Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
Patient stories offer important insights regarding the impact medical errors have on patients and their families. This book shares the author's experience with medical error and spotlights how lack of transparency in European health care can contribute to avoidable process failures that result in patient harm.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Sinow CS, Corso I, Lorenzo J, et al. Crit Care Med. 2017;45:1915-1921.
Patients with limited English proficiency may be at higher risk for adverse events, including medication errors. Use of professional medical interpreters has been shown to improve the quality of care provided to patients with limited English proficiency. In this observational study at a single children's hospital, researchers analyzed the transcripts of nine family meetings and found that Spanish medical interpreters frequently altered the original speech of providers and family members. The authors suggest that when using medical interpreters, providers should pause frequently, allowing for translation of shorter statements to improve accuracy of translation.
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