kitersoze said:
my friend who's a gp doctor said something like 100k die a year from mis-diagnosed, wrongly prescribed, or unknowingly fatal combo's of med's given. don't know the validity of that statement (medical ppl, does that hv the ring of truth to you?), but he said you'll never hear about it in general media, because of who stands to lose from that news... but 60 cases of swine flu in the US, n CBR can't turn on the TV...
I think that this is veering way off the topic now, but I didn't get a chance to answer this earlier when I'd read it.
I do think that that number is not unreasonable. There are a lot of people wh do die from adverse events, although they're not always necessarily "mistakes" like operating on the wrong limb or giving someone the wrong medication. Adverse events are sometimes idiosyncratic and unpredictable (such as an allergic reaction to a medication or unusual sensitivity or side effect). The status quo for a long time has been to keep these events as quiet as possible. However, this may be changing.
In order to reduce the incidence of adverse events, it's necessary to be able to study previous incidents. But this is a lot harder if the reaction to disclosing these events is punitive. In many cases, it's thought that adverse events may be due more to flaws in the process of delivering healthcare (such as overcrowding, understaffing, mistakes being made at changes of shift) than to the judgment of any one person. So there's more of a push to try to bring these issues to light with less emphasis on punishment so that improvements can be made in the system.
Another recent development is the idea that any errors or adverse events ought to be brought to the attention of patients, even if they don't necessarily cause any harm to the patient. Studies have shown that most patients want to be told if something has gone wrong, no matter how trivial. However, there may be incidences in which this does not benefit the patient. Patients who already suffer from debilitating anxiety, for example, probably don't need to have their faith in their health care even more undermined. Healthcare professionals have not historically been trained to disclose errors to patients or to ensure complete transparency in delivery of care. And policing of this sort of disclosure is also not uniform. Only a few hospitals have established policies on emphasizing this sort of disclosure. And studies are still being done regarding whether this sort of transparency increases or decreases the likelihood that hospitals and doctors will get sued. Of course, patients won't see this is an excuse not to disclose errors, but realistically, it's going to be difficult to convince hospitals to be completely forthright if they're likely to be punished for it. In some cases, it's possible that it might increase the possibility of lawsuits, as patients may learn of errors that they would have otherwise been unaware of. Conversely however, it's possible that honesty of this sort will improve the relationship bewteen doctor and patient such that they take on a less adversarial role.
Having said all of this, I've almost forgotten why Kitersoze asked about medical errors in the first place. I think that it was because he was comparing the number of deaths due to medical errors with that due to swine flu. With respect to that, Tagfan is absolutely correct. Swine flu doesn't get me more excited than any kind of influenza. SARS, in my opinion, was a lot scarier. I did, however, take a previously planned trip to Hong Kong and Shenzhen right in the midst of the SARS scare and it didn't kill me either.