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Medical errors book off base.(Letters)(Letter to the Editor)

OB GYN News

| May 15, 2004 | Hinz, Reinhold H. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

After reading about Dr. Robert M. Wachter and Dr. Kaveh G. Shojania in the excitingly titled article "Physician Authors Take On Medical Mistakes" (April 1, 2004, p. 25), I do not feel encouraged to read their book.

The doctors described several case reports of medical errors, with accompanying comments. Dr. Wachter's case is not a good one for any reader interested in learning more about the new push for "reducing avoidable medical errors," because after discovering his "mistake"--he should not have transported his patient in an ambulance without appropriate monitoring equipment--he played "the blame game" by blaming himself (and the nurse, as well as the emergency room clerk) for not requesting the correct ambulance, which is certainly not helpful.

The accompanying story of Joe Silber is likewise not well suited for a discussion of medical misadventures (a 12-hour emergency room work-up for chest pain in a 43-year-old man?) since the patient's regular physician had nothing to do with this case ("Fumbling the Handoff," p. 25).

Dr. Wachter and Dr. Shojania should have indicated that the physician who ordered the chest x-ray was responsible for dealing with the results even ...

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