Steps to Addressing Anesthesiology Mistakes

 

Mistakes made by anyone in the medical field can have serious consequences, but some of the most noticeable and most costly can come at the hands of anesthesiologists. Whether it is an improper use of drugs or a poor intubation, the results are likely to be painful or even deadly.

In order to better help anesthesiologists and those who work with them avoid these mistakes, here is a list of the top three reasons anesthesiologists make mistakes.

  1. Poor communication

Whether it is the doctor not communicating the needs of the patient or the anesthesiologist not communicating issues such as fatigue or uncertainty, when professionals don’t speak to each other, the results can turn ugly.

This is also the case when patients feel their thoughts are not welcome in a conversation. Anesthesiologists need to communicate to patients that they should speak up about any concerns they have up to the point they are incapable of doing so. Making this point directly can help avoid making problems worse.

  1. Poor training

Whether it is a lack of training, a lack of general experience, or an unfamiliarity with certain drugs or procedures, an anesthesiologist can make numerous mistakes simply by not knowing precisely what to do.

It is an unfortunate fact that for all the medical training an anesthesiologist goes through, there are still situations where he or she can find themselves out of their depth.

To avoid these problems, make it clear to the anesthesiologist that speaking up about concerns will in no way impact their status in the operating room. Should an anesthesiologist wish to bring in a more experienced colleague—assuming one is available in a timely fashion—that should be encouraged.

All doctors have to learn on the job, but minimizing how much that is done in serious situations will go a long way to minimizing mistakes.

  1. Poor understanding of the case

On the opposite side, sometimes doctors and anesthesiologists can be overly confident, particularly in cases that appear to be straightforward and standard. In such cases, particularly with a heavy caseload, the anesthesiologist may only take the shortest of glances as a medical chart.

Poor communication, as seen in point one, can mean any misapprehensions are never addressed, and then very dire mistakes might be made due to this hurried sloppiness.

Giving doctors the optimal amount of time to get to know the patient is always a desire of every hospital, and often there seems to be little that can be done to address this issue.

However, one step that can be taken is to enforce a certain amount of time spent with the case in order to become acquainted with the specific needs of each patient.

Better chart management, with unique qualities highlighted near the top, would also help.

The issue of medical mistakes is well-known to the medical community. There are the constant fears of medical malpractice suits, as well as the much greater fear of guilt for mistakes that cause lasting damage to innocent patients.

Taking a few small steps to address these three issues can help ensure anesthesiologists are doing their jobs as safely and thoroughly as possible.

Court Reporter Shortages

When most people think of a courtroom, the actors that come to mind are the judge, the various lawyers, the bailiff, the defendant, the plaintiff, and the various witnesses and journalists that are also in the room. There is another job, however, that is incredibly important to keep operations flowing smoothly: a court reporter. The reporter transcribes everything that goes on in the courtroom and keeps consistent records which can then be used for other proceedings. The human memory is very fickle; without a court reporter, a lot of events would be obfuscated, and this could lead to innocent people being left in an unfortunate position. There is a shortage of court reporters in Mississippi, and if this epidemic reaches Texas, the courts could become a lot more inefficient.

In Texas, there is a state agency responsible for managing court reporters and other transcriptionists, the Texas Court Reporters Association, or TCRA. From their website, an aspiring court reporter can take a variety of self-paced certification seminars that cover all aspects of the job, including captioning for the hard of hearing as well as ethics seminars. The certified court reporters are employees of the state and are assigned to work directly with judges and their courtrooms. However, in Mississippi, there is a shortage of court reporters. One judge claims that he is “hamstrung” and cannot get any work done because his court reporter left for Texas, where there are higher wages. In addition, another court was unable to fill an open position while a court reporter was on maternity leave. Ole Miss even discontinued a four-year degree program for court reporting because students became disinterested and stopped taking classes, but some claim it was due to the difficulty of the program; students had to graduate with a typing speed of 250 words per minute.

Do court reporters need to be employees of the local government? In order to address the shortage, state governments could hire an outside legal services company in order to fill court reporter positions. Of course, the main issue with hiring an outside company is ensuring impartiality in reporting. However, increased competition may incentivize more people to become court reporters as companies increase their wages and benefits. Especially since court reporters are highly skilled and require a lot of certifications, we should ensure they are paid adequately. Even though it seems that Texas has more money to give court reporters the pay they deserve, having other options available would ensure a shortage never reaches this state.

Court reporting is incredibly important, and the transcripts from court proceedings are used at every level of the judiciary system. The Supreme Court always uses transcripts from the lower courts in major decisions to ensure that each court proceeded in a constitutional fashion. Court reporters are the backbone of the entire system, and without them, it would crumble to the ground.

The Despicable Case of Child Rape

As the adult, it should be your responsibility to put children out of harm’s way. First, the children may be too curious and reckless that they may put themselves into danger. Second, they may be too limited physically and mentally to fight these dangers, even if they are aware of their existence.
But there are instances where it is the adult who actually puts the children in danger, such as the instances of child rape. According to the website of Horst Law, child rape is a Class A Felony, with substantial fines of up to $50,000 and prison times of up to 60 years. This is at least the case for Tennessee, but it gives you a good idea on how jurisdictions treat these things seriously.

Common Causal Factors

Child rape can occur because of many reasons, but certain factors stand out, because of how commonly involved they are in child rape cases. Some of these factors are:

  • Child-on-child Abuse – This happens when a co-child or a prepubescent individual has forced himself or herself to engage in sexual activity with another.
  • Pedophilia – A condition wherein a reasonably old enough person is attracted to prepubescent children, which can lead to sexual advances to a child, and ultimately, child rape.
  • Teacher-student Relationship – Many child rape cases also occur on a teacher-student relationship, and it can happen on both opposing genders, like when the teacher is a male and the student is a female or when the teacher is a female and the student is a male.

Effects on Children

Children do not go away unscathed after an instance of child rape. Aside from the physical injuries, such as bruises, wounds in the genital and anal areas, and medical complications like sexually transmitted diseases, they also experience emotional and psychological trauma.
Child rape victims are known to sustain post-traumatic stress disorder, where they re-experience the rape scenario in the form of flashbacks, nightmares, and anxiety attacks whenever they see, hear, or touch something that is related to the event.
And since they are still in their development years, they also experience regress in development. They start peeing the bed again even if they have already outgrown the habit. They also perform poorly in school.

Age Regression to Treat Chronic Mental Illness associated with Childhood Trauma

Much of our adult psychological, emotional, and behavioral issues are rooted in trauma from childhood that had marked and lasting effects on our mental health. Evidently, not every mental disorder or condition is immediately linked to a specific childhood experience, but there is a strong correlation between severe and chronic mental illnesses in adulthood and negative childhood experiences or prolonged periods of poor mental health during important formative years, making the exploration and understanding of these years paramount for effective treatment of such conditions.

As noted by a related article in the British Journal of Psychiatry, recent studies have shown that “a wide range of adversities, not just sexual abuse” are in fact “predictors of many forms of mental ill health,” “not just PTSD” . Such studies broaden the scope of how we view the connection between mental illness and childhood trauma and makes the understanding of these experiences more important in the understanding of adult mental illnesses. Exploring these experiences is not an easy feat, however, as childhood memories, especially traumatic ones, are not easily accessible by adults. Even if an adult can remember a particular experience, he may not remember it completely or accurately. These uncertain or inaccessible memories can be a challenge for a counseling professional trying to treat a patient, but certain methods, such as age regression hypnotherapy, can retrieve and clarify important memories that may be tied to current mental health issues.

According to the Orlando Hypnosis Clinic, age regression hypnotherapy can increase access to childhood memories and their associated feelings, and can even reveal certain past traumatic events. Revealing these harmful incidents, though painful, is vital in the healing process and to the understanding of the roles these incidents play in mental health problems and disorders in a patient’s adult life.

The Perils of Distracted Driving

The United States sees an alarming number of traffic accidents each year. Reports from the National Safety Council tallied a total of 38,300 deaths and about 4.4 million injuries requiring immediate medical attention for the year 2015. Distracted driving is among the most common causes of these tragic accidents. In a separate report from the U.S. Department of Transportation and the National Highway Safety Administration, distracted driving accounted for over 3,000 fatalities for the year 2013 alone.

In Illinois, state police does not shy from emphasizing the particular dangers of distracted driving. According to the Illinois State Police website, most of these accidents happen due to the use of mobile phones while driving. The Illinois State Police estimates that driving while using mobile phones and other similar gadgets increases the chance of getting into a crash by 400 percent. This is because the use of mobile phones while driving require individuals to divide too much of their attention. The Centers for Disease Control and Prevention identifies visual distraction, motor distraction, and cognitive distraction as the three different components that make texting while driving particularly devastating. Using your mobile phone while operating a vehicle requires you to take your eyes off the road, your hands off the stirring wheel, and shift your full attention from the task of driving. It might seem like an easy thing to do, but you can never tell what a moment of distraction might cause you to miss on the road.

Regardless of the cause of the crash, any car accident can lead to some very serious consequences. Even if the doesn’t lead to any tragic fatalities, individuals involved in a car accident may still end up with serious injuries and serious psychological trauma. Fortunately, people that have gotten seriously hurt in a distracted driving accident have the option to pursue legal action against those responsible for their injuries. Residents of Illinois that find themselves in this very situation should not hesitate seek counsel from Karlin, Fleisher & Falkenberg.

« Older Entries