Brian Goldman: Doctors make mistakes. Can we talk about that?
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http://www.ted.com Every doctor makes mistakes. But, says physician Brian Goldman, medicine's culture of denial (and shame) keeps doctors from ever talking about those mistakes, or using them to learn and improve. Telling stories from his own long practice, he calls on doctors to start talking about being wrong. TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes. Featured speakers have included Al Gore on climate change, Philippe Starck on design, Jill Bolte Taylor on observing her own stroke, Nicholas Negroponte on One Laptop per Child, Jane Goodall on chimpanzees, Bill Gates on malaria and mosquitoes, Pattie Maes on the "Sixth Sense" wearable tech, and "Lost" producer JJ Abrams on the allure of mystery. TED stands for Technology, Entertainment, Design, and TEDTalks cover these topics as well as science, business, development and the arts. Closed captions and translated subtitles in a variety of languages are now available on TED.com, at http://www.ted.com/translate If you have questions or comments about this or other TED videos, please go to http://support.ted.com
Kommentare
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as fire is surrounded by smoke so as work surrounded by errors
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I enjoyed this lecture, and I applaud Dr. Goldman. It's certainly nice to see a doctor behaving like an actual HUMAN, and not a cold robot, as they are so often perceived. Because as humans, doctors are going to make mistakes, sometimes really grave mistakes. But it happens, clearly. Sometimes, the doctor does not take the Dr. Goldman approach and own up to what they did wrong and may even blame the patient, for whatever reason. While I agree with Dr. Goldman with much of what he discussed, I don't agree that the career of a health professional boils down to "those that do and those that don't". It's not black and white, there are those that will try their hardest and still won't recieve perfect outcomes. In regards to the issue of doctors and mistakes, I believe that communication is a big issue there. Of course, there are doctors that communicate as best as they can and yet still encounter mishaps; life happens. But the patient-doctor communication problem is a major contributor to malpractice suits and the like. Doctors feel rushed, their patience diminishing as the day wares on, may tend to be short with their patients, which is not fair to them. This leads to the patients not getting a full understanding of their diagnosis, or to them feeling like 'another number'. This is an unfortunate issue that hopefully changes in the future as doctors, such as Dr. Goldman, take responsibility for themselves. But I think we can all agree: doctors are human too, maybe deep down, but they are.
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I enjoyed this lecture, and I applaud Dr. Goldman. It's certainly nice to see a doctor behaving like an actual HUMAN, and not a cold robot, as they are so often perceived. Because as humans, doctors are going to make mistakes, sometimes really grave mistakes. But it happens, clearly. Sometimes, the doctor does not take the Dr. Goldman approach and own up to what they did wrong and may even blame the patient, for whatever reason. While I agree with Dr. Goldman with much of what he discussed, I don't agree that the career of a health professional boils down to "those that do and those that don't". It's not black and white, there are those that will try their hardest and still won't recieve perfect outcomes. In regards to the issue of doctors and mistakes, I believe that communication is a big issue there. Of course, there are doctors that communicate as best as they can and yet still encounter mishaps; life happens. But the patient-doctor communication problem is a major contributor to malpractice suits and the like. Doctors feel rushed, their patience diminishing as the day wares on, may tend to be short with their patients, which is not fair to them. This leads to the patients not getting a full understanding of their diagnosis, or to them feeling like 'another number'. This is an unfortunate issue that hopefully changes in the future as doctors, such as Dr. Goldman, take responsibility for themselves. But I think we can all agree: doctors are human too, maybe deep down, but they are.
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wow, 50 was shock... my pulse was 34 and I was conscious and the hospital said it was from a medication and sent me home dizzy... I went home and put my feet up above my heart and luckily didn't pass out. You wouldn't believe how abused my family and I have been by medical professionals. Glad people are talking about things... thanks.
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Great speech and Amazing facts
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Amazing video, truly.
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I am an ER physician and I do remember... Dr Goldman, thank you so much for being honest and real. We all do mistakes but we live with it alone, with no support and no help. This is so much weight on our shoulders. You made me feel better and give me strenght to do my job with even more humanism and love. People need me to treat them, even if I am not perfect. But I DO CARE. Your message is important and worth teaching.
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Great presentation, Dr. Goldman
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awesome
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Brian, I have complete respect for your honesty and courage you aspire in bringing up this crucial topic in healthcare. First, I would like to say physicians do make mistakes and it is inevitable because as human beings we are not perfect. Brian mentioned that physicians are not robots and every case is addressed differently because every patient is different. Although it’s aware that as human beings we make mistakes, it still makes us negligent for our actions. Being negligent is the absence of giving appropriate care to prevent harm to your patient. In Brian’s first mistake, he talks about how he sent his patient home without contacting his attending first. By doing this, he was not giving his patient the appropriate care. This action led to the death of his patient. Physicians may make mistakes but they are still being negligent. Negligence can be intentional and unintentional. Brian’s stories are obviously unintentional. He did not mean to look over symptoms or cause his patient to die. Doctor’s mistakes deal with the principle of nonmaleficence. The principle of nonmaleficence is an obligation we have to prevent causing harm to others. To conclude, yes mistakes are inevitable but be aware that for every mistake you were negligent either intentionally or unintentionally and that you are not fulfilling your obligation to your patient according to the principle of nonmaleficence.
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I think that's something that we all need to keep in mind. Doctors are people just like us. In which means that they make mistakes, just like us. Doctors are human, not robots. And I think that is a huge issue in healthcare. Brian mentioned malpractice. If we didn't let people sue for stupid things, doctors wouldn't have to pay so much in malpractice insurance. And if that's the case, we could probably lower the cost of health care. I commend him for being able to speak up about the things he is not proud of in order to help others out there. Being a doctor is a tough job. The human body is so complex that I can understand why misdiagnosis can occur. But should doctors really be shamed for being human. I think Brian is doing a great job by breaking down those barriers and opening up communication pathways for other clinicians. I think if more doctors talked about their mistakes, there would be less mistakes because everyone could learn from each other. On top of that, I think doctors do make mistakes because so much is asked of them. Like I stated above, the human body is so complex. When a doctor only has a limited amount of time with a patient how are they really getting to know what that patient needs and what is really wrong with them. I think our current health care system does not help this situation. Doctors need to have the time to understand issues of patients because their 10 minutes is up and it is time to move onto the next one.
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I got chills
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Amazing speech! Bravo :)
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He exhibits superb speaking skills.
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"i do remember"!!!!!
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Those last 3 words really did it for me. The value of mistakes has been underestimated...
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Awesome speech!
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I support Brian Goldman's perspective on the acceptance of doctors making mistakes.
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If I would be a doctor I`d support him totally and talk about my mistakes because it`s very important not to repeat the mistakes.
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Thank you Brian for teaching about this, please go on talking about it and never stop. From what you say though (reactions of docs in your hospital) there are still WAY too many arrogant lying doctors around injuring more people and NOBODY learning from the errors so the same mistakes get repeated worldwide year after year and decade after decade. This is CRIMINAL.
I was very seriously injured in the UK by NHS doctors and not only did they lie, deny and cover up their errors (some SO basic even a trainee wouldn't have got it so wrong) but they prevented me from getting remedial care and their lies to my GP and to counsellors ensured they too treated me completely wrongly and my GP refused to believe my truth and blindly accepted the guilty docs' lies so he treated me as IMAGINING I was seriously injured: somatising, or malingering or looking for attention - or all of those.
Not being believed (because 'doctors don't lie') is the cruellest thing you can do to anyone who's very badly injured, I couldn't talk very well because of brain, throat/neck and neuro injury and desperately wrote, made phone calls, had a farce meeting with the anaesthetists (choreographed probably by a man in a suit who oh, arrived exactly as we were ending, who hustled them quickly away = for a de-brief I expect, no consent from me).
Doctors must be taught (as you rightly say) NOT to expect perfection but even MORE important it they must be taught to be HONEST and OPEN afterwards. All rules say they must but many of them care more about themselves than their patients = what does THAT say about the doctors? WHY don't medical schools TEST on integrity, candour and openness and FAIL any/all who are shown to be arrogant, liars, bad communicators, lacking compassion - and morals/ethics = WHY are these not made TOP priority from the start and definitely BEFORE docs (nurses and ALL healthcare professionals - and in my case also COUNSELLORS and psychiatric nurses) are allowed to practice?
The NHS (and ALL healthcare - as you know) have SO much to learn. They (the NHS) claims it DOES want to learn, promises to decade after decade but REFUSES to learn = it's a lie.
I'm looking forward to looking at Ben Goldacre's video about pharmaceutical drugs because docs in the UK NEVER warn about risks of anesthesia/surgery or unwanted effects of drugs or report these as they should, my GP didn't for my nasty reaction to sulphonamides so ALL risks are FAR higher than stated, obviously, so NO patient has ever given informed consent to ANY operation. I had to ASK about unwanted effects when GP+ tried SO hard to get me to take antidepressants to change me and 'help' me deal with the knowledge they were ALL covering up my injuries and new disability. Tired now, loads to say but must stop. Just please carry on!