By Nancy Berlinger

ISBN-10: 0801881676

ISBN-13: 9780801881671

ISBN-10: 0801887690

ISBN-13: 9780801887697

Clinical blunders is a number one challenge of health and wellbeing care within the usa. every year, extra sufferers die because of clinical error than are killed via motorized vehicle injuries, breast melanoma, or AIDS. whereas so much executive and regulatory efforts are directed towards lowering and fighting blunders, the activities that are meant to stick to the damage or demise of a sufferer are nonetheless hotly debated. in accordance with Nancy Berlinger, conversations on sufferer security are lacking a number of very important elements: spiritual voices, traditions, and versions. In After damage, Berlinger attracts on resources in theology, ethics, faith, and tradition to create a pragmatic and entire method of addressing the wishes of sufferers, households, and clinicians laid low with clinical errors. She emphasizes the significance of acknowledging fallibility, telling the reality, confronting emotions of guilt and disgrace, and delivering simply reimbursement. After damage provides very important human dimensions to a subject matter that has profound effects for sufferers and healthiness care companies.

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Extra resources for After Harm: Medical Error and the Ethics of Forgiveness

Example text

Chapter two Physicians’ Narratives Physicians’ stories about their own mistakes may take the form of the clinical tale or may be embedded in other familiar genres, such as the memoir or the howI-became-a-doctor Bildungsroman of medical school or residency. In the wake of the Harvard Medical Practice Study,∞ the Institute of Medicine report To Err Is Human, and other research that has drawn attention within clinical medicine and among the general public to the problem of medical error in the United States and other developed nations, a hybrid narrative genre has evolved, one that is particularly evident in the leading British medical journals: the error narrative as teachable moment.

I’m really, really scared. ’’ (Ofri 2003, 194-5). Mr. Herlan becomes so agitated that he is unable to breathe. Ofri orders intubation and increasingly heavy sedation: I tried to explain why we had to do this, but he clawed desperately at us. I held him down and rubbed his chest . . Tears were running Physicians’ Narratives 21 into his oxygen mask . . Reluctantly, I turned to the anesthesiologist. ‘‘Put him out’’ (Ofri 2003, 196). The crises cascade. Mr. Herlan’s lungs fill with fluid, he appears to be having a heart attack, and he continues to fight the breathing tube.

Do you think you could call my friend John at home? Don’t make it sound bad, but I’d like him to come to the hospital. ’’ I nodded as we entered the ICU. (Ofri 2003, 192) As the M&M text indicates, at this point ‘‘technical difficulties’’ (Ofri 2003, 193) begin. Ofri is unable to insert a huge Swan-Ganz catheter in Mr. Herlan’s jugular vein—‘‘Just go in, damn it! I pushed and twisted and goaded and prayed’’— and so must do without internal blood pressure readings as she tries to solve the mystery of why his blood pressure is continuing to drop (Ofri 2003, 193).

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After Harm: Medical Error and the Ethics of Forgiveness by Nancy Berlinger


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