Apology After Medical Errors in USA Today...
APOLOGY AFTER MEDICAL ERRORS IN USA TODAY
Very nice plug today in USA Today's Editorial Page from contributing columnist Dr. Kevin Pho, better known as the blogger KevinMD.com. Definitely worth sharing with colleagues and friends. Only critique - which we've written a thousand times in this forum - is you don't need apology laws to empathize or apologize. Dr. Pho writes about University of Michigan's successes in his piece, and, well, there was no apology laws on the Michigan books when UM started its program. We don't need apology laws! We need disclosure programs.
Enjoy the column below and please share with friends.
Doug Wojcieszak, Founder Sorry Works! PO Box 531 Glen Carbon, IL 62034 618-559-8168
Column: How doctors can reduce medical errors, lawsuits Dr. Kevin Pho USA Today January 23, 2012
Ask doctors what concerns them most, and chances are they'll say, "medical malpractice." A recent New England Journal of Medicine study found that 75% of doctors who practice psychiatry, pediatrics or family medicine will be sued during their career. Neurosurgeons, orthopedic surgeons and obstetricians have it worse, as virtually all of them will be sued before they finish practicing medicine.
The medical malpractice debate often pits physicians - who say the threat of lawsuits pushes them to order expensive, unnecessary tests - against lawyers who believe that lawsuits are needed to hold doctors accountable.
Obviously, no one wants medical mistakes. And no one, perhaps with the exception of lawyers, wants lawsuits, which put the victims, their families and the doctors involved through wrenching affairs.
How can physicians avoid the courtroom? If an error was made, many insurers advise physicians not to talk to patients. That's wrong. Physicians should disclose their mistake, apologize and, when appropriate and through mutual agreement, compensate injured patients.
Apology laws For more than a decade, the University of Michigan Health System has used such a program, and its incidence of malpractice claims has since dropped 36%.
This approach should be spread nationwide. Actually, in 2005, then- Sens. Hillary Clinton and Barack Obama co-sponsored the National MEDiC Act, which among other things would have implemented apology laws throughout the U.S.
Although the measure never became law, at least 36 states have passed legislation protecting apologies from being used against doctors in court.
Doctors also must create and maintain open lines of communication with patients, which is critical to preventing lawsuits in the first place. Doctors have to better explain, and patients better understand, that not all adverse outcomes are due to physician errors. Although the Institute of Medicine's 1999 seminal report, "To Err is Human," concluded that medical errors caused up to 100,000 patient deaths a year, 90% of those deaths were attributed to systemwide procedural failures at medical institutions.
Nothing's easy Consider the seemingly simple task of dispensing a drug at a hospital. It's actually a complex process that requires five interdependent steps: ordering, transcribing, dispensing, delivering and administering. A poorly designed system can lead to an error in any of those steps, with a potentially deadly outcome. Bad outcomes can also occur despite proper patient care. A colonoscopy can be performed correctly, for instance, yet complications such as a bleed or a tear in the colon can still unexpectedly occur.
Finally, fewer lawsuits might lead to better medical treatment. A 2011 study from the Journal of the American College of Surgeons found that doctors who had been sued were more prone to burnout, depression and suicide, and, in turn, often make significantly more mistakes.
There's no panacea for eliminating mistakes, but a starting point is clearly communication. Better doctor-patient exchanges improve medicine, and when patients and their families are kept in the loop, they also are less likely to pursue a lawsuit. And, then, if errors are made, doctors should apologize and work with the patient and, when necessary, their lawyer, to find a compromise.
Transparency is the key to an open, trusting and healthy doctor- patient relationship.
Kevin Pho, a primary care physician in Nashua, N.H., blogs at MedPage Today's KevinMD.com and is a member of USA TODAY's Board of Contributors.
To learn how to apologize after medical errors and stay connected, contact Sorry Works! for information on disclosure training. Call us today at 618-559-8168 or e- mail firstname.lastname@example.org. Also, be sure get yourself a copy of our new "Little Book of Empathy." Click here to order: https://secureserv er.wildfire.net/sorryworks/.