Medical error as defined in Epidemic of Medical Errors and
Hospital-Acquired Infections: Systemic and Social Causes
encompasses many categories including, but not limited to, medical
error, hospital-acquired infections, medication errors, deaths from
misdiagnosis, deaths from infectious diarrhea in nursing homes,
surgical and post-operative complications, lethal blood clots in
veins, and excessive radiation from CT scans. When the deaths from
these categories are counted they become the leading cause of
fatality to Americans, outpacing cancer and heart disease. Add the
numbers of fatalities (mortality) to the millions each year who are
injured (morbidity) and whose quality of life is forever effected,
and an epidemic of harm is defined. The book describes the many
systemic and social causes of medical error and iatrogenic events,
all of which are cited in the peer-review science, that have a
direct effect on the epidemic of patient injury, but are rarely or
never considered. These systemic causes include factory medicine
(for-profit medicine), staffing ratios in clinical and non-clinical
departments, shift work, healthcare working conditions, lack of
accountability, legal issues that conflict with patient safety
issues, bullying and hierarchical relationships, training of
healthcare workers that never rises to the level of risk, and
injury to healthcare workers. The premise of the book is that if
the systemic or social causes are not considered or changed, then
medical error will continue to be an epidemic and no substantial
impact in the numbers will be realized. An expert with 30 years of
experience as a health and safety officer in healthcare and as an
activist for community health and safety issues, editor and author
William Charney explores the issues surrounding medical errors and
examines the science behind possible solutions. He presents an
efficient dialogue that produces a more systemic exploration and
targeting of the causes of medical error and drives an exacting
message: we are dealing with an epidemic of harm, and unless
systemic issues are solved, little will change to subdue the
epidemic. Information on the June 2012 Conference on the Epidemic
of Medical Errors & Hospital Acquired Infections in the US and
Canada: the Systemic Causes can be found on the CRC Press Issuu
page.
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