A major reason why medical mistakes happen: Chaos, not incompetence

October 30, 2006

Some tips on how to “survive” an ER visit:

The main culprit isn’t incompetence but chaos: The nation’s emergency rooms are overburdened and underfunded, treating ever more patients with ever fewer resources. “You don’t want to scare the public, because hundreds of thousands of patients get cared for very well in emergency rooms every day,” says Gail Warden, president emeritus of Michigan’s Henry Ford Health System, who chaired a trio of studies of emergency care released in June by the National Academies’ Institute of Medicine. “But the system is stretched, and it could be at a breaking point in three to five years.”

Federal law requires that ER doctors and nurses treat everyone who shows up, regardless of ability to pay, but there has never been enough federal money to cover those costs””and that money is dwindling.

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{ 2 comments }

1 shadowfax October 30, 2006 at 7:05 pm

there has never been enough federal money to cover those costs—and that money is dwindling.

What a load of BS! There has never been *any* money to cover those costs. ER doctors are supposed to just treat for free, a classic unfunded mandate.

2 Jimeyers September 26, 2009 at 5:45 pm

No physician in an emergency department adjusts the quality of care provided based the amount of compensation, if any, which their group or the hospital will be paid. Reimbursement
may affect staffing or equiptment. Mistakes occur because there are failures to acquire clinical data and/or failure to know and act within their knowledge and skill sets. A
shotgun approach to testing is no substitute for thoughtful consideration of the clinical data initially available and a low threshold for consultation of experienced nurses, radiologists, the lab and specialists on call or in house.

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