"They should pass out this book
to all families who have loved ones in hospitals." Robert Adair, MD, Santa Monica, CA
"As an RN who has also had critically ill loved ones in the
hospital, I feel that this book is an important and empowering tool.
It covers the process from beginning to end and enables the reader
to navigate the system while still being supportive of the healthcare
community." Leslie Platt, RN, Lakewood, CA
"If I'm ever a patient in the hospital, I want a family member
there 24/7. It's not that the nurses are incompetent, they are just
overworked." Kathy, RN, Buda, TX
Patient Overload
When your loved one is a patient in the hospital, your natural
instinct might be to surrender control to the hospital staff
because you believe, "they know what they are doing."
And they do.
But the first thing you must be aware of is that no matter
how skilled and committed the nurses and physicians are in
your loved one's case, most cannot overcome patient overload.
That translates to a higher probability of medical error.
There is something you can do.
Nationwide Nursing Shortage
There is a nationwide, drastic nursing shortage, which means
fewer nurses to tend to your loved one. Even if there is a
nurse-to-patient ratio law in your state (1:5), in all likelihood
the hospital has had to cut back on support staff so it has
the financial ability to hire the required number of registered
nurses. In many cases, your hospital has had to cut Certified
Nursing Assistants (CNAs), Licensed Vocational Nurses (LVNs),
nurse's aides, respiratory therapists, lab technicians, and
part or all of their discharge planning departments. That
means the registered nurses are now doing not only their own
jobs, but also the jobs of the staff who have been cut.
There is something you can do.
Nurses and doctors are overworked and overwhelmed. Most
claim they cannot do the job they aspire to. Many hospitals
are not able to provide the precision of care necessary to
avoid the highly publicized number of preventable, fatal,
medical errors that occur with their patients.
Older Patients, Baby-Boomer Generation
Because hospitals are now restricting admissions to patients
who need care the most, patients are now sicker than ever
before. Translation? Doctors and nurses are caring for patients
who need more of their attention.
There are now more older patients because of the baby-boomer
generation. This increases the number of patients with multiple
medical issues, who are at risk of falling out of bed and
breaking bones or contracting a hospital disease that could
kill them. Because of this, nurses have to pay even more attention
to this patient population because they are more at risk.
Spread of Hospital - Acquired Infectious Diseases
The spread of infectious diseases (pneumonia, MRSA, etc.)
has increased to shocking proportions. That means there's
even more for nurses and doctors to monitor and keep track
of.
Hospitals are Struggling to Survive Hospitals today are struggling to survive in an environment
where authority is in the hands of the insurance companies,
rather than patients and their families. Rapid advancement
in technology makes ever more expensive treatments in wide
demand. Karen Blanchard, MD, Santa Monica, CA
Hospitals are now inundated with patients who don't have insurance
and who don't pay their bills. Hospitals are struggling just
to keep up as well.
Doctors are Overworked
To compound the above issues, doctors are required by insurance
companies to see more patients in less time. Their time is
divided among patients they see in their offices, in the hospitals,
and in surgeries. This is part of the reason that the role
of physician's assistant is becoming so popular. Doctors just
can't keep up.
Typical
Family Member Story
Gail's mother was admitted to a hospital in New York. Here
is what she said:
"There were horrible, life threatening holes with regard
to hospital processes and procedures - mistakes with medication,
delays with procedures and treatments, hospital politics regarding
who got to decide which patients were treated first. There
was a lack of 'team' communication between physicians, nurses,
and administrators."
"Also delayed or no response to nurse call buttons, lack
of attention to my mother's skin/body condition. We finally
hired a private duty aide to care for her at night when we
were not there."
"It is frightening to think about those patients who
were not lucky enough to have family at their sides. The head
nurse was particularly helpful, more so because she saw how
dedicated we were. It was sad to hear that our behavior was
so unusual."
The Fifth Annual HealthGrades Patient Safety in American Hospitals
Study, 2008, found that patient safety incidents resulted in
238,337 potentially preventable deaths during 2004 through 2006.
HealthGrades previously estimated that within the entire population,
not just Medicare patients, there were 575,000 preventable deaths
caused by medical errors over three years. read
more...
CBS News (Jan. 17, 2003) "American hospitals are in serious
crisis, from large numbers of uninsured patients to spiraling
costs, from outlandishly expensive prescription drugs to a severe
and dangerous shortage of nurses." read
more...
Time Magazine (May 2006) reported in its cover story, "What
Doctors Hate About Hospitals," that "Until proper
safeguards are built into the system, what a patient needs most,
many doctors agree, is a sentinel—someone to take notice,
to be an advocate, ask questions." read
more...
ABC News (Oct. 14, 2005) reported that tens of thousands die
each year because of the spread of infectious diseases in hospitals.
read
more...
ABC News (Nov. 14, 2006): New Report Sheds Sobering Light
on Hospital Infections. Infections Acquired During Hospital
Stays Kill More People Than Breast Cancer, Auto Accidents
and Aids Combined read
more...
New England Journal of Medicine (May 30, 2002) reported that
when there are too few registered nurses at bedsides, patients
are significantly more likely to suffer serious complications,
such as internal bleeding and even death. read
more...
Newsweek (Dec. 12, 2005) reported that "Nurses are the
key to safety in hospitals and nursing homes. You are not
admitted to the hospital for medical care but for nursing
care." read
more...
ABC World News Tonight (Jan. 21, 2006) reported that "Patients
in hospitals today are sicker than 20 years ago." read
more...
American Hospital Association 2006 Survey reported that "Hospitals
face workforce shortages that are affecting patient care.
Lawsuit abuse has caused medical liability premiums to rise,
disrupting many of the nation's hospitals' ability to provide…
services for the communities that depend on them." read
more...