When healthcare hurts. doctors share their darkest hours, Matthijs Buikema, Paperback

When healthcare hurts. doctors share their darkest hours, Matthijs Buikema, Paperback

When healthcare hurts

There are two kinds of doctor: those who have been involved in a serious incident and those who will be involved in a serious incident at some point in the future, sometimes as a result of their own error, and sometimes due to the circumstances under which they must carry out their work. It is usually a combination of both, and subsequently the doctor almost always feels responsible for the unintended harm caused to the patient. It is difficult to discuss this kind of experience with others. Openness requires courage, but also an environment that is prepared to listen without prejudice. These are factors that are currently by no means commonplace in the medical world. Medical professionalism is often confused with infallibility. This, however, is a dangerous illusion, it prevents health care providers learning from each other's mistakes, and so creates an obstacle to making health care safer. In this book, several well-established Dutch physicians share with us a very personal glimpse into a past they are not proud of, but one that forms an inherent part of their professionalism. They hope to contribute to a culture in which it is normal to talk constructively with each other about the darker side of healthcare, about the vulnerability and fallibility of health care providers. Openness as a medication, a form of acute care in a medical emergency. "When Healthcare Hurts" was made possible by the support of the University Medical Center Utrecht, the Netherlands, and produced in cooperation with Harry Molendijk (Centre for Patient Safety of the Isala Clinics, Zwolle), Ian Leistikow (Patient Safety Center of the UMC Utrecht) and CBO. The author, Matthijs Buikema, is a freelance journalist.

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When healthcare hurts

WHEN HEALTHCARE HURTS<br />There are two kinds of doctor: those who have been involved in a serious incident and those who will be involved in a serious incident at some point in the future, sometimes as a result of their own error, and sometimes due to the circumstances under which they must carry out their work. It is usually a combination of both, and subsequently the doctor almost always feels responsible for the unintended harm caused to the patient. It is difficult to discuss this kind of experience with others. Openness requires courage, but also an environment that is prepared to listen without prejudice. These are factors that are currently by no means commonplace in the medical world.<br /><br />Medical professionalism is often confused with infallibility. This, however, is a dangerous illusion, it prevents health care providers learning from each other's mistakes, and so creates an obstacle to making health care safer. In this book, several well-established Dutch physicians share with us a very personal glimpse into a past they are not proud of, but one that forms an inherent part of their professionalism. They hope to contribute to a culture in which it is normal to talk constructively with each other about the darker side of healthcare, about the vulnerability and fallibility of health care providers. Openness as a medication, a form of acute care in a medical emergency.<br /><br />The author, Matthijs Buikema, is a freelance journalist.<br /><br /><br />DIT NOOIT MEER (2009)<br />Er zijn twee soorten artsen: artsen die betrokken zijn geweest bij een ernstig incident en artsen die betrokken zullen worden bij een ernstig incident. Soms ten gevolge van een eigen fout, soms ten gevolge van de omstandigheden waaronder de arts zijn werk moet doen. Meestal is het een combinatie van beide en bijna altijd voelt de arts zich nadien verantwoordelijk voor het onbedoelde leed dat de pati‘nt is aangedaan. Dit nooit meer. Het is moeilijk om een dergelijke ervaring te delen. Hier open over zijn vergt moed, maar ook een omgeving die bereid is om onbevooroordeeld te luisteren. Dit zijn factoren die nog lang niet overal gemeengoed zijn. <br /><br />Medische professionaliteit wordt vaak verward met onfeilbaarheid. Dit is een gevaarlijke illusie. Het hindert zorgverleners om te leren van elkaars fouten en vormt hiermee een drempel om de zorg veiliger te maken. In dit boek gunnen enkele gevestigde medici ons een intieme blik in een verleden waar zij niet trots op zijn, maar dat een inherent deel vormt van hun professionaliteit. Zij hopen hierdoor bij te dragen aan een cultuur waarin het normaal is om open en opbouwend met elkaar te praten over de donkere zijde van de zorg, over de kwetsbaarheid en feilbaarheid van zorgverleners. Openheid over feilbaarheid, als medicijn, als eerste hulp bij een medisch ongeval. <br /><br />Matthijs Buikema is freelance journalist.<br /><br />

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