issue then is not whether providers will make mistakes, but rather whether they will be transparent with their patients about the medical errors that were detected and take immediate action. Dr. Gunn herself noticed the immense lack of feedback among providers regarding medical errors. That silence stifles the change that needs to take place in our healthcare system. Being held to a higher standard, does not mean perfection. Rather, it signifies that a provider must strive to do what is best for the patient and minimize harm to the patient. When medical errors are made, it is the duty of the provider to inform the patient and all other parties involved so that the patient can then receive the correct treatment, diagnosis, test, medication, and so on. Medical errors may never be eradicated from the healthcare system. However, medical error can be minimized and used as tools of education and innovation if the providers practice transparency with themselves, with their patients, and with each other. When providers are silent about medical errors, the ones who suffer the most are the patients for they are denied opportunity to receive healing, quality care. At its worst, this silence can lead to the same tragic consequences that faced Ana. By not acknowledging that medical errors have been made and/or no reporting witnessing medical errors, providers betray their patients and are in direct violation of the four ethical principles which are the foundation upon which rests the philosophy of medicine.

  • In 2007 I started an online discussion on about.com regarding fatal medical errors and non-disclosure.  In the discussion I pointed out that the World Health Organization doesn’t consider fatal medical error a cause of death.  Consequently, there is no International Classification of Diseases (ICD) Code for it.   I also pointed out that the IOM report failed to consider deaths that took place in settings other than hospitals before publishing their report.  The result of this can only be an underestimation of the number of deaths due to medical error.   I suggested that deaths in hospitals should be subjected to an independent review by a County Medical Examiner.  My interest in the subject of medical error is the result of first hand experience with medical error.  As the Doctor has said it is more common than many people recognize.  Evidence of the scope of the problem continues to grow.  Imagine having to guess how many people die from car accidents.  The absence of statistics on fatal medical error leaves us all guessing how many people die as a result of it.  Study after study suggest it is a major public safety issue.

  • I am a registered nurse in the states of New York and here in Korea.

    Medical errors are common in Korea as well. I have stopped visiting Ob&Gy because I would always get infection every time. A donor friend came out of a surgery room, his buttocks, entire back and back of his arms all came out grilled. It was a 2nd degree burn on half of his back and the rest part of body were a 3rd degree burn. And Did Ajoo hospital apologize for that? I would be surprised if they even wrote it in a chart.

  • Open Google Doc Rajendra sheregar And see images videos litreture medical science institution Cardiovascular and multìspeciality MEDICAL CRONICLE AND ITS SOLUTIONS

  • Dr. Gunn has a unique perspective as a result of her position both as a physician and through the loss of a loved one. The statistic Dr. Gunn provided stating that medical errors are the third leading cause of death is astounding. Medical errors are undoubtedly going to occur. However, I disagree with the assumption Dr. Gunn is making that all medical errors fall under the same category. When addressing medical errors, it is critical to determine the underlying cause of such errors. Are these errors the result of an inadvertent mistake, or a purposeful error and lack of duty to the patient? If a physician knowingly harms a patient because of their actions or lack thereof, then they are violating their legal responsibility to do no harm. This principle of non-maleficence should be the most important factor when assessing medical errors. In the case of Dr. Gunn’s sister, the physicians in her care had a duty to do no harm to her, the patient. The physicians lack of acknowledgement with regards to her frequent complaints of chest pain are a breach of their duty to the patient. If Dr. Gunn’s sister had not mentioned chest pain several different times, the situation may be different. Having stated my opinion, I understand that the application of this principle of non-maleficence can be quite complex. To clarify, not all physicians who see the same patient with the same medical condition will perform the exact same tests, or even the same diagnosis. Perhaps one physician is wrong in their diagnosis. As a result, the patient could die. However, I do not believe that merits cause for that physician to lose their legal privilege to practice. Conversely, if a physician chooses not to investigate the patient’s signs and symptoms and simply ignores the patient’s concerns, then that physician is harming the patient. Lastly, the facility where the physician is employed should be examined. Physicians who are overscheduled with patients may have the tendency to hurry through their visits with patients. This could ultimately result in inadvertent mistakes, as well as the possibility for purposeful medical errors. Hospitals that ensure their physician’s work-load is not excessive can potentially reduce the number of medical errors that occur.

  • Can you tell me why doctors and hospitals don’t reimburse the patients for their mistakes? Why do you let us suffer for the rest of our lives without compensation?

  • Yes, not only deaths but lots of us very seriously injured by medical errors, I was and the docs & hospital lied & denied and prevented me from knowing the truth (what happened) and prevented remedial care for my life-threatening injuries especially to my throat but also my brain, neck and other places. Yes, a deafening silence about medical error and a refusal to learn from them so others don’t get injured or killed in the same ways. And a huge wall protecting doctors and hospitals (the NHS in England): their legal teams and doctors’ defence organisations (paid for by us, the patients) ensure patients can’t get the truth and justice.

    I got injured in 2005 and I’m still not allowed to know what happened and names for all the injuries I have for example what is it called when you lose the colour from the top of both your irises in your eyes? I’m left to try to guess and get no care or rehabilitation or physio and cannot be correctly classified for my disabilities this is cruel & wrong and must change.

    I found the document she referred to ‘To err is human’, it says it was published in 2000, what has changed since then because she said in 2015 (?) follow-up document that nothing much had changed, why is this?

    I really hope the NHS in the UK did learn from my tragedy (lost my health, my job, my home, my security & ability to work) so others won’t have to go through what I did and still am 24/7 plus my friends & family (especially my son) also suffer from it. So please: work for patient safety in every way possible!

  • i’m surprised that this nurse didn’t suspect that her sister’s symptoms may have been indicating a heart attack and seek a second and even 3 opinion if necessary to get down to the bottom of it. i’m not in the medical field, but i knew something was odd, that something was wrong, that something was happening which id’ never before experienced when i was having a heart attack almost 4 years ago. it started on Saturday after my daughter, granddaughter and i ate chinese food. i felt over heated while having a cig break outside a store where we’d gone to shop. the top of my head felt hot. i chalked it up to sitting in the bright sun while smoking. my tummy was upset, i felt weak, and i just didn’t feel quite right. i told my daughter, and i sat outside the dressing room for her to be done shopping. i went home and took a nap and felt better about 4 hours later when i woke up. by wednesday morning, it started up again. i had that same odd feeling that something wasn’t right, and i had an upset stomach. i thought it would subside when i woke up more, but it didn’t. when the tummy upset continued, i called my clients and cancelled my appointments for the day, something i very rarely do. after a couple of hours, i started getting pain spanning across my back at the shoulder blade level. i knew that women don’t necessarily experience left arm referred pain when having a heart attack, so now i suspected that i may be having a heart attack. however, my breath was not labored, and i didn’t feel like an elephant was sitting on my chest. i got out my blood pressure cuff and started taking my BP / pulse. they seemed to be within reasonably normal limits from what i could recall from when my friend first taught me to use it a couple of years before. i had no health insurance at the time. (you know what it’s like when you have no health insurance-you have to be half dead before you seek medical care.) so i waited a while longer before seeking medical attention. i think i even googled “heart attack symptoms in women.” about 6 hours after it started, i called my daughter and asked her if she would take me to the ER. when i walked in the door, i told the staff that i was having a heart attack, they believed me, and they started my assessment and treatment, which led to a triple bypass. unless you are a chronic hypochondriac, trust your intuition when you get that peculiar feeling that “something just doesn’t feel quite right.” know also that hospitals are obligated to treat you if you go in through the emergency room. hospitals receive generous donations to help people who have no means to pay for emergency care and followup.

  • Thank you for sharing this story as a doctor and as a family member who watched a loved one suffer from medical errors. Sadly, three years later, medical errors are still the 3rd leading cause of death in North America. I gave a TEDxTalk about medical errors on March 3, 2018 in Vancouver BC in the hopes that bringing this subject back to the stage will help keep the conversation going. If we all work together, we can change these statistics.

  • Medical error IS medical school protocol. They will not say that they are Guessing with the Holy guideline on the sucker patient who only know how to pump up with medicines that are also poisons., but they are “ethical to the paycheck”.

  • This is a very powerfu story and wakeup call to the health professionals to work harder and harder to avoid medical errors. Most of the patients died due to medical harm. We need instutional change in the health setting to promote safety of patients, Tomorrow I will be the one lying n bed waiting for service.

  • It doesn’t take “manpower and resources”. It just takes communication. Doctors MUST call out/ confront other doctors who err. This goes for ALL doctors even veterinarians.

  • This is horrible. I am a biologist. Chest pain, very serious. I had berried mom because undiognosed heart atak. Waives of hart atacks???? Simple cayenn pepper drops could prevented her from this hart atacks.

  • A lot of healthcare institutions and insurers dissuade the physician from referring to specialties. The big reason? Money. Especially the insurers. A lot of the times the physicians have their hands tied. Nevertheless, that is not to say that all physicians are as proactive as they should be.

  • Ive been injured MANY times by medical procedures, pharmaceuticals, misdiagnosis, failure to inform me of a disease.. And oh my God do Drs LIE, cover up and gaslight, and with do ANYTHING to protect themselves or other drs and most certainly don’t hesitate to twist the situation and turn it on the patient any way they can. Fabricating scenarios, making up things that the patient said, sending other drs reports covering events up. What a disaster and nightmare.
    Im in Saskatchewan but I know its like this everywhere. There MUST be some good drs out there still. I would like to meet a few.
    Watching this, honestly its like they’re all delusional. Talk to some of the injured patients and see if any of us have been treated with respect and how much transparency there has been on the drs or hospital staff.
    I have severe Medical PTSD from more than 1/2 dozen drs. I honestly could write a book about my nightmare experience in Canada and what my drs have done to my health.
    The worst thing that ever happened to my health has been physicians. Really. That is a sad truth.
    Not to mention how a drs own mental health issues can affection our care. I could go on and on. But I’ll stop.

  • I believe that medical errors are prominent, and not purposeful. Even medical professionals are humans and tend to make mistakes. However, I believe that many medical doctors or other professionals are too confident with a sense of “know-it-all” mentality. They don’t want to admit that they may be wrong, or that there may be other alternatives. Dr. Gunn discusses how her sister fell victim to medical errors, and her symptoms being ignored and that resulted in, ultimately, her death. Most doctors focus on giving the best care they can, and sometimes fall short of that. Dr. Gunn made a good point when she said the best thing a patient could do, was inform her on her error. The worst errors are the ones that go unnoticed. The fact that the third cause of death is medical errors is outrageous and needs to be more focused on. Healthcare should not be our cause of death, but elevate our health. Dr. Gunn makes a good argument that we need change, we need to give feedback on outdated practices, or wrongful practices. I feel as though this always comes back to listening to patients as well, patients are their own advocates and their concerns should not be ignored.

  • The laws in the USA make practicing good medicine, in many cases, illegal. For the patient, there is not enough transparency to make any kind of educated decision. Bad doctors are allowed to continue on hurting patient after uninformed patient. Doctors are quitting because the laws have ruined it, the “Affordable care act” ruined it even more. Medical errors are probably much higher than 33%. Now there will be a doctor shortage, which means the percentage of bad doctors will continue to increase. Mexico, where I live, has much better health care.

  • Dr. Gunn makes some good points in the her TEDx talk however she is unrealistic with her point. She is pushed by emotion to discuss this topic of preventable medical errors due to her sister’s death. I have to agree that there are flaws in medical field that need to be addressed, she admitted it herself that she has made mistakes as a practicing medical doctor. Doctors are human they will make mistakes and forget things especially when overwhelmed with patients, paper, and their personal life. I think it’s important to remember that they are human and in perfect conditions mistakes will still be made. On the other hand, she does make a great point of how little doctors are confronted with the errors that are made from different health organizations and within one. If someone notices something wrong they ethically should make that point heard to fix those mistakes, not allow them to continue.

  • We KNOW you make mistakes. It’s the lying, gaslighting, covering up for yourselves and each other that is double the injury and trauma.
    This video is a mockery of what really occurs.

  • This is a terrific look at how a Healthcare system can start their own environment of “Caring Safely”. Every Healthcare provider and administrator should see this video and look at their own institutions. I look forward to looking on UHN Toronto’s website to see where they are today with this program. Thank you for sharing.

  • stupid talk…..chest pain is most common symptom and its common to misdiagnose it……only way to prevent is doing ecg and 2d echo to each and every patient with chest pain. logistically not possible at all. it depends on subjective evaluation of physician which is prone to human errors like in this case. if u want to prevent that, rely on medical tests more which includes in increasing costs.
    m sorry for her loss, but if u are going to give a talk, give some logistically useful inputs instead of plain emotional talk…..which will in no way further cause. that’s the harsh truth.

  • Sorry about the loss. Further sorry about the pathetic state of affairs in the US. In India n ofcourse noninsurance driven practice places, I’m sure your sister would have been saved. But I have begun to doubt,does the American docs seriously lack common sense, not to take an ecg n echo for a pt with chest pain and that too post bone marrow transplant on chemotherapy? Strange ��

  • Dr. Carol Gunn brings up a lot of good points. She talks about medical errors and how scary they can be. I learned that medical errors are the third leading cause of death behind cancer and heart disease. Dr. Gunn tells stories about both sides. She is both a health care professional and someone who has lost a family member due to medical error. There are several terms that come into play when discussing Dr. Gunn’s point of view. The first one she talks about is negligence. The definition of negligence is “failure to take proper care in doing something.” Medical professionals take an oath to give every single patient 100% of their effort at all times because their career directly deals with the health and potentially the lives of other human beings. The term that applies most to the careers and lives of medical professionals is beneficence. Beneficence talks about actions that are done to benefit others. When Dr. Gunn talks about negligence being a main cause of medical error, it makes me angry that medical errors sit at number three in leading causes of death. This tells me that our third leading cause of death in the United States is completely preventable. However, as you watch more and more of the video, she beings to talk about negligence taking a back seat to accidental medical error. She says that the scariest form of medical error is not the one that occurs because a doctor or primary care physician intentionally did not give their full effort for a patient, but the one that occurs because they honestly thought they were doing everything they could and found out that they missed something along the way. I agree with her. I can only imagine how it makes you feel as a professional to find out that you were doing everything you thought you could do and then something goes wrong. Negligence seems like it should be fairly easy to fix. We should have nothing but the harshest punishments for a medical professional that knowingly cuts corners on their job as a deterrent. Unfortunately, I don’t think there is much that can be done to prevent accidents, other than to fulfill your obligation and your oath that you take to the best of your abilities. Healthcare workers are professionals, but they are indeed also only human.

  • It is ridiculous that the third leading cause to death in Americans is medical errors. I agree with Doctor Carol Dunn, healthcare providers should receive feedback from one another. Humans are not perfect it is inevitable for them to make mistakes. However, they should be doing everything in their power to prevent medical errors. Feedback from coworkers and patients is one of the many ways that could cut back on these errors. If someone notices a provider incorrectly treating or diagnosing a patient they should speak up. These providers should look at this as a blessing, not a criticism. Patients deserve the best care, but being sloppy and having numerous errors that could be easily avoided needs to change. There should be constant improvements in prevention of errors. It cannot simply be put on the back burner. It is time to step up and as Dr. Gunn says, “lead with transparency and accountability”.

  • They need to just admit it. This will help patient so much. Patient knows. 30 years of suffering from 2 big mistakes. Amen you make me hopeful �� Theresa, Greensboro NC

  • I am sorry that Dr. Gunn’s sister was lost, especially under her circumstances, but I do not think that her death can be classified as entirely preventable. I also understand Dr. Gunn’s drive to prevent medical errors, yet she herself says she knows there have been several patients that she has “harmed significantly, but inadvertently while treating them as a doctor”. She goes on to talk about an individual patient that she should have diagnosed, but missed. If that particular patient had died, from what Dr. Gunn is saying, that death would have been entirely preventable—on her part. No doctor wants a death on their hands, and will do whatever it takes to prevent it, yet they are people too, and they miss things and also make mistakes. As I continued to watch the video I realized how utterly important it is for physicians to work as a team and to constantly build and improve one another. The stigma around physicians being all knowing beings needs to end. Yes, medical errors will still happen. That cannot be entirely erased. Yet doctors do need to continue learning, continue helping each other, continue admitting their mistakes and moving on from them. Was her sister’s death preventable? Perhaps. Was it 100% the physicians fault? I say no. But that does not mean that physicians can let a case like this slide. Dr. Gunn is right. Doctors need to improve and change their ways of improvement and learning.

  • This video shows just how often and easily medical errors happen, and how they can be prevented. Health care workers are interconnected, they all work together to get patients the best treatment needed for them. We are humans and make mistakes, but if we are paying more attention and more than one person is checking over their work, these mistakes would be less and less than they are today. In a hospital, a doctor has many other workers looking over their patients such as nurses, CNA’s, possibly other doctors from different specialities. Today, it seems as though medical errors are attempted to being covered up by these healthcare teams, and even being covered up by the healthcare management. We need to understand that it is not the medical errors that are what is so wrong, but these stories that are made up to cover up the errors made in the first place. As doctors, this is complete negligence and when they take oaths do be healthcare workers, they are breaking these promises. Neglecting the fact that a mistake was made, and making a story to cover it up, is absolutely ridiculous. Medical errors are inevitable, but the lying, neglect, and horrible choices of these healthcare workers are not inevitable. I strongly agree with the speaker in this video when she says that you know your body better than anyone else. If something does not feel right, you need to get a doctor’s opinion. You need to get opinions until you believe they have found what is wrong, and if a doctor neglects your symptoms and your concerns, get a second opinion. Medical errors are a big topic in medicine today, and as i do not have any statistics to prove this, it seems as though doctors are becoming more lazy and less concerned with their patients, causing more deaths and error in their procedures. This is unacceptable, and this speech is a good call to action.

  • I am so blown away by the power of this talk. May this message reach all who need to hear it and learn from it, so that they may take charge of their health and put the power back in their own hands. Bless you, Dr. Gunn!

  • Healthcare workers are only human.They make mistakes. The real problems is when they cover-up  their mistakes and even refuse to treat the patient/victim or send them to someone that can help them.. I call  the healthcare system in the usa the “medical mafia”.

  • Medical error should be corrected and prevented I agree to that, however sharing this to mass media, and to layperson is not the correct way, already patients don’t trust us, therefore giving attention to medical error to the population is nothing more than harm to the patients themselves as they don’t trust doctors even more, and the doctor himself. Yes this is a problem, yes this should be well studied and managed but laypersons shouldn’t get involved in it. Doctors are human and most of them care, but the system is nothing more than garbage that breads more medical error, and even patients are not giving doctors breaks, as if doctors really wish to harm the patients.

  • I am not sure how really they assessed this…Medical error does not mean by definition thats it was caused by the doctor. The doctor is at the helm of a long chain of a system. The doctor rarely adminster medication. Nurses are the ones who sometimes mistake the dosage of prescribed medication. Also wrong medicine of are often given by pharmacist. The health admistrators who care more about money making than giving a good standard healthcare will load doctors with so many patients they cannot refuse and must see within a limited time. Doctors often go 36 hours without sleep, and many have died after they drove home from their shift. Do not point fingers when you dont understand how the delivery of healthcare works

  • I love the idea of holding people accountable for their actions. I am in the medical field and I want to learn every day so that these types of mistakes do not occur. We must have a checks and balances system so we can stop these deadly mistakes from happening.

  • Dr. Gunn’s talk is a profound call to action. My mom received a critical and avoidable misdiagnosis early in her care, like Miss Anna. Fortunately, it wasn’t too late for her, though irreversible harm was done. She’s been in a ceaseless battle to reclaim her health and dignity ever since. For my mother’s generation, there’s great stigma and even shame in questioning doctors or care decisions. And yet, coordinating care often falls unfairly to the patient and family. Our experiences have taught us that expecting providers and patients to reshape their own communication practices from within a challenging, complicated system is unrealistic and even unjust. The learning curve was steep for us, despite my mom’s dogged determination to be healthy and my public health degree. Docs often resent our “engagement” b/c of one too many encounters with “WebMD MDs,” I suppose, and I can’t blame them. It’s not enough to encourage better communication between doctors and patients. Instead, we need better IT solutions that assist docs with the real work of seeing patients and thinking through complex medical issues.

    The real issues we face now are national “meaningful use” standards that might move us even farther away from the thorough and transparent communication Dr. Gunn hopes for. The electronic medical record was billed as the best way to reduce medical errors in the early 2000s but the evidence doesn’t support the claims. “Better documentation” isn’t the miracle we’d hoped for. Especially when the tools we’re using to document care are designed for coding/billing purposes, and NOT built to help doctors solve problems or to detect gaps in care. Rather than build more intuitive and smarter health IT, we’re barreling on with the same poor tools and practices we have and requiring more and more providers to get on board in the name of ‘efficiency’.

    I worry that sharing our stories is not enough, but it’s at least a start. Thank you Dr. Gunn.

  • Dr. Carol thank you for your powerful story about medical errors. I can relate to your story. Regarding a surgical procedure my Mom had to have several years ago the doctor wanted to replace the wrong hip. Interestingly, even in his office my Mom had to correct the doctor. He insisted that her right hip needed to be replaced when it was the left one that was shattered. Thankfully my Mom doesn’t let doctors get away with stuff. She stands up for herself. Here’s a suggestion for others going through medical issues and having to have a conversation with their doctor. FOCUS, as noted in “It’s Just a Conversation” is an important acronym that my co-author and I created to take away the fear and emotion in dealing with uneasy conversations.

  • Im trying to find a video on “how to die with grace when you’re dying from an iatrogenic illness” and this video came up.
    Please tell mehow DOES one die an iatrogenic death peacefully rather than with rage?

  • I am 1 of those Patients and I know all too well how Your Sister felt in every way. I hope you never give up trying to stop this insanity. I will never get back My Life in fact it’s pretty much a daily struggle, Now they will no longer help me. They’ve already spent over a million dollars on Me. (OHIP) Ontario Health Insurance Plan. A Dr. actually told Me that. “Well I said, a Dr. did this to Me” I can see that if I was always sick and injured but I’m only 53 (47 when the, “ALL MIGHTY NEURO VASCULAR SURGEON” severed my Artery, (almost 75% cut) and did not notice even though my vitals dropped and I woke during the discectomy day surgery. I herniated a disc (L4/L5). Not to mention when I woke the pain was OFF THE CHARTS but as I told the Nurses (many, many times) they kept pumping me full of drugs. Let’s stop here for a moment, The Dr. explained to my Husband and I that it was routine surgery and He did hundreds of these a year. The worse I’ll feel was maybe some tingling down the right leg but I’d be walking out of the Hospital pain free.
    I wrote a note begging the Nurse to stop giving Me drugs, on a napkin. I told Her something was very wrong, it was than I realized I needed My Husband as I knew He’d make them help Me. They refused to call Him. Over the next couple hours things went from bad to worse and I code blue at around 12:30. My surgery was at 08:30am. I made it through that and when I came around I begged them again to call Him, they refused again.
    The pain was so intense and now it was difficult to breath and my eyesight started to go. I asked what was wrong and got NO explanation. I was given my last rights 2 times yet they could not tell me why I was dying. (You think they would have called my Husband at this point) they did not, I was to die afraid, in agony and worst without saying goodbye to My Family or seeing them 1 last time. My Husband Bruce was due to pick me up at 4:30 they called Him at 4:20 to tell Him, “Get here now”. He was in the parking lot with our 5 year old Daughter. He got there and they met him, “Sir, your Wife died…… (pause) but we got Her back now, how ever She is not going to make it so go see Her”.
    I had woke many times throughout the day and each time was more excruciating than the next and my abdomen had gone from a flat tummy (with a six pack, lol) to the size of a full term or overdue, pregnancy in a few short hours. I even told a Dr. to stick a needle in there, I’m sure it’s full of blood. “You think so” was His answer, I’M NOT KIDDING! There were Men in suites just standing there, who were they?
    My Husband demanded they take me back in and they did at around 5:00 pm. It took many. many hours of surgery, it was described to my Husband as a,”Living Autopsy”. Sounds like a oxymoron to me. I was sliced from my sternum to my, (Let’s just say all the way down) They removed everything and tried to put it back in repaired the severed artery which was severed nearly 75% on the opposite side of my herniated disc. and placed on life support. AT least my Children had time to come say good bye. Against ALL odds I lived and well still alive but not with out many, many difficulties.
    I am telling all this so that if You (The reader) ever has or had a loved one that is. was a victim of a Medical Error, you;ll know a bit of what it’s like from the Patient’s perspective.

  • It was enlightening to listen to Dr. Gunn’s perspective on this issue that she has been on both sides of. She understands what it is like to be a physician that has made a medical error, as well as the family member of someone who has paid the ultimate price due to a health professional’s mistake. The statistic that she provided of 200,000 deaths occurring in the United States each year is overwhelming. A change within the culture of the medical field that she described could greatly reduce that number. An ethical principle that all physicians are to live by is non-maleficence. Non-maleficence is the duty of the provider to cause no harm. When a healthcare provider knows that an incorrect dosage is being made, or an inappropriate treatment is being administered, there is harm being done to the patient. It should be appropriate to correct or make recommendations to other providers caring for the same patient. It is better to take some correction from a colleague than to do harm to a patient which may end up in a malpractice lawsuit. A physician not doing something that is normally a locally accepted practice and it results in harm is one definition of malpractice. It is unrealistic to expect perfection in that no medical errors will be made, but they are preventable and the number of deaths can be reduced. However, I do understand that this is only the perspective of one medical professional and that the culture may not be exactly has she has portrayed in her talk. I am open to hearing the perspectives of other medical professionals and to learn more about other factors that play a role in medical errors that Dr. Gunn may have not addressed.

  • Yes: PREVENT as many errors as you can & learn from mistakes. But you didn’t even mention how the lies & denials & prevention of info & remedial care after medical errors & patients injured, not only serious physical neglect but the lies+ are psychological TORTURE I know: it happened to me & the only time I have ever gone out to kill myself (but was not brave enough to actually do) was after reading a letter of lies signed by the Consultant Surgeon to my GP saying he ‘responded’ to my questions = he KNEW he hadn’t: he kept silent, and saying ‘nothing went wrong’ when lots of people at the hospital KNEW I’d been very injured but the Registrar & SHO Anaesthetists lied and Consultant Anaesthetist at meeting after ignored all my questions (e.g. did I have a stroke?) & told me I had experienced ’emergence phenomenon’ but didn’t say what this was = I had to search on internet later) as an excuse for my serious brain, throat, neck & visual injuries which GP refused to examine or note down my symptoms. It’s HELL. So on top of prevention, CORE VALUES are HONESTY & BELIEVING PATIENTS (rather than the guilty docs & others in their tribe helping them cover up with aid of their defence organizations & hospital medico-legal departments = which WE the PATIENTS pay for indirectly) when errors have been made = WHY did you errm ‘forget’ to mention this?

  • My mom has now had at least 8 strokes and they say that there is nothing more they can do for any more strokes!! This is a crime!

  • A great way to illustrate such valuable topic…there are a lot of medication errors could’ve been prevented if we can put on more responsibility and attention. Decent presentation skills.

  • Dr. Carol Gunn’s personal insight as both a physician and a family member of a loved one who passed away due to medical negligence, made her argument extremely moving and powerful. Her story shed light on a couple ethical components: to do no harm, and negligence. A physician’s first and foremost responsibility is to do no harm, and that includes harm due to not pursuing a patient’s complaint. Whatever guidance or procedure recommended by a physician, the patient’s well-being should come first and foremost. Just as a physician would not refuse to pursue care and treatment for someone with an obvious injury like a broken wrist, neither should a patient with a unseen illness or pain be ignored or have their experience minimalized simply because the physician doesn’t think it could be something else. There is a necessity in the medical field for physicians to trust their patients and the reasons for their visits, even if it’s something that the physician cannot see or think is highly unlikely. Just as Dr. Gunn’s sister was told to simply take NSAIDs for her chest pain by one physician, and then by another to reduce her bone marrow medication, neither physician took the time to pursue other options or consider that her experience might be as painful and bothersome as she said it is. The ethical meaning of “Do no harm “ doesn’t just mean not to physically harm the patient through a accidental slip of the scalpel or the wrong diagnosis, it also means harming through lack of care, by not giving the patient and their complaint the time they deserve. Secondly, the ethical component of negligence also came into play here, defined as when a physician breaches a duty to the patient, the patient suffered harm, and the breach of duty caused the harm. What happened to Dr. Gunn’s sister was due to negligence, as she was unable to receive the care she needed for her heart attacks before the damage to her heart was irreversible, due to the dismissive care of her physicians. Had her physicians referred her to a cardiologist sooner, or taken the time to truly search for a cause for her chest pain instead of shrugging it off, perhaps she wouldn’t have passed due to complications the way that she did. It is a physician’s responsibility to pursue all possible avenues, and to play an active role in looking at all alternatives of care, benefits, risks, and consequences of each alternative. Dr. Gunn made an excellent point in saying that the worst thing physicians can do right now is stay silent about this issue, and they need to have the courage to stand up when they see negligence occuring by both their peers and coworkers.

  • I’m so sorry to hear your sister’s story. I almost died while my doctor worried about my marriage and asked if I was depressed! Then they cut me as a client and sued me for my non payed bills.��Doctors don’t give a shit.

  • I agree with Dr. Gunn. Change needs to take place for better patient outcomes. Medical errors come in direct conflict to two of the primary bioethical principles of medicine: Non-Maleficence and Beneficence. However, I feel that staying silent about your own or another’s medical errors is a form of medical negligence. For those who don’t know, medical negligence has a very specific legal definition. As Bernard Lo, MD puts it in his book, “Resolving Ethical Dilemmas: A Guide for Clinicians,” [the definition of] negligence: the physician breached a duty to the patient, the patient suffered harm, and the breach of duty caused the harm.

    I believe all physicians have a duty to a patient to whom medical error is perceived, whether or not they have direct responsibility for that patient. Thus, if harm comes to this patient because of an ancillary physician’s silence about medical error, this is negligence.

    As a medical student, I know that medical errors will happen because physicians are human. Doctors have a lot of stress and they make errors. I understand that. However, further harm need not come because feedback was not given to the physician in error.

  • I wouldn’t call them medical errors either there is lack of concern or they are understaffed so that they cannot attend to the patients as they should. That human being lying on the steps was a lack of concern or caring on the nurses part and probably understaffed personnel in the security department.

  • I would first like to offer my sincerest condolences for the loss of your sister. Secondly, I would like to mention that this is in no way an effort to belittle the loss you have suffered. Instead, this is my attempt to offer you additional insight into what was discussed in Dr. Gunn’s video presentation.. To begin with I also understand Dr. Gunn’s strong drive to prevent medical errors, yet she herself states that she herself have been in the position while dealing with different patients that she has “harmed significantly, but unintentionally while treating them as a doctor”. She goes on to give an example of one of the case patient she mis-diagnosed but luckily survived. If that particular patient had died, from what Dr. Gunn is saying, medical error took away her sister from an preventable death would be her case scenario. In addition, in this age of medical care, where medicine line have travelled to interdisciplinary management line, we cannot blame in a particular doctor seeking patients for medical error as they all work together to get patients the best treatment needed for them. To extend further, doctors are human beings and no one lies in boundaries of perfection. Besides I assume all of the health personnels  are bound in oaths of beneficience in medical profession. This defines that doctors have a moral imperative to act for benefit of others. I would argue that since the job of a doctor is to save lives so I believe any of the doctors would do their best to save life a patients. Yet I strongly agree that mistakes happens from any of human beings. Furthermore, I believe the philosopher John Stuart Mill outlined it best when he described how individuals should have a described how individuals should have a desire for perfection and sympathy for fellow human beings, meanwhile recognizing that this state of perfection is not attainable in its entirety. In summary, the world that currently exists is subjected to human nature and with that comes the knowledge that perfection is not a reasonable or plausible outcome in any regard. So, to ask that doctors emulate a component of our society that is perfect is unfair, unethical and irrational to say the least. I understand that medical error have to be reduced as much as possible and Dr Gunn’s advice of speak for the medical error is valid and justified. But I argue with the statement given by her in video that ultimate medical mistake is the deafening silence that continues to surround medical errors as I do not believe errors to be ultimate and precise out of negligence rather than occasional human errors caused due to miscommunication, team work and work load.

  • When western and eastern medicine becomes more integrated I see change. Today many Doctors are still very egotistical and reuse to refer out to a TCM practitioner. TCM has 1000 of years in understanding one’s pattern and this condition explained could have been prevented if a TCM practitioner had seen Anna.

  • I love the idea of holding people accountable for their actions. I am in the medical field and I want to learn every day so that these types of mistakes do not occur. We must have a checks and balances system so we can stop these deadly mistakes from happening.

  • Doctors need to take responsibility for medical errors. Let me give you an example. I’ve seen doctors write up scans for the wrong limb to be examined, write up medications incorrectly. Dosages 4 times higher than what is normally prescribed or write up a medication that the patient is allergic to. We are all human and errors happen, but no one in the healthcare industry should be stretched to the point that errors like this happen. Doctors and nurses are working under incredible levels of stress. What can we do to minimise this from happening?

  • Do drs want or are allowed to reduce HAI?
    Is it a reason for hospital suing?

    CDC admits they don’t know the role of fecal dust in environment contamination in hospitals, from poop residue, following wiping. This means it could play. Hospitals don’t apply any measure to prevent that residue coming out from toilet and going into the ward. A patient who catches up a HAI, could sue the hospital for neglect?

  • Dr Gunn’s talk brings me to tears. It reminds me of how much I have had to fight just to get my mom checked for strokes! I am appalled that ER drs are not aware of the fact, schooled in the fact that once you have a major stroke you do not have the same symptoms of a classic stroke! A care giver is more mindful and able to assist the drs in finding later strokes! My mom had a stroke on April 5 2013, it was not diagnosed until her birthday April 11, 2013. After I fought the entire time, and there was now nothing they could do!

  • Interesting and very great presentation. I have worked in a pharmacy before and sometimes a lot of patient especially the elderly ones have so much medications that at times it’s hard for them to remember all medications they are talking. For they have like ten different meds. But I like how you mentioned at the end how they can have like a copy of it to go through, that’s excellent!