Questions and Answers
Why did the ER staff miss the severity of the man's stab wound?
They did not ask the patient or EMTs what the weapon was, which was a bayonet.
Why did the man undergoing a cancer removal operation go into cardiac arrest?
The anesthesiologist gave the wrong concentration of potassium, which was one hundred times higher than intended.
In the 1970s, Gorovitz and MacIntyre published an essay on __________
the nature of human fallibility
Gorovitz and MacIntyre observed that one reason we fail is __________.
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Gorovitz and MacIntyre state we may fail due to __________.
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The second type of failure identified by Gorovitz and MacIntyre is __________.
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When was the first safe medication to treat hypertension developed?
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__________ is making sure we apply the knowledge we have consistently and correctly.
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What was the most common reason for lawsuits against attorneys for legal mistakes between 2004 and 2007?
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______ of death penalty cases are overturned because of errors.
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The_______ and _______ of what we know has exceeded our individual ability to deliver its benefits correctly.
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Study Notes
Medical Errors and Challenges
- ER staff misdiagnosed a stab wound's severity due to neglecting to inquire about the weapon, which was a bayonet.
- An anesthesiologist's mistake led to a patient's cardiac arrest: potassium was administered at a concentration 100 times higher than intended.
Philosophical Insights on Fallibility
- Samuel Gorovitz and Alasdair MacIntyre explored human fallibility in a 1970s essay.
- They identified "necessary fallibility," where some tasks exceed human capacity, resulting in failure.
- Ignorance is a primary reason for failure; our scientific understanding of the world remains incomplete.
Types of Failures
- Ineptitude constitutes a second failure type; this occurs when the necessary knowledge exists, but it is not applied correctly.
Medical Development Milestones
- The first safe medication for hypertension was not developed until the 1960s.
Importance of Eptitude
- Eptitude emphasizes the importance of consistently and correctly applying existing knowledge in practice.
Legal Sector Challenges
- From 2004 to 2007, lawsuits against attorneys for legal mistakes rose by 36%, predominantly due to simple administrative errors.
Flaws in the Justice System
- Two-thirds of death penalty cases are overturned because of errors, highlighting systemic issues in legal practices.
Knowledge Management
- The overwhelming volume and complexity of knowledge have surpassed individual capabilities in delivering benefits effectively, presenting both advantages and burdens.
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Description
Test your knowledge of critical insights from the introduction of 'The CHECKLIST Manifesto'. This quiz explores key scenarios and lessons that highlight the importance of attention to detail in complex situations. Ideal for anyone looking to deepen their understanding of effective communication in healthcare.
