ICU Medical Mistakes – Is Your Family Reluctant to Speak Up?
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Study Reports Families Don’t Speak Up About ICU Medical Mistakes by New York Medical Errors Lawyer
According to a study, described as the first of its kind, family members are reluctant to speak up when they witness medical mistakes and unsafe practices in hospital intensive care units.
The study, which was conducted by Beth Israel Deaconess Medical Center in Boston, surveyed a group of over 100 family members of ICU patients as well as more than 1,000 families online. Researchers asked study participants to share if they felt comfortable speaking up when they witnessed medical mistakes or unsafe practices, such as medication errors or health care personnel not washing their hands before treating a patient.
According to the survey results, family members overwhelming chose not to speak up when they saw errors or unsafe practices occur.
What Families Said About Medical Mistakes and Unsafe Conditions
According to news reports, families reported a variety of responses when asked if they raised concerns when they observed medical errors or unsafe conditions or practices in the ICU, where the most vulnerable and susceptible patients receive treatment in hospitals.
- Over 50 Percent Expressed Hesitancy – Over half of the study’s respondents stated some reluctance to speak up. According to the study’s lead author, “One of the key take-home messages was that among patients and families currently experiencing an ICU stay, over half expressed some hesitancy to speak up about common ICU concerns, including a mistake in care.”
According to the study, families were hesitant to speak up about possible mistakes, mismatched care goals, conflicting or confusing information, and poor hand hygiene. Generally, older and female respondents were more likely to speak up when they saw something that concerned them. Also, people who had worked in the medical field or had a family member who had worked in medicine were also more likely to raise concerns than those with no personal or family medical background or connection.
- One-third Said They Didn’t Want to Cause Trouble – Additionally, one-third of those surveyed said they didn’t speak up because they didn’t want to be labeled as a troublemaker by medical staff. People who fell into this group reported wanting to maintain a good relationship with the care providers treating their family member.
- One-third Said the Medical Staff Was Too Busy – Another one-third of survey respondents said they didn’t feel comfortable speaking up because medical personnel seemed too busy.
- One-third Said They Didn’t Know Whom to Tell – Additionally, one-third of the people researchers spoke to said they didn’t know how to raise their concerns or which medical team member to talk to about their worries.
Additionally, one-fifth of respondents said they didn’t want to seem like they didn’t understand medical concepts, and another one-fifth were afraid of harming their relationship with doctors or other members of the medical team treating their loved one.
Failure to Speak Up Can Lead to Bad Outcomes
Medical and legal experts say that failing to raise concerns about potential medical mistakes and unsafe practices can lead to bad outcomes, such as a patient injury or death. Because medical mistakes are the third-leading cause of death in the United States, it’s important for people to raise their concerns when they believe they have seen something inappropriate or possibly dangerous for a patient.
The report goes on to note that studies reveal that patients and family members are “often better than doctors and nurses at detecting errors, and they’re usually right about the errors that they report.”
Health experts say there are a couple of different reasons for this. For one, family members know the patient a lot better than the doctor or nurse providing care. They know what’s normal when it comes to the patient’s health, mood and state of mind. This familiarity gives them a unique insight when it comes to detecting an abnormal reaction to a medication or type of medical intervention.
Also, patients know their own bodies better than any doctor ever could. Many people are afraid to question a doctor, or they worry they will seem rude or uneducated if they do, but patient safety advocates say it’s important to raise concerns when something seems off or wrong. Doctors and nurses make mistakes just like anyone else, and heavy patient loads in hospitals and doctors’ offices can mean they miss things like the names of medications or the proper dosages for certain prescription drugs.
Health experts said one way for ICU staff to encourage patients and family members to speak up is by putting up posters that contain information about how and where to report concerns.
Hospitals can also train their staff to be responsive and receptive when patients and family members speak out about potential areas of concern. “Educational strategies should include both encouraging and supporting patients and families to voice concerns with clear steps and a genuine invitation, and preparing clinicians to respond meaningfully when patients speak up.”²
If you believe you or a loved one has been the victim of an ICU medical mistake, it’s in your best interest to talk to an experienced New York City medical malpractice lawyer.
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Prior results cannot and do not guarantee or predict a similar outcome with respect to any future case. Recoveries always depend upon the facts and circumstances of each case, the injuries suffered, damages incurred, and the responsibility of those involved.