本期播客深入探讨了病人安全问题，由外科医生、公共政策研究员Marty Makary主讲。内容涵盖了医疗差错的风险、改进进展以及阻碍因素。节目重点分析了RaDonda Vaught护士误用药物的案例，探讨其对病人安全的影响。此外，节目还提供了如何在医院为亲人维权的建议，以及减少医疗差错死亡率的措施，并展望了未来病人安全的改善。通过对历史、案例、以及未来方向的分析，节目旨在提高公众对医疗安全的认识。

🏥 医疗安全的历史与挑战：节目首先回顾了病人安全的发展历程，探讨了可预防的医疗差错，以及推动病人安全协议改变的因素。

✅ 医疗安全的改进：Marty Makary讨论了病人安全领域取得的进展，例如中心静脉导管感染率的显著下降，以及手术安全检查清单的应用，这些都对提高病人安全起到了重要作用。

🚨 RaDonda Vaught案件的影响：节目深入分析了护士RaDonda Vaught因误用药物被判过失杀人案，探讨了该案件对病人安全领域产生的负面影响，以及对护理人员的影响。

👨‍👩‍👧‍👦 如何在医院为亲友维权：节目还提供了在医院为亲友争取权益的实用建议，强调了病人和家属在医疗过程中的积极参与的重要性。

💡 未来展望与改进措施：Marty Makary提出了减少医疗差错死亡率的必要改变，并指出了当前国家资金机制中的盲点，呼吁加大对病人安全的研究投入，以期进一步改善病人安全状况。

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Marty Makary is a surgeon, public policy researcher, and author of the New York times best-sellers Unaccountable and The Price We Pay. In this episode, Marty dives deep into the topic of patient safety. He describes the risk of medical errors that patients face when they walk into the hospital and how those errors take place, and he highlights what amounts to an epidemic of medical mistakes. He explains how the culture of patient safety has advanced in recent decades, the specific improvements driven by a patient safety movement, and what’s holding back further progress. The second half of this episode discusses the high-profile case of RaDonda Vaught, a nurse at Vanderbilt Hospital convicted of negligent homicide after she mistakenly gave a patient the wrong medication in 2017. He discusses the fallout from this case and how it has in some ways unraveled decades of progress in patient safety. Furthermore, Marty provides insights in how to advocate for a loved one in the hospital, details the changes needed to meaningfully reduce the death rate from medical errors, and provides a hopeful vision for future improvements to patient safety.

We discuss:

• Brief history of patient safety, preventable medical mistakes, and catalysts for major changes to patient safety protocols [0:12];
• Advancements in patient safety and the dramatic reduction in central line infections [14:55];
• A surgical safety checklist—a major milestone in patient safety [23:03];
• A tragic case stimulates a culture of speaking up about concerns among surgical teams [25:19];
• Studies showing the ubiquitous nature of medical mistakes leading to patient death [29:42];
• The medical mistake of over-prescribing of opioids [33:48];
• Other types of errors—electronic medical records, nosocomial infections, and more [35:43];
• Importance of honesty from physicians and what really drives malpractice claims [40:26];
• A high-profile medical mistake case involving nurse RaDonda Vaught [47:31];
• Investigations leading to the arrest of RaDonda Vaught [59:48];
• Vaught’s trial—a charge of “negligent homicide” [1:05:16];
• A guilty charge and an outpouring of support for Vaught [1:12:09];
• Concerns from the nursing profession over the RaDonda Vaught conviction [1:18:09];
• How to advocate for a friend or family member in the hospital [1:20:22];
• Changes needed for meaningful reduction in the death rate from medical errors [1:26:42];
• Blind spots in our current national funding mechanism and the need for more research into patient safety [1:31:42];
• Parting thoughts—where do we go from here? [1:35:48];
• More.

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