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When we go to the hospital in need of medical care, we place our implicit trust in physicians to help us, rather than hurt us. The research team, led by Martin Makary of Johns Hopkins University School of Medicine, analyzed data from a series of nationwide studies and concluded that medical errors are the third leading cause of death in the United States, accounting for over 250,000 deaths each year. The problem, according to Makary, lies in a lack of comprehensive data recording and nationwide standardization. In addition, there is a surprising amount of variance in the way healthcare is delivered from hospital to hospital.
The results of Makary’s report aren’t just disturbing because the death rate from medical errors appears so high, but because they suggest a massive lack of oversight in the medical industry as a whole. This entry was posted in Medical Malpractice and tagged British Medical Journal, Centers for Disease Control, Johns Hopkins University, Medical Errors by Phillips and Lyon. Medical errors include preventable complications, diagnostic errors and communication breakdowns. Estimates of how often people die not from a disease but from the care they received is based on limited and outdated methods, Prof. If confirmed, and if deaths from medical errors were considered a disease, then medical errors would rank as the third leading cause of death in the U.S.
He proposes ways to estimate medical errors more accurately, make health-care systems more reliable and share findings in the U.S. Add a field to death certificates to note whether a preventable complication stemming from the patient's medical care contributed to the death. Have hospitals carry out rapid and efficient independent investigation into deaths to see how they  potentially contributed to error. By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. SHAME has also proposed a 15 day waiting period on new surgical procedures and a Federal requirement to register all pre-existing conditions in a national database, but only for statistical purposes.
In the months since the release of the IOM report, many questions about the data have arisen. The distinction between error and preventable adverse event may seem insignificant, but it is not. Despite these questions, the IOM report itself is largely constructive rather than critical. I think that most of us in the health care provider community recognize in this the clear ring of truth. Meanwhile, medicine has become exponentially more complex, in both its scientific underpinnings and escalating administrative burdens superimposed by a nation struggling with how to finance its health care. Today, health care organizations are increasingly adopting systematic approaches to quality improvement. Acceptance of this concept represents a sea change in attitudes within health care organizations and has created an atmosphere fortuitously receptive to the IOM report. Nevertheless, as Brennan points out in his New England Journal article, medical errors have been declining in recent years, especially in areas such as anesthesia.
First, Emory Healthcare leadership is deeply committed to patient safety and minimizing medical errors.
Full and accurate reporting of preventable adverse events is an important element of error-reduction programs. Despite these efforts, no health care organization knows the precise rates of preventable adverse events.
For almost 10 years, Emory Hospitals have used clinical pathways to help reduce preventable adverse events, such as pressure sores and postoperative blood clots.
Nevertheless, because of the inherent high risks of the medication process, we are further increasing our emphasis on medication safety. The joint P&T group is dissecting the medication process from physician's order to administration of the medication by the nurse. We are addressing the physician-ordering step first and have agreed on a small number of basic standards for clear and acceptable orders. We implemented these ordering standards in July to coincide with the arrival and orientation of new residents. In the long run, information technology will go a long way to help reduce medical errors and increase patient safety. This is a rapidly evolving field, and we anticipate declining costs and more ease of implementation.
Despite the major challenges currently confronting the American health care system, I believe that we are on the verge of a "golden age" of health care.
Endocrinologist Bill Bornstein is associate administrator and chief quality officer for Emory Hospitals. Clamps, scissors and other surgical instruments are seen in the operating room at Johns Hopkins Hospital on June 26, 2012 in Baltimore, Md.
They said a careful count of all deaths from preventable medical errors shows between 200,000 and 400,000 people a year die in the U.S. Number three, according to the Centers for Disease Control and Prevention, is chronic obstructive pulmonary disease or COPD, with 149,000 deaths.
Health policy experts and many doctors have been trying to call attention to the problem of medical errors for more than a decade. One problem is that errors are not usually put down on death certificates, said Makary, who's been helping lead the movement to disclose and prevent medical mistakes. He and Daniel used four studies that analyzed medical death rate data from 2000 to 2008, including one by the U.S. But sometimes a patient is given the wrong prescription, or the wrong dose of a drug, or sent home without someone making sure they have an important follow-up appointment. The Institute of Medicine called for a culture of confession in its 1998 report on medical errors. Exposing the errors and admitting to them can help hospitals do a better job of preventing them the next time, Makary argued.
A report last year found that most Americans will get a wrong or late diagnosis in their lifetimes. The federal government's been working on this and said in 2014 that hospitals are making fewer mistakes. Home Consciousness Is Science Finally Catching up to What The Ancients Knew About Crystals? Despite the plethora of anecdotal evidence that exists on the healing powers of stones and crystals, the debate continues to rage in the scientific community over whether crystals actually have any real healing power.
As a trained research scientist, I am naturally critical and curious about everything in my life. About six months later my boyfriend Jimmy Ohm took me to a crystal healing course taught by a Reiki Master, Thao Le, who walked us through a bunch of different stones, allowing us to hold them and perceive their energies. Crystals are millions of years old, forged during the earliest parts of earth’s formation.
Crystals are essential to the functioning of our modern technologies, because of the way their balanced, ordered structure emits consistent frequencies and allows them to store a tremendous amount of information. I feel strongly that crystals have been important in my healing and my spiritual growth, and I know that I am not alone in this. According to the Book of Stones, “When we bring the crystal into our electromagnetic field, two things occur. For millennia, crystals, minerals and gem stones have been used to bring about healing and enhance physical, emotional and spiritual balance. The Ancient Egyptians: Used crystals for protection and health, and buried the dead with a piece of quartz on their forehead to help guide them to the afterlife. Ancient Greeks: Rubbed themselves with crushed hematite before going into battle thinking that it would make them invincible. India:  The Hindu Vedas, the sacred 5000 year old religious texts, discuss the use of different crystals to treat certain medical ailments, as well as the specific properties of different crystals. Mayans, Aztecs and Incans: All three of these societies understood the power of using crystals for balance and healing on physical, emotions and spiritual levels. Indigenous Tribes: American Indians and indigenous tribes of Australia have used, and continue to use, crystals to diagnose and heal illness. Ancient Chinese: the 5,000 year old practice of Chinese Medicine often incorporates crystals for their healing powers, including the use of crystal needles in modern day Chinese acupuncture and Pranic Healing. Ancient Japanese: The ancient Japanese were skilled at the art of scrying, using transparent crystal balls to produce visions.
Tibetan Buddhists have considered quartz crystal spheres to be objects of great holy, spiritual power, believing their properties could even assist with enlightenment.
Neolithic Man: The use of talismans and amulets dates back to the times of prehistoric man, with the oldest crystal amulet, made from Baltic Amber, dating back over 30,000 years. I recently came into contact with some Shungite (pictured above) and after learning about its history, origin and uses, I have to say it is one the most interesting crystals I have ever encountered. Fullerenes were discovered by Robert Curl, Richard Smalley and Harold Kroto earning them the Nobel Prize for Chemistry in 1996.


In terms of shungite being the most powerful healing crystal ever discovered, it is certainly possible, at least in terms of its abilities to absorb free radicals. It will be interesting to see how the research into the healing powers of shungite and other crystals progresses, and whether science will continue to catch up with what many of us already intuitively know: Crystals and stones are more than just random rocks, they really do have the power to heal. This included bad doctors, miscommunication between departments, administering the wrong drug or the wrong amount of a prescribed drug, etc.
Others believe that without federal requirements in place to report errors, hospital lack the ability to track, investigate and subsequently train for improvement.
Sure, medical malpractice happens, but we’d like to think that these cases are few and far between.
Department of Health and Human Services and another from the Agency for Healthcare Research and Quality which was conducted between 2000 and 2008.
The Centers for Disease Control and Prevention, for example, doesn’t require that hospitals report errors in death reports.
Physicians must deliver a satisfactory standard of care, but the healthcare industry doesn’t dictate standards that govern how they deliver that care. Unless a federal agency such as the CDC begins gathering comprehensive data about medical errors, it’s unclear how hospitals will be able to quell the problem and prevent further harm to patients. Martin Makary and research fellow Michael Daniel, of Baltimore-based Johns Hopkins University, say in Wednesday's issue of The BMJ (formerly the British Medical Journal). By submitting your comments, you acknowledge that CBC has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. As part of their testimony, SHAME is expected to push for legislation that bans medical errors and makes it a Federal crime, punishable by 5-10 years in prison.
The simple step of making medical errors illegal will have an immediate impact and will save lives.
At least 44,000 to 98,000 deaths may occur annually as a result of medical errors in US hospitals. To a large extent the initial reaction was, "yes, we can and should strive to reduce errors." The accuracy of the numbers was viewed as perhaps not so important.
It is clear that errors are underreported and that such review is necessary to ascertain the true rate of "preventable adverse events." This latter term is used synonymously with medical error in the IOM report. He points out in a recent article in the New England Journal of Medicine that preventability is often a subjective concept and that, in most cases, direct evidence of actual errors was not seen in the chart. For example, investigators in these studies assumed that many post-operative hemorrhages and wound infections could have been avoided with more scrupulous care. In July, the Journal of the American Medical Association ran point-counterpoint articles on the IOM report. The report emphasizes that the cause of most of these events is neither negligence nor carelessness but, rather, the result of the inevitability of human errors. Unusual hours of continuous work during and after training have been part of the price of admission and a badge of honor. Until recently, American society has eagerly accepted our model of infallibility almost to the point of questioning natural mortality itself. Though coming to health care later than to many other industries, the methods of systems gurus such as Edwards Deming and Joseph Juran are being widely embraced. All agree that medical errors are vastly underreported, primarily because of liability concerns. For some time now, anesthesiologists have focused on simple but important measures to reduce errors -- gas fittings that prevent the connection of wrong gases, consistency among anesthesia machines as to the direction in which controls operate, and work hours based on human performance data, to name a few. The components of Emory Healthcare were early adopters of system redesign for process improvement and have been using these techniques for the past decade or so. Only by knowing the rate of such events can we measure the effectiveness of our error-reduction efforts. We strive to create a nonpunitive culture in which reports of such events are truly valued. Painstaking chart review, like that done in the Harvard Medical Practice Study and the Colorado and Utah hospital study, is likely to remain the gold standard for the foreseeable future, and, as already pointed out, even this approach has its limitations.
Emory Hospitals already have in place many of the medication safety measures recommended by the IOM.
This year, Emory Hospitals have designated medication safety as one of their prime performance improvement focus areas.
We know from the literature that the majority of errors in this process occur at the physician-ordering step. These include a clear and legible signature and contact number to facilitate contacting the physician for clarification when a potential error is intercepted by the downstream safety net. In parallel, a series of educational initiatives are targeted at existing residents and attending physicians. Emory Hospitals are rolling out a new antibiotic order form in parallel with the new ordering standards. For example, optimally designed and implemented interactive direct physician order-entry systems with real-time decision support will have enormous beneficial effects on quality, safety, efficiency, and costs of care. The increase in diagnostic and therapeutic tools over the past two to three decades is staggering. In 1999 the Institute of Medicine released a landmark report estimating that as many as 98,000 people died every year from medical errors. Department of Health and Human Services' Office of the Inspector General and the Agency for Healthcare Research and Quality. I think it's a real number, and it matches what I see in hospitals every day," Jha told NBC News.
In this analysis we look specifically at complications that were considered preventable because substandard care was administered," he said. For example, a basic internet search reveals many articles claiming crystal healing to be pseudoscience. Despite having a fascination with rocks and crystals in childhood, I forgot about them and was drawn away from them during my time in school and doctoral training. I use them on myself during Reiki, I apply them in healing sessions for others, I sleep with them under my pillow, I grid my house out with them, I keep them in my car, and I gift them to loved ones and random strangers.
Maybe this is just the placebo effect and these crystals that resonate so deeply with me are just dumb rocks, but on some deeper, spiritual level, I know that this is not the case. They are the most orderly structure that exists in nature, meaning they have the lowest amount of entropy (a measurement for disorder). As I mentioned earlier, Silicon is used in every single computer and cell phone processor, and liquid crystals comprise the display screens of these devices. I have participated in many healing sessions with people who claim to feel the benefits of the crystals.
The answer comes in the form of energy, frequency and vibration (which, according to Nikola Tesla, are the key to understanding the universe!) Remember, crystals have been shown to oscillate at their own frequencies, and even respond to the input of vibrations. The electromagnetic frequencies carried by the stone will vibrate with related frequencies in our own energy field through the physical law of resonance, creating a third larger vibration field.
The ancients must have somehow known that when worn, the energies of the stones would interact with the human electromagnetic field to bring about subtle energetic changes. Dancers wore rubies in their bellybuttons to enhance their sexuality, and a necklace over the heart was intended to bring love into ones life. They were used in medical treatment and to attract desirable things, enhance health and provide protection in battle.
Crystals were used to diagnose and treat disease, well as to see the future through divination. Many of the stones used in their traditional jewelry are thought to contain healing powers, including Agate, Turquoise, Onyx and more. Quartz crystal spheres were thought to represent the hearts of dragons, which symbolized power and wisdom.
In Buddhism, the Medicine Buddha is called “Healing Master of Lapis Lazuli Radiance,” and its rituals include meditating on lapis lazuli.
Estimated to be about 2 BILLION years old, Shungite is about 98% carbon by weight, and is only found in one place on earth, Karelia in the Lake Onega region of Russia. It is a compound containing 60 carbon atoms shaped like a closed hollow cage which resembles a soccer ball. Peter the Great put a spa at the Karelia in the 18th century after experiencing the anti-bacterial properties of the water, and used the stone to provide purified water for his soldiers. There are also many other powerful crystals out there being used in a variety of different ways, including some of my favorites: Super Seven Quartz, Tourmaline, Ajoite, Celestite, Larimar, Kyanite, Citrine, Herkimer Diamond, Lapis Lazuli, Malachite and so many more (this is a great list of healing crystals and their properties).
Kelly Neff is a renowned psychologist, author, founder of The Lucid Planet and the host of the hit new show, Lucid Planet Radio.
The report, which researched studies from the years 2000-2008, estimates an average of 700 wrongful deaths a day. This study shines a light on a serious issue that hospitals are not addressing with the general public.
According to a recent report published in the BMJ, however, medical errors that result in patient death are alarmingly common.
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These numbers, if accurate, would make hospitals the eighth leading cause of death in America and do not even include medical errors in the outpatient setting.
The areas of greatest controversy continue to center on error reporting, especially liability protection and whether error reporting should be mandatory or voluntary. What exactly constitutes a medical "error?" Is the death rate due to medical errors really analogous to a large jetliner falling out of the sky every day or two?
The 1991 Harvard Medical Practice Study reviewed hospitalizations in 1984 and identified 98,000 deaths related to errors.
Clement McDonald and colleagues of the Regenstrief Institute of the Indiana University Center for Aging Research argue that the number of deaths attributed by the IOM report to "preventable adverse events" is exaggerated. The theme is not that we must "do better" as individuals but rather that we must acknowledge our individual fallibility and implement systemic approaches to reducing and intercepting errors.
This fortuitous timing, in addition to the prestige of the IOM, may explain why the report is having such profound impact.
Health care providers have generally ignored human performance studies, viewing them as being applicable to more mortal populations. Huge liability has been assigned to what, in other settings, might be viewed as simple, inevitable errors. The crux of the message is that better processes, not greater individual efforts, produce the greatest enhancements of quality and productivity.
Improved reporting of errors is not likely to occur without liability reform or at least protection. The death rate from anesthesia has fallen progressively from one in 3,000 to 4,000 in the 1950s to an estimated current rate of one in 200,000 to 300,000. Second, although we have focused on improving patient safety and reducing preventable adverse events for some time, the IOM report is helping us increase awareness of these efforts and accelerate their pace. Furthermore, analysis of these events gives us the opportunity to introduce system changes to prevent their recurrence.
Moreover, this type of chart review is highly resource consumptive and impractical on a wide scale. Among these measures are the use of unit dosing, central pharmacy supply of high-risk medications, and pharmaceutical decision support. Fortunately, there are multiple downstream opportunities for these errors to be intercepted by the pharmacist, pharmacy information system, or nurse, for example. This is one of those trivial sounding measures that can have dramatic impact and extend beyond medication orders to all orders.
Such systems are presently extremely expensive, challenging to implement, and not really available "off the shelf." Poorly designed and implemented systems can introduce new sets of risks and problems. In the meantime, there are plenty of opportunities to optimize manual processes to enhance safety.
However, the enormous knowledge base now underpinning the practice of medicine has contributed to present discomforts.
In fact, one recent study argues that crystals have absolutely no healing power and that the placebo effect accounts for people’s healing experiences with them.
Then in my late 20’s, during a highly tumultuous time in my life, I began meditating, and during my meditations I began to see visions of crystals. Crystals are structured in such a way that they respond to the inputs of all different energies around them, leading them to oscillate and emit specific vibratory frequencies.
Quartz (a type of silicate mineral) is used in watches and clocks to help them tell time, because it helps stabilize and regulate the flow of energy. Fellow crystal advocate Jordan Pearce from Spirit Science has done some really great work on this topic, ranging from this wonderful Crystal Movie about spirituality and crystals, to this list of 38 Awesome Crystals for Spiritual Growth, to his support of the Crystal Movement. The cells in the human body also vibrate at certain frequencies, as do the chakras (the centers of the human energy body). The nervous system is attuned to these shifts in energy and transmits this information to the brain. Aryuvedic medicine has also recognized the healing powers of crystals for hundreds of years.
Indeed, shungite appears to be an incredibly effective water purifier, removing almost all organic compounds including bacteria (and other microbes), nitrates, heavy metals,  pesticides, volatile organics, pharmaceuticals, chlorine, and fluoride.
She has reached millions of people with her articles on psychology, transformation, and wellness, which have been featured on websites like The Mind Unleashed, Mind Body Green, My Tiny Secrets, and now, The Lucid Planet. That’s nearly 251k deaths per year ranking above other preventable causes such as accidents (136k) and suicide (42k).
This would rank the lethality of US hospitals ahead of motor vehicle accidents, breast cancer, and AIDS. In his rebuttal, however, Lucian Leape of the Harvard School of Public Health contends that the figures probably underestimate the problem. Furthermore, given the lack of excellent baseline data, improved reporting of errors will initially result in an apparent increase in errors.
As one authority in this field has elegantly put it, each report of a preventable adverse event is a potential treasure. For the present, we must focus on putting in place systems of known benefit rather than waiting to be guided by precise metrics of error rates.
We even use a robot (affectionately called Hal) in the pharmacy to dispense bar-coded medications into carts before they are taken to the floor.
In addition, the pharmacy and therapeutics (P&T) committees of Crawford Long Hospital and Emory University Hospital (which also serves as the Emory Clinic P&T committee) meet jointly on a regular basis to focus on medication safety. Other elements of a minimally acceptable order include avoiding all but a few standard abbreviations and special rules for using zeros and decimal points. Only by aligning our understanding of human performance, process optimization, and information technology, can we truly deliver safe medical care and fulfill the promise of this unprecedented expansion of medical knowledge and tools. Because the crystal lattice is so balanced and orderly, the energy it emits is consistent, and when dissonant energy is inputted, it is balanced and transformed into a harmonic energy. Earlier this year, The Mind Unleashed reported how a clear piece of Quartz crystal can be used to store data for up to 300 million years! So when we come into contact with a crystal, its vibration interacts with the vibration of the cells in our body.
Interestingly, the placement of crystals on the crown on a royal’s head could activate their crown chakra, and the same goes for a necklace over the heart chakra, rings on fingers for energy meridians, and earrings to stimulate reflex points.
As a result, cancer researchers are currently investigating fullerenes for their anti-tumor effects, arguing that they offer promise in anti-cancer therapy. Shungite water has been shown anecdotally to help with a variety of ailments including asthma, anemia, allergies, gastritis, erectile dysfunction, cardiovascular disease, kidney disease, liver disease, diabetes, immune system deterioration, and chronic fatigue. More than 250,000 people die each year as the result of errors committed under the care of a physician. However, experts in the field agree that simple system-redesign measures such as those just described may deserve most of the credit. Such medications include those prescribed to treat allergic drug reactions and those that reverse the effects of narcotic pain relievers and certain sedatives. But I brushed it aside, still new to listening to my intuition, and figured I was just having random hallucinations. Or are they are some of the most powerful and intriguing materials on this planet, necessary for the functioning of modern technology? It kind of makes you wonder if all jewelry was initially intended to connect healing stones to different energetic points on the body?! Perhaps the most interesting is the account of pharaohs who carried a copper cylinder and zinc cylinder each filled with quartz, to balance the Ka and Ba energies of the body (equivalent of Ying & Yang today). Shungite water can be made by allowing the stone to soak in a container of water for up to 72 hours and then drinking 2-3 glasses per day.
Neff spent seven years as a psychology professor where she helped thousands of students learn about health, relationships, love and sexuality, and co-authored the groundbreaking manual in her field, Teaching Psychology Online. The Harvard study identified 19% of the adverse events as drug related, while 14% were wound infections and 13%, technical complications.
Readmission diagnoses are scanned for evidence of hospital-acquired infections or other possible adverse events. Ruby crystals were an important part of the first ever laser developed by Bell Laboratories in the 1960’s, and it is still used today for its abilities to focus and concentrate energy. Crystals have also been used burials, in divination, and in healing rituals for thousands of years. She has reached millions of people with her articles on psychology, transformation, and wellness, which have been featured on websites like The Mind Unleashed, Mind Body Green, Wake-Up-World, My Tiny Secrets, and now, The Lucid Planet.
Neff is an avid participant in the visionary art, music and culture scene in her home state of Colorado and beyond. You might find her traveling the globe to give workshops, speeches and do research at transformational festivals.



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