Synopsis
In the Introduction, author Joseph T. Hallinan introduces the concept of what types of mistakes there are and then with each chapter, breaks down these mistakes to the root causes by describing the mistake and how, we as individuals made these mistakes. As the author describes each mistake, it is apparent the constructed world that we live in, has the ability of covering these mistakes, even when, these mistakes are in plain view. This oversight, although, is not so uncommon, as our brain seems to make things clearer and we are able to remember things that never happened, or forget things that did happen, even though they occurred right in front of us. As he progresses through the book, Hallinan describes human beings as partial, overoptimistic, hypercritical, downright irrational creatures of habit who are blissfully unaware of their limitations, which leads people to make many simple and horrible errors.
One such simple type of error that he describes is the word unicorns in the place of unicycles for an article printed the Wall Street Journal. Although both the writer and the editor had reviewed this article, the error itself was not apparent until after the prints publication. In another instance, in which a horrible mistake occurred, happened during surgery to remove cancerous tissue from the left side of a woman’s vulva. The attending doctor told the trainee to remove the right side, although the cancer was on the left side, which the trainee was
Background: “When Doctor Make Mistakes” is the essay from Gawande’s book Complications. It is mainly about the mistakes that doctor make.
“Like any book about mistakes and redemption, the mistakes are far more interesting to read about and write about,” as said by Jack Gantos.
Blendon, R. DesRoches, C. Brodie, M., Benson, J. Rosen, A., & Schneider, A. (2002). Views of practicing physicians and the public on medical errors. New England Journal of Medicine. 347, 1933-1940.
Imagine if one was asked to compile a list of every flaw of human nature that was demonstrated by the boys in the novel Lord of the Flies. Among the words used would probably be naive, uncivilized, and unfocused. While these words certainly do describe the boys and their poorly constructed society, they also hold the same meaning and truth when they are applied to our own people in our own society. People in both our society and the one described in the novel exhibit a profuse amount of faults and flaws, but this extensive list of faults can be narrowed down to the three most common ones. The three most prominent flaws of human nature are being selfish, desiring power, and not following through with plans.
“To err is human”, we have all heard this phrase many times, however, one should stop and think what makes humans fallible? Philosophers like Samuel Gorovitz and Alasdain MacIntyre wrote in the 70s that humans fail due to two reasons. The first reason is necessary fallibility which translates to things that are beyond our capacity. No one can ever be all knowing and knowing everything is beyond our capacity. The other cause is two-folds which is failure due to ignorance and ineptitude. Ignorance is merely absence of knowledge. Even though it might seem like ignorance is easy to over come by educating oneself on the subject, however in reality it is much complex. As we familiarize ourselves with the
The spell checker was use, and the paper was submitted electronically, so text could be changed and re-submitted. When the text was changed I forgot to spell check; therefore this created an error in the paper.
He reasoned his mistakes by saying that the source of his error was because his will is not within the boundaries. I think that it should be explained in the opposite direction. I think because of mistakes, we could reflect on our mistakes, and tried not
Nothing is perfect in this world. The mistake is inevitable, whether it be at school or in a workplace, one will always be able to find error nestled somewhere in the system. Because of its inevitability, an error is also very prominent in science, specifically in medicine.
Errors occur in health care as well as every other very complex system that involves human beings. The message in “To Err is Human”, by Archie Cochrane, was that preventing death and injury from medical errors requires dramatic, system wide changes. Health care professionals have customarily viewed errors as a sign of an individual’s incompetence or recklessness. As a result, rather than learning from such events and using information to improve safety and prevent new events, health care professionals have had difficulty admitting or even discussing adverse events often because they fear professional censure, administrative blame, lawsuits, or personal feelings of shame.
The possibility of human error didn't leave my thoughts. How could it? I considered human error by degree. Someone gives me the wrong change in a store. Easily fixed. A tailor alters a much-loved dress and it's too tight. Not so easily fixed, but I could recover. A deadly dose of chemotherapy. No fix there”
Following the review of a medical error about a 62-year-old woman with skin cancer who experienced wrong-site surgery I will summarize the legal and liability aspects of this case, as well as explore the legal and ethical implications of disclosing errors. In addition, I will discuss the pros and cons of having the provider disclose and empathize for the error to the patient. Finally, I will identify ways the nurse leaders can learn from this situation, help prevent similar kinds of medical errors from happening, and assist the providers and organization to effectively disclose information to patients after such an error occurs.
the fatal flaw of humanity . . .” with this
Williams wanted to point out that unless the reader is looking for errors, they are not likely to find any. Williams argues that the only errors we should be concerned with is the ones that hinder understanding. Errors that cause confusion, or difficulty for the reader. In the real
Mistakes do not further the creative process or the chance of discovery, they merely stall it and only make the work more laborious. John Denker, a scientist, said that “...’big discoveries’ were actually invented step by step… A lot of these small discoveries were predicted, and then proven with no mistakes.”(Careful Science 19) When an unprofessional mistake is made, such as, a miscommunication with a friend, that mishap can be taken and learned from so no more such mistakes will occur in the future; however, when a mistake is made during a significant event, such as, taking more than the prescribed medicine, the results of that carelessness can be disastrous. In the article “Lost Cities, Lost Treasure”,”Although he [Schliemann] and Calvert
When Jim set down last night to finish proofreading a draft of a friend’s latest attempt to write a novel, it was raining cats and dogs. He was in a bad mood because he had to bring the proofread draft to his friend the next day. After working 30 minutes on the remaining 125 pages, Jim became very frustrated by the number of usage errors he was finding. There were a lot of them on each page, and he found it real difficult not to believe the mistakes were due to his friend’s lack of caring about how the errors could affect his chances of finding a publisher. The draft caused such a headache that Jim thought his skull would bust, so he took a couple of aspirin and laid down. After about two hours had went by, Jim returned to the desk where he