Preventing Medical Errors

   
   

 

Although it is not always possible to prevent medical errors and mistakes from occurring to you or someone you care about, there are steps you can take that can minimize the risks.

The single most important means to lowering your risk of medical error is to take an active role in your health. Being involved in the decision making process is an important part of this. Studies indicate that for patients who getting involved in their own health have better results.

Hospital Stays

Given the choice, it is statistically advantageous to select a hospital that performs a relatively high number of the specific procedure that you need. This is due mainly to the fact that the equipment, facilities, and staff are more versed in this procedure or surgery and have experience with any complications or problems that may arise before during or after the procedure.

Do not hesitate to inquire whether healthcare workers have washed their hands recently. Something as simple as hand washing can prevent the spread of infectious diseases. A recent study found that when patients checked whether health care workers washed their hands, the workers washed their hands more often and used more soap.

When you are being discharged from the hospital, ask your doctor to explain the treatment plan you will use at home. This includes learning about your medicines and finding out when you can get back to your regular activities. Research shows that at discharge time, doctors think their patients understand more than they really do about what they should or should not do when they return home.

Surgery

Prior to surgery, once more go over the plan of attack for your surgery. This is not only a prevention step, but will put you more at ease with what is about to occur.

While everyone has heard the stories of wrong-site surgery, it is very preventable through a simple precautionary step. The American Academy of Orthopedic Surgeons urges its members to sign their initials directly on the site to be operated on before the surgery.

Medicines

Your physician(s) should always know all of the medications you are taking, including prescription meds, over-the-counter medicines, and other dietary supplements (vitamins, herbs, etc.).
Every once in a while, bring all of your medicines into your physician. Go over them together to rule out any possible bad reactions and let your physician have a clearer picture of your health status. If nothing else, it's good spring-cleaning for your medicine cabinet.

Always inform your physician about any allergies and adverse reactions you have experienced with medicines. Reactions change over time, as do medications so it is important to keep he/she as up-to-date as possible.

When your doctor writes you a prescription, make sure you can read it. Chances are, if you can't, the pharmacist will not be able to read it either.

If you have any questions about the medication being given to you, always ask. It is important that you understand the information your doctor tells you. If anything is unclear, ask simple, direct questions

• What is the medicine for?
• How am I supposed to take it, and for how long?
• What side effects are likely? What do I do if they occur?
• Is this medicine safe to take with other medicines or dietary supplements I am taking?
• What food, drink, or activities should I avoid while taking this medicine?

Medicines that are picked up from the pharmacy should always be thoroughly checked for accuracy. A study by the Massachusetts College of Pharmacy and Allied Health Sciences found that 88 percent of medicine errors involved the wrong drug or the wrong dose.

Always ask specific questions regarding directions on medications you are taking. Specific directions are not always easy to print on the tiny labels. It is important that the medication be properly administered to maximize its effects and prevent any adverse health effects.

Liquid medicines are often taken in the incorrect amounts. For instance, if the medication says four teaspoons, people often eyeball it. Special devices such as marked syringes assist in measuring the proper dosage.

If you have any questions about the possible side effects for certain medications, ask your physician or primary healthcare provider. The more fully aware you are of, the better prepared you will be if side effects do occur. A study found that written information about medicines can help patients recognize problem side effects and then inform their physicians.

Other Guidelines

Insist that one person, your personal doctor, be in charge of your healthcare. While this may not always be possible with HMOs, a little persistence can often help you see the same health personnel.
A good idea is to have a family member that you trust be your patient care advocate. This essentially means that they are in charge of watching the surgery to make sure nothing goes awry. They are your eyes while you are under. They can prove a valuable witness if something bad does occur.

Always inquire as to the outcome of all of your tests. Even if the doctor does not volunteer the results, they may tell you something that will help your health in the future. Remember that you know your body better than anybody.

Learn about your condition and treatments by asking your doctor and nurse and by using other reliable sources.