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When We Do Harm:a Doctor Confronts Medical Error
[Hardback - 2020]
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Category: Medical
Sub-category: Medical
Additional Category: Sociology
Publisher: Beacon Press | ISBN: 9780807037881 | Pages: 272
Shipping Weight: .55 | Dimensions: 6.28 x 1.01 x 9.26 inches

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Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety.

Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation.

Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms.

While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

When I started medical school, I had no idea that I would become a writer. I'd completed a PhD in the biochemistry of endorphin receptors, and planned to become a bench scientist with a once-a-week clinic to see patients.But during residency, I fell in love with patient-care, and realized that I'd have to put bench research aside. After three years of training, I took off some time to travel. I spent 18 months on the road, working occasional medical temp-jobs to earn money, and then exploring Latin America for as long as my money would last.It was during these travels, during this first true break from medicine, that I started writing down the stories of my medical training at Bellevue Hospital. I had no intentions about a book, or publishing at all, but I just needed to unload some of the stories that had built up over the years.When I came back to medical practice, writing kept itself going in my life. Then I helped found the Bellevue Literary Review, which was another way to incorporate literature into medicine. Now, my time is split between clinical medicine, teaching, writing, editing, my newest hobby--cello, (and of course my three wonderful children!).

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