RSS Medical Articles

Mistakes Were Made (by Me)


Κύριακη, 10.01.2017, 03:00am (GMT+3)

I still remember taking care of a particular patient when I was a medical student. She was a middle-aged woman with cyclic vomiting syndrome who presented with nausea, vomiting, and abdominal pain. The plan was the same as always: nothing by mouth, intravenous fluid, antiemetics, and discharge once she could eat. On hospital day 2 she suddenly developed chest pain. An electrocardiogram (EKG) revealed ST-segment elevations, which prompted emergent cardiac catheterization. I reviewed her admission EKG and realized it had identical ST-segment elevations. I became nauseated myself, because no one from our team had looked at the initial EKG. The angiogram excluded acute coronary syndrome, but the guilt of a potentially tragic mistake remained. I wanted to share this experience with my colleagues so we could learn from it. I asked a colleague for the best forum to discuss our mistake, and my colleague gestured “hush” and said, “There is no need to tell anyone because she didn’t have plaque rupture.” I was confused by that reaction. Was I to be ashamed of my mistake?


Rating (Votes: )   
    Comments (0)        Tell friend        Print


Αλλα Αρθρα:
JAMA Internal Medicine Peer Reviewers in 2016 (04.03.2017)
Advancing the Needs of Patients in the Trump Era (04.01.2017)
April 2017 Issue Highlights (04.01.2017)
Early Performance in Medicaid Accountable Care Organizations (04.01.2017)
The Experience of Undocumented Immigrants With End-stage Renal Disease (04.01.2017)
Changes in Postacute Care in the Medicare Shared Savings Program (04.01.2017)
Long-term Effect of Acupuncture for Migraine Prophylaxis (04.01.2017)
JAMA Internal Medicine —The Year in Review, 2016 (04.01.2017)
Effect of Intensive Blood Pressure Control on Physical Function in Older Adults (04.01.2017)
Testosterone Replacement and Cardiovascular Outcomes (04.01.2017)