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

By Nancy Berlinger

Scientific mistakes is a number one challenge of overall healthiness care within the usa. every year, extra sufferers die because of clinical blunders than are killed via motorcar injuries, breast melanoma, or AIDS. whereas such a lot executive and regulatory efforts are directed towards lowering and combating blunders, the activities that are supposed to keep on with the damage or dying of a sufferer are nonetheless hotly debated. in response to Nancy Berlinger, conversations on sufferer security are lacking numerous vital elements: spiritual voices, traditions, and versions. In After damage, Berlinger attracts on resources in theology, ethics, faith, and tradition to create a realistic and complete method of addressing the wishes of sufferers, households, and clinicians laid low with clinical mistakes. She emphasizes the significance of acknowledging fallibility, telling the reality, confronting emotions of guilt and disgrace, and delivering simply reimbursement. After damage provides vital human dimensions to a subject that has profound outcomes for sufferers and healthiness care companies.

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Sample text

Could I have missed that? . I had examined every single X-ray myself. But I hadn’t, I realized with rising nausea, read the written X-ray reports. Usually, the radiologists call immediately if they see an ‘‘emergency’’ problem. As the clinician, however, it was still my responsibility to read the X-ray reports in addition to examining the actual X-rays. It wasn’t the radiologist’s fault, it was mine. I killed Mr. Herlan. (Ofri 2003, 204) Ofri ends her M&M presentation by reading from the X-ray report and acknowledging that she had failed to read the report while treating the patient.

I couldn’t see anything’’ (Gawande 2002, 52). Gawande is unable to open an airway; the surgical attending, Dr. Ball arrives and assesses the situation (‘‘God, what a mess’’); the patient goes into cardiac arrest. With seconds to spare inside the four-minute window, the anesthesiologist manages to intubate the patient by using a tube small enough to slip through her swollen vocal cords: ‘‘All the people in the room exhaled, as if they, too, had been denied their breath’’ (Gawande 2002, 54). When Dr.

Like Sandra Gilbert, she tells a story about a mistake that harmed her husband, but, as Levine tells us, ‘‘It is my story because the person to whom direct harm was done is unable to give his own account’’ (Levine 2002, 237). Levine’s husband was gravely injured in a car accident, of which he has no memory. During his hospitalization, two catheters were placed in his right hand, blocking circulation; as the result of this mistake, his right hand and forearm had to be amputated. Levine recalls how she was told about the error: .

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