by Esha Ray Chaudhuri
As a patient dedicated to Patients for Patient Safety Canada’s collective vision of making every patient safe, I would like to make three points about types of harm:
PATIENTS ARE NOT ALL THE SAME
Patients in Canada – and all over the world – are uniquely diverse and so is their experience of harm. Some communities are more likely to experience healthcare harm than others when diagnosis of their health problems can miss the different types of influences that cause their illness. All patients are uniquely diverse and so is their experience of harm. This...
Stories
Stories
One dose was lethal….
Melissa Sheldrick
My son, Andrew, received his compounded medication that was made with the incorrect medication. The substituted medication was very strong and one dose was lethal. Several policies and procedures were not followed and the lab was found to be disorganized. Using best practices and adhering to organizational standards would have prevented this error.
Do you hear us?
Theresa Malloy Miller
There was a general lack of ‘teamwork’ and miscommunication in the care for our son Dan. It seemed that the healthcare team did not listen carefully to what Dan...
Mutual Healing Program
It is well established that both patients/families and healthcare workers (HCWs) experience psychological trauma as an outcome of a harmful patient safety incident. This trauma leads to emotional reactions and potentially builds barriers between the two.
Aubin DL, Soprovich A, Diaz Caravallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another steps towards patient safety. BMJ Open Quality 2022; 11:e002004. Doi:10.1136/bmjop-2022-002004
Patients for Patient Safety Canada (PFPSC) is leading a novel initiative to help patients,...
5 Questions to ask to prevent a diagnosis error or mistake
You might think that only the health care provider can prevent a diagnosis error. That’s not correct. There are steps you can take to prevent a diagnosis error:
Do not be shy – ask questions – Questions save lives.
Be aware that diagnosis of a health problem is complex – it involves various steps (e.g. getting health and medical history, signs and symptoms, and getting blood or other tests). Understand what is involved in being diagnosed.
Don’t give up on getting answers to questions. You need to clearly understand the diagnosis and follow-up...
Diagnosis error is a huge patient safety problem. We need more proof!
How common are diagnosis errors? Our facts are scarce but tell us that:
One-third of 346 Canadians said they or a loved one suffered patient safety harm because of misdiagnosis [Canadian Patient Safety Institute/IPSOS, 2018].
In 2017, 59% of 2536 adult U.S. patients said that diagnosis of their medical problems did not happen, was wrong, or was delayed [Institute of Health Information 2017].
The World Health Organization reports that nearly 16% of harm that could have been prevented across health systems was due to diagnosis error (2024).
To diagnose a patient’s health...
Diagnosing a health issue is complex. Make sure you have the right pieces of the puzzle.
The diagnosis of a patient’s health problem is like a puzzle. All the pieces in the puzzle should join and give a clear picture of your health. More important, it should show you if you have any health issues that need care.
Unlike a puzzle, diagnosis is not always as easy to piece together.
There are many pieces of a person’s health and diagnosis puzzle which includes:
health history: physical and mental health or well-being, medical issues, quality of life, and family supports
signs and symptoms related to a specific health problem
results of a physical exam or check-up,...