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Scariest Hospital Risks

(2007-06-26 09:26:57) 下一個

在美國或許在加拿大 當我第一次踏上這片所謂自由的土地  我強烈感受到的是我必須掌握金融投資
的技能 十幾年過去了 正是有著這種強有力的超感覺 在不經意中成長為了可以出海撲魚的漁民
不說節省無數的費用 回報更是多多啊

但是我卻乎識了一個同等重要的東西 也和金融投資一樣價值連城 這也是我想要和這裏的朋友分享
的 那就是醫學健康 從此我不再有如何依賴醫生的著夫 而是更象一個到商店買東西的家庭主婦

連車子壞了 我都知道 現要成為修車內行 才不會被修車行給蒙了

我的經驗告訴我 連國內的醫生我都不信任還要塞紅包  這裏的醫生就加一個更字了 不論它是白的黑的
榮幸我都遇到過 我懷疑至少我不確定它看到我這個黃皮膚沒有如何歧視 不過我敢肯定這種歧視哪怕有
一丁點 在好醫術的醫生對病人來說都是零甚至比零更遭 那麽不再期望 隻能靠你自己了 在看醫生的
同時記住保住你的尊嚴是你能獲得最大服務的基礎 而這種尊嚴是要靠你的醫學知識在和醫生交談中
顯示出來 我就曾讓一位專科醫生在我麵前象一個剛從醫學院出來的學生那樣在我麵前背書


醫學健康卻近乎是個文盲 因此計劃中加了學習醫學的項目 有興趣的朋友可以交流

下麵的文章足以讓你反思到趕快行動


Scariest Hospital Risks
by Matthew Herper
Monday, June 25, 2007

There is a grim joke that circulates among medical residents: Hospitals are terrible places for sick people.

Truth is, for all the life-saving miracles unfolding each day at modern hospitals--from cancer chemotherapy to heart bypass surgery--they are also filled with danger.

"It's human frailty," says Carol Haraden, a vice president at the Institute for Healthcare Improvement, which several years ago started an effort to reduce the toll from medical mistakes. "If you've got humans involved you're going to have errors. You just have to build a system that is going to prevent as many as possible."

Plenty get through. There are some 100,000 people who get potentially deadly infections during hospital treatment, according to the Centers for Disease Control. Infected incisions are particularly dangerous as hospital germs are more likely to be resistant to antibiotics that doctors use to kill them off.


More from Forbes.com:


• Slideshow: 7 Scariest Hospital Complications

• Slideshow: Seven Reasons Your Insurance Claim Will Be Denied

• Slideshow: What Was The Greatest Risk You Ever Took?
 

Worse, between 40,000 and 100,000 people die every year because of doctors' mistakes, including surgical mishaps and drug mix-ups. One big problem: Hospital patients may get the wrong drug one time out of five, according to a study by Auburn University. The death toll from mistakes is at least as bad as that from car accidents or breast cancer, and maybe as bad as that from strokes.

In one widely reported case, comedian Dana Carvey was the victim of a botched heart bypass operation; his doctor operated on the wrong artery. (The problem was fixed in a second procedure.) The wife of a patient whose brain was damaged in a car accident wrote in the journal Health Affairs about how a misplaced catheter and a blood clot led to the amputation of her husband's hand. Haraden herself, the medical-error expert, says that when she went to the hospital for breast cancer surgery, doctors almost operated on the wrong breast. (The mistake was caught before any operating was done.)

Managing these risks often comes down to persistent attention to detail--by caregivers, patients and their advocates. One study showed doctors only washed their hands 44% of the time, if nobody was looking. If they knew they were being watched, 61% washed up--still way too low.

At least we're making better ground on pneumonia. Born of bacteria that collect and live in ventilator machines that keep patients breathing, these potential killers were once accepted as a cost of doing business. Today hyper-vigilant hospitals have managed to go months or years without a case of ventilator pneumonia. Germ-fighting fixes include inclining patients' beds, disinfecting their mouths and using drugs to prevent ulcers that could cause stomach bacteria to infiltrate the lungs. At Cincinnati Children's Hospital Medical Center in Ohio, such steps resulted in a 90% reduction in ventilator pneumonia.

Another fix is to smooth out the massive volatility in patient traffic. A sudden flood of patients leads to all sorts of complications--from careless mistakes brought on by sleep deprivation, to patients getting treated for one condition by nurses who specialize in another.

Oddly--or sadly--enough, overcrowding in hospitals is actually the result not of sudden infectious outbreaks, but of the inefficient way surgeons book their operating rooms, says Eugene Litvak, a Boston University operations management expert. Urgent cases, like broken limbs, come in a steady stream. It's actually operations scheduled months ahead of time that cause overcrowding.

"It is easier for practically every hospital to predict when somebody will break their leg than when someone will schedule surgery," Litvak lamented to Forbes in April. "God doesn't make people sicker on Tuesday than Wednesday. We do."

Copyrighted, Forbes.com. All rights reserved.

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