By: Marty Makary
Published: The Wall Street Journal; September
21, 2012; http://online.wsj.com
Level of Difficulty: ***
BEFORE YOU READ
-
How
frequent do you imagine medical errors to be?
-
What
do you base your opinion on?
-
Has
anyone you know been the victim of a medical error?
-
What
safeguards to you recommend to reduce medical errors?
NOTE TO THE STUDENT
Take notes as you read concerning
the reasons for the problem, the effects of the problem and the solutions. You
will be using these notes for the writing task.
QUESTIONS
Read carefully as far as “Online Dashboards”
- The purpose of comparing plane crashes and
medical mistakes is to draw attention to a surprising fact. It is:
.........................................................................................................
- A lot of doctors break the oath they take
on starting the profession because of: .................
- How would you express the purpose of
paragraph three? Use your own words.
- What does “this” refer to in the sentence
“It doesn’t have to be this way”?
- Why was a famous surgeon nicknamed Doctor
Hodad? Use your own words.
- Despite his poor operating skills, Doctor
Hodad was very popular. This was due to .................
- Doctors’ reaction to whistle blowing is
explained in detail in paragraph seven. What is the ultimate aim of
doctors in acting as they do? You will need to use your own words.
Read “Online Dashboards carefully.
- The writer proves that success ratings are
not a completely alien concept. He does this by mentioning:
.......................................................................................................................
- The example of the New York hospitals is
discussed to support the contention that ...............
Read “Safety Culture Scores” carefully.
- Focus on the example at the beginning of
the section. The nurse had the confidence to speak up and voice her
concern because that hospital probably had
.................................................
- The two reasons why the writer prefers
videos over notes are .................................................
- What conclusion can we draw from the
example of the colonoscopy and that of hand washing?
Read “Open Notes” carefully.
- Select the odd one out: Open notes are
advocated :
a.
So
that patients can better understand the reasons for the procedures and
treatment recommended.
b.
So
that doctors don’t miss any information the patients provide.
c.
So
that patients can have online access to doctors’ notes
d.
So
that good communication between doctors and patients can be ensured.
Read “No More Gagging” carefully.
- The banning of the gag order will provide
much greater ...................................................
- What are the three advantages of the
above?
WRITING TASK
Use the
notes you made while reading each section to write a summary of the text.
HOW TO STOP HOSPITALS KILLING US KEY AND
TEACHER’S NOTES
This is a brilliant little text concerning a
global issue which lends itself beautifully to summary practice. I am sure
there must be videos you can watch beforehand on the internet. I would also
expect there to be lively discussions.
- Medical mistakes kill enough people each
week to fill four jumbo jets.
- An unspoken rule: to overlook mistakes of
their colleagues.
- Possible answer: to indicate how serious
the problem is/ the gravity of the situation.
- It doesn’t have to miss the mark this
often.
- Possible answer: Because he killed or
otherwise injured a lot of his patients.
- His impeccable bedside manner.
- To damage (attack or harm) the whistle
blower’s reputation; OR To prevent him from getting a job. To get him
called to the hospital chairman’s office won’t do. We don’t know what
happens there.
- A survey of New Yorkers that found that
approximately 60% look up a restaurant’s performance ratings before going
there.
- Every hospital should have an online
informational dashboard.
- Good teamwork
- They could be used for peer based quality
improvement; they are a more substansive record for future doctors.
- Doctors perform better when they know
someone is checking their work
- C
- Transparency or dialogue
- The cost crisis can be addressed; safer
care can be delivered; how doctors are seen by the community can be
improved.
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