Last Update: 01/25/16
The Institute for Safe Medication Practices (ISMP) published research that everyone should know about which discusses an issue related to medication errors and drug mistakes that those outside the emergency rooms, doctor’s lounges, and hospital hallways may not realize exists: doctors and nurses and technicians and pharmacists don’t all get along in real life as they do on television.
Oddly, this issue can prevent a health care provider, (a health care provider who thinks they may have discovered an irregularity in a patient’s chart, in a doctor’s notation, or in a prescription), from speaking up or otherwise taking action that would prevent a patient from being harmed or killed because of a drug error or medicine mistake.
What’s going on? According to ISMP studies (2003, 2013), all sorts of bad behavior happens in the health care industry. People are bullied. People intimidate others. There isn’t good communication between members of the health care team. These “disrespectful behaviors” were analyzed by ISMP a decade ago, and again this summer.
In July-August 2013, ISMP surveyed 4,884 health care professionals (nurses (68%); pharmacists (14%); physicians (200+) and quality/risk management staff (100)) with an overwhelming majority of these folk having over a decade’s worth of job experience.
According to ISMP, here is what was reported as the “most frequent disrespectful behavior”:
- Negative comments about colleagues (reported by 73% at least once, by 20% often)
- Reluctance or refusal to answer questions or return calls (77% at least once, 13% often)
- Condescending language or demeaning comments (68% at least once, 15% often)
- Impatience with questions or hanging up the phone (69% at least once, 10% often)
- Reluctance to follow safety practices or work collaboratively (66% at least once, 13% often)
- Although physical abuse (7%), throwing objects (18%), insults due to race, religion, or appearance (24%), and shaming or humiliation (46%) were not encountered frequently by most respondents, nearly a quarter reported those behaviors were among the top three encountered during the past year.
What does this mean to patients? A higher risk of mistakes in the drugs and medicines they are being given.
According to the ISMP 2013 survey, almost 50% reported that intimidation did make a difference in how they would ask about medication orders and the possibility of there being an error or mistake. Over 30% said that they would ask someone else to go and ask the doctor about their concern. Only 52% felt that if they reported the disrespectful behavior they had expected that their employer would support them in their reporting.
Bottom line: Doctors Get to Bully and Patients Continue to Be at Risk
What does the ISMP study reveal to all of us? That physicians and doctors in the past ten years have not been called to the carpet for their “disrespectful behavior” to subordinates, and physicians continue to bully nurses and intimidate other health care providers.
Which means, unfortunately, that medication errors and drug mistakes aren’t going to be properly reported and disclosed, and patients will be the ultimate victims of this continued bad behavior. Patients deserve and expect to receive quality, mistake free, care, not care that is influenced by bullies.
What Should You Do Now?
A good piece of advice if you have been harmed by a medication error, is to at least speak with an experienced personal injury lawyer before you file a claim to learn about some of the issues that can arise with these claims, including the type of evidence needed to prove a claim and the type and amount of damages you can recover. Most personal injury lawyers, like Alan Sackrin, will offer a free initial consultation (over the phone or in person) to answer your questions.
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Do you have questions or comments? Then please feel free to send Alan an email or call him now at (954) 458-8655.