Though patients might like to believe they are in good hands while being cared for at the hospital, findings show nothing could be further from the truth. In fact, hospital mistakes are a large contributor to the tens of thousands of deaths due to medical errors in the United States each year.
A major part of the problem: Doctors, nurses and other health care workers rarely challenge a colleague when they see a mistake being made in patient care.
Unfortunate Findings
To gather data, researchers spent more than 10,000 hours observing and interviewing more than 2,000 health workers at 19 hospitals across America. Among the disturbing evidence they found:
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Doctors (84 percent) and nurses and other health care providers (62 percent) have seen co-workers repeatedly take shortcuts that could place patients in danger
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Doctors (88 percent) and nurses and other health care providers (48 percent) work with people who show poor clinical judgment
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Fewer than 10 percent of doctors, nurses and other caregivers said they directly confront colleagues about their concerns; one-fifth of those doctors have seen harm come to patients as a result of the behavior of those colleagues
One positive outcome researchers encountered was that those who raised concerns observed better patient care by their peers and were more satisfied and committed to their jobs because of their honesty.
Some instances health workers were reluctant to talk to their colleagues about included matters concerning:
- Competence
- Broken rules
- Mistakes
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- Teamwork
- Lack of support
- Disrespect and micromanagement from doctors or supervisors
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Additionally, reasons for not speaking up included: lack of confidence in their own abilities, doubts that saying something would do any good and fear of retaliation.
Solutions For Improving Hospital Care
As findings clearly showed, the health care system is in dire need of change. Thus, researchers came up with some proposed solutions to the problem:
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Concentrate on building hospital environments that support and demand greater openness among staff, motivating colleagues to share information freely
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Issue a new set of national standards focused on promoting skilled communications among nurses and other caregivers, in addition to other reforms to unify the hospital environment
Seattle Post-Intelligencer January 27, 2005.
Macon Area Online January 27, 2005
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