Last updated on 2024年9月6日

How can you prevent medical errors in emergency or trauma settings?

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Emergency or trauma settings are often chaotic, stressful, and unpredictable. Medical errors can happen due to factors such as communication breakdowns, lack of resources, human fatigue, or system failures. However, as a patient advocate, you can play a vital role in preventing or reducing the harm caused by these errors. Here are some tips on how to do so.

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Anas Albashaish BSN, US-RN, AEMT, CPHQ, CIC?

MBA Student| CPHQ| CIC?| AdvancedEMT| McKinsey Forward Alumni| GBD Collaborator
John Kiragu

BScN | MPH(Health Policy,Planning& Economics)

1 Know your rights

As a patient or a family member, you have the right to be informed, involved, and respected in the emergency or trauma care process. You can ask questions, request clarifications, voice your concerns, and seek a second opinion if needed. You can also refuse any treatment or procedure that you do not consent to or that goes against your values or preferences. Knowing your rights can help you assert your role as a partner in the care team and prevent unnecessary or unwanted interventions.

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Anas Albashaish BSN, US-RN, AEMT, CPHQ, CIC?

MBA Student| CPHQ| CIC?| AdvancedEMT| McKinsey Forward Alumni| GBD Collaborator
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Empowering patients and their families extends beyond understanding medical procedures; it involves recognizing and asserting their rights in emergency or trauma care. Knowledge is key—knowing that you have the right to be informed, involved, and respected in every step of the process. This empowerment allows you to actively engage in your care by asking questions, seeking clarifications, expressing concerns, and even seeking a second opinion when necessary. Crucially, understanding that you can refuse any treatment or procedure that doesn't align with your consent, values, or preferences puts you in the driver's seat of your healthcare decisions.

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2 Communicate effectively

Communication is key to prevent medical errors in any setting, but especially in emergency or trauma situations. You can help by providing accurate and relevant information about the patient's medical history, allergies, medications, and current condition. You can also ask for clear and simple explanations about the diagnosis, treatment plan, risks, benefits, and alternatives. You can use tools such as SBAR (Situation, Background, Assessment, Recommendation) or Teach-Back to ensure that you and the health care providers are on the same page and that you understand what is happening and what to expect.

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Anas Albashaish BSN, US-RN, AEMT, CPHQ, CIC?

MBA Student| CPHQ| CIC?| AdvancedEMT| McKinsey Forward Alumni| GBD Collaborator
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Picture a pre-hospital scenario where a first responder arrives at the scene of an accident. The injured individual, although in distress, manages to communicate critical details such as allergies, medications, and current medical conditions. Utilizing the SBAR approach, the patient succinctly conveys the situation to the first responder, aiding in swift and informed decision-making. In the midst of urgency, this effective communication proves instrumental as the first responder gains a clear understanding of the patient's medical background. (Or using the SAMPLE technique. They provide details about their Signs and Symptoms, Allergies, Medications, Past medical history, Last oral intake, and Events leading up to the incident.)

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3 Be vigilant

Even with the best intentions and efforts, mistakes can still happen in emergency or trauma settings. You can be vigilant by observing the care process, checking the patient's identification and medication labels, verifying the accuracy and completeness of the documentation, and reporting any errors or near-misses that you notice. You can also be proactive by asking about the patient's safety measures, such as fall prevention, infection control, and pain management. You can also seek help from other sources, such as patient safety organizations, ombudsmen, or legal advisors, if you encounter any barriers or challenges in advocating for the patient.

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Anas Albashaish BSN, US-RN, AEMT, CPHQ, CIC?

MBA Student| CPHQ| CIC?| AdvancedEMT| McKinsey Forward Alumni| GBD Collaborator
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Imagine a prehospital scenario where emergency medical services (EMS) respond to a medical emergency at a residence. Upon arrival, the team encounters a patient with a complex medical history and a list of medications. The vigilant paramedic, aware of the potential for medication errors, takes the time to cross-verify the patient's prescribed medications with what is available at the scene. During this process, the paramedic identifies a discrepancy in the patient's reported medications, uncovering a recent change that hadn't been communicated to the EMS team. Promptly recognizing the potential risk, the paramedic contacts the patient's primary care physician for clarification. Always be vigilant and proactive to ensure safe medical care.

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4 Support the patient

One of the most important roles of a patient advocate is to support the patient emotionally, physically, and mentally during the emergency or trauma experience. You can do this by being present, listening, empathizing, and validating the patient's feelings and needs. You can also help the patient cope with stress, anxiety, fear, pain, or trauma by providing comfort, distraction, relaxation, or counseling techniques. You can also facilitate the patient's participation and empowerment by encouraging them to express their wishes, preferences, and goals, and to ask questions and make decisions about their care.

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5 Collaborate with the care team

As a patient advocate, you are not alone in preventing medical errors in emergency or trauma settings. You are part of a multidisciplinary care team that includes doctors, nurses, paramedics, technicians, pharmacists, social workers, and others. You can collaborate with them by building trust, respect, and rapport, by sharing information and feedback, by acknowledging their expertise and challenges, and by appreciating their efforts and contributions. You can also learn from them by asking for advice, guidance, or education on how to best support the patient and prevent errors.

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John Kiragu

BScN | MPH(Health Policy,Planning& Economics)
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Scenario management/leadership is key to harmonious clinical activities and care. Capacity to lead effective management of trauma patient(s) can minimize errors arising from knowledge and skills gaps, poor team dynamics ,resource-constraints. Sustaining competence /effectiveness of scenario management then needs a culture of quality.

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6 Learn and improve

Preventing medical errors in emergency or trauma settings is a continuous process that requires constant learning and improvement. You can learn from your own and others' experiences, successes, and failures, by reflecting, evaluating, and applying the lessons learned. You can also seek opportunities to improve your knowledge, skills, and confidence as a patient advocate, by accessing resources, training, or mentoring programs. You can also contribute to the improvement of the emergency or trauma care system, by providing feedback, suggestions, or complaints, and by participating in quality improvement initiatives or research projects.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can you prevent medical errors in emergency or trauma settings?

1

2

3

4

5

6

7

1 Know your rights

2 Communicate effectively

3 Be vigilant

4 Support the patient

5 Collaborate with the care team

6 Learn and improve

7 Here’s what else to consider

Patient Advocacy

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How can you prevent medical errors in emergency or trauma settings?

1

2

3

4

5

6

7

1 Know your rights

2 Communicate effectively

3 Be vigilant

4 Support the patient

5 Collaborate with the care team

6 Learn and improve

7 Here’s what else to consider

Patient Advocacy

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