25 Most Shocking Medical Mistakes, and How You Can Protect Yourself
By
Dr. Mercola
Hospitals
are typically thought of as places where lives are saved, but statistics show
they’re actually one of the most dangerous places you could possibly enter.
Each day, more than 40,000 harmful and/or lethal medical errors occur, placing
the patient in a worse situation than what they came in with.
According
to a 2013 study, preventable medical errors kill around 440,000 patients each
year — more than 10 times the number of deaths caused by motor vehicle crashes.
A 2016 study calculated the annual death toll to be around
While
there are codes that capture iatrogenic causes of death, published mortality
statistics do not take them into account. They only look at the condition that
led the individual to seek medical treatment in the first place. As a
result, even if a doctor lists medical errors in the death certificate, they
are not included in the CDC's mortality statistics, and without that data,
medical mistakes remain a largely hidden problem.
Hospitals Are Hotbeds for Lethal
Infections
Hospitals
have become particularly notorious for spreading lethal infections. According
to 2014 statistics by the U.S. Centers for Disease Control and
Prevention (CDC), 1 in 25 patients end up with a hospital -acquired infection and
75,000 people per year die as a result.
Earlier
research has suggested as many as 1 in 10 patients will contract a
nosocomial infection, defined as an infection contracted within 48 hours of
hospital admission, or within three days of discharge, or within 30 days of an
operation. Medicare patients appear to be at greatest risk. According to the
2011 Health Grades Hospital Quality in America Study, 1 in 9 Medicare patients
developed a hospital-acquired infection.
The
video above features the Discovery Channel documentary, “Shocking Medical
Mistakes: The Empowered Patient,” originally aired in 2016. In it, medical
correspondent Elizabeth Cohen investigates medical mistakes and missed
diagnoses, including some of her own experiences as a patient, and what you can
do to become an empowered patient and reduce your risk when a hospital stay is
necessary.
25 Most Shocking Medical Mistakes
25. Baby security breach
Since 1983, 132 newborns have been abducted from U.S.
health care facilities.
Safety tip: Make sure a parent or nurse is present with the child at
all times while in the hospital.
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24. Fake doctors, aka “prestige fraud”
Believe it or not, hundreds of individuals have been
caught posing as doctors when, in fact, they did not have a medical degree.
Safety tip: Make sure your doctor is a licensed physician in your
state. For help, see Certification Matters.org.
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23. Treating the wrong patient
This mistake typically happens when patients have similar
names and the doctor or nurse fails to double-check all of the patient’s data
before administering treatment.
Safety tip: Before every procedure, including drug administration,
make sure the staff checks your full name, date of birth and the barcode on
your wrist band, to ensure correct treatment.
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22. Pharmacy mix-ups
According to the National Patient Safety Foundation, 30
million prescriptions are improperly dispensed each year in U.S. pharmacies.
Safety tip: Before you leave the pharmacy, ask the pharmacists to
confirm that the medication is the correct one, especially if you’re
unfamiliar with the look of the pills, and that you’ve received the correct
dosage. Also verify that the label has your name on it.
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21. Botched plastic surgery
Any number of things can go wrong when you go under the
knife, and death is a potential side effect even of plastic surgery.
Safety tip: Make sure your surgeon is certified by the American
Board of Plastic Surgery. You may also want to check whether your surgeon has
any malpractice suits filed against him or her. Most state medical boards
provide this information free of charge.
You can find a list of state medical boards on the
Federation of State Medical Boards website. Another source is the
Administrators in Medicine, a nonprofit organization that compiles licensing
and disciplinary information from each state’s medical board.
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20. Incorrect drug dosages
One of the most frequent mistakes occurs in pediatrics. A
child given an adult dose of a medication can have life-threatening
consequences. According to the Joint Commission, hospital personnel stock
medication in the wrong places 4 percent of the time, which can lead to
incorrect dosage or drug being administered if the nurse or doctor fails to
carefully inspect the package before administration.
Safety tip: Ask for a daily list of medication and dosages that you
are supposed to receive during your hospital stay, and double-check each
medication before taking it or allowing it to be administered.
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19. Toxic transplants
As noted by transplant surgeon Dr. Lloyd Ratner, any given
organ donor could be a carrier of one of several thousands of pathogens. The
case highlighted in the video is that of an 18-year-old kidney recipient who
died of rabies. It turns out the organ donor had been bitten by an infected
bat. All of the organ recipients contracted rabies from the infected organs
and died. In the U.S., more than 100 organ recipients have died from toxic
transplants.
Safety tip: If you become sicker after receiving a transplant, ask
if other recipients are also getting ill. Early diagnosis and treatment may
save your life.
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18. Improper or careless discharge
A man having just undergone brain surgery is packed into a
cab, which drops him off in an unfamiliar neighborhood on a rainy day wearing
nothing but a hospital gown and socks. When he was too confused to remember
his own address, two Samaritans eventually got him home safely.
Safety tip: If you’re scheduled for surgery, find out when you’re
scheduled for discharge ahead of time and make sure someone you know is there
to take you home.
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17. Ambulance errors
Any number of errors can occur on the way to the hospital,
but first the ambulance must actually get to you. Patients have died due to
the ambulance being dispatched to an incorrect address.
Safety tip: When calling for an ambulance, if possible, slowly and
clearly state and spell the street address.
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16. Lost patients
This typically occurs in nursing home facilities, where
dementia patients may wander off the premises. One in 5 nursing home patients
is prone to wandering. In one case, an elderly woman with Alzheimer’s was
found after a four-day-long manhunt, locked inside a storage closet on the
premises. She died shortly thereafter from dehydration.
Safety tip: If you have a loved one who is prone to wander, get them
a GPS bracelet so you can track their whereabouts.
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15. Surgical “souvenirs”
Surgical sponges, steel clamps and surgical retractors are
but a few of the items that have been left inside patients undergoing
surgery. According to one estimate, 2 in 10,000 surgical patients come out of
surgery with a “souvenir” left inside.
Safety tip: Before surgery, remind hospital staff to count the
number of items used, to make sure all surgical items are accounted for
before you’re stitched up. Should you experience unexpected fever, pain or
swelling following your surgery, ask your doctor to double-check if equipment
has accidentally been left inside you.
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14. Babies accidentally switched after birth
As with patients receiving the wrong treatment, this
mistake typically occurs if two mothers have the same or similar name.
Safety tip: When a nurse brings your baby, ask him or her to match
the baby’s identification bracelet to yours.
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13. Deadly air bubbles
A young man dies when a nurse fails to follow proper
procedure for removal of a central line tube in his chest, allowing air to
enter his bloodstream. In one hospital intensive care unit, improperly
removed central lines caused 10 air embolisms in a single year.
Safety tip: If you have a central line, before removal, confirm the proper
procedure is about to be followed. A copy of the nursing protocol for the
removal of central lines can be found on ctsnet.org. Standard procedure
protocols for central line removal in adults and pediatrics can also be found
on health.ucsd.edu.
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12. Misdiagnosis
Research suggests misdiagnoses may occur in 10 percent of
all cases.
Safety tip: Trust your instincts. If you believe your doctor has
missed something or misdiagnosed you, get a second opinion.
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11. Receiving the wrong blood type during transfusion
During surgery, you will typically need a blood
transfusion. The blood you receive — A, B or O, positive or negative — must
match yours, as your body will interpret mismatched blood as a foreign
invader. One of every 19,000 units of blood is incorrectly administered in
the U.S.
Safety tip: Know your blood type and, if possible, verify that the
blood bags you’re about to receive is a match. If you cannot see the bags
ahead of time, ask hospital staff to verify they have your blood type correct
prior to surgery.
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10. Surgical equipment causing internal burns
A malfunction in the monitoring cable inserted through the
heart during a routine bypass surgery causes the cable to heat up, cooking
part of the patient’s heart, causing irreparable damage.
It sounds unbelievable, but it happened. The patient had
to receive a full heart transplant. Lasers and flammable gases used in
surgery can also cause unexpected burns. These kinds of errors are typically
the result of multiple mistakes, not just one. Still, some 240 surgical fires
are reported in American hospitals each year.
Safety tip: If undergoing surgery, ask what type of equipment will
be used, and how you will be protected from lasers, cables and flammable
gases.
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9. Medical tube mix-ups
Feeding tubes and central line tubes look a lot alike, but
knowing which is which is absolutely crucial when it comes time to administer
nutrients or medication through the feeding tube. In the example shown in the
video, medication meant for a young child’s stomach was administered into her
vein, via the central line. The child died. Sixteen percent of doctors and
nurses report being aware of tube mix-ups happening at their hospitals.
Safety tip: If you have more than one tube, ask medical staff to
trace the tube back to its site of origin, each and every time a medication
is administered to ensure the correct one is being used.
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8. Switched biopsies
As many as 1 in 1,000 lab specimens is mislabeled. One
35-year-old woman got a double mastectomy due to her biopsy being switched
with another woman’s. She got a second opinion, but the error was not caught
because the second doctor simply based his findings on the original, mixed-up
lab work.
Safety tip: If in doubt, ask to have the biopsy repeated and/or get
a second (or third) opinion.
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7. Receiving the wrong eggs in fertility treatment
Women undergoing fertility treatment face the unusual
possibility of receiving the wrong woman’s eggs. In one case, eggs from two
women with the same last name were accidentally switched. In this instance,
the woman carried the baby to term, then adopted the baby boy out to his real
parents.
Safety tip: Be very careful in your selection of a fertility clinic.
Make sure the clinic is accredited by the College of American Pathologists.
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6. Operating on the wrong body part
In the U.S., an estimated seven patients undergo surgery
on the wrong body part each and every day.
Safety tip: Before surgery, confirm the correct location of the
surgery — both body part and side — with the nurse and surgeon. Also make
sure the surgeon has clearly marked the correct site. Considering the
frequency at which this mistake occurs, do not be shy about doing
this.
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5. Unsafe radiation
Incorrectly programmed and calibrated CT scans can deliver
an unsafe dose of radiation. The video shows three patients whose CT scans
resulted in the loss of hair in a ring around their head. It turns out the
machine was incorrectly calibrated, delivering eight times the normal dose of
radiation. These patients now also face the possibility of getting brain
cancer at some point in the future.
Safety tip: Whenever possible, opt for an ultrasound or MRI instead
of a CT scan, as they do not use ionizing radiation to produce the
image.
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4. Hospital-acquired infections
Not only will 1 in 25 hospital patients contract an
infection, many of these infectious pathogens are now resistant to all
antibiotics. Antibiotic overuse, especially in agriculture, has led to the
emergence of antibiotic-resistant bacteria such as methicillin-resistant
Staphylococcus aureus (MRSA)
Hospital-acquired infections kill 75,000 patients each
year in the U.S. — a death toll that could be significantly reduced simply by
following proper hand washing protocols. Doctors and nurses should wash their
hands and/or change gloves between each patient. Patients should also wash
their hands frequently.
Safety tip: Each time hospital staff enters your room, ask them to
wash their hands and change gloves. Bacteria can spread from their hands to
tables, bed rails, bedding, wound dressings, catheters and, of course, your
skin if they touch you. You may then contract the bacteria if you touch a
contaminated area.
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3. Metal in the MRI room
An MRI machine is an exceptionally powerful magnet, which
is why no metals are allowed to be brought into the room. In one case, a
hospital worker walks into the MRI room carrying an oxygen tank while a young
boy is getting scanned. The tank flies across the room, delivering a lethal
blow to the boy’s head. While exceedingly rare, an investigation reveals it
is not the sole case on record.
Safety tip: When getting an MRI, make sure there is no metal on, in
or around you, anywhere in the room. Metal implants must be reported prior to
getting an MRI.
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2. Excessive emergency room wait times
Emergency rooms are normally busy places, and personnel
must make hundreds if not thousands of potentially critical decisions each
day. It can be easy to miss the signs of critical illness, especially if the
condition is rare.
In one case, a five-hour wait resulted in a baby girl
requiring amputation of both hands and legs, as personnel failed to realize
the critical nature of her condition. It turns out her body was being ravaged
by flesh-eating bacteria. According to the CDC, the average emergency room
wait time is 49 minutes.
Safety tip: If you suspect you or a loved one is in critical
condition and need immediate attention, call your family physician before or
on the way to the hospital, and ask him or her to call the emergency room on
your behalf. This way, the staff knows you’re on your way and that it’s truly
serious.
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1. Waking up during surgery (anesthesia awareness)
Last but far from least, a nightmare comes true: You wake
up during surgery and feel every poke, prod and cut, but cannot move or make
a sound.
“Anesthesia awareness,” the technical term for waking up
during surgery, happens when you receive an inadequate dose of anesthesia,
allowing your brain to remain aware while paralyzing your muscles. Here, the
statistics are discouraging: 1 in 1,000 patients reportedly suffer anesthesia
awareness. Fortunately, most of these do not feel pain.
Safety tip: If you need surgery, ask your surgeon if you really need
anesthesia or if a local anesthetic would be sufficient.
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This
article was brought to you by Dr. Mercola, a New
York Times bestselling author. For more helpful articles, please
visit Mercola.com
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