Letter of the week: Doctors must ensure that errors do not occur due to indifference and lack of diligence

Two useful letters written by Dr. Amreena Shamit and Dr. Desmond Wai on the topic of medical errors recently appeared on the Forum (Doctors, Don’t Be Too Hard on Yourself When an Error Occurs, June 11; and Less Tolerance towards medical errors now?, June 14).

It is a useful reminder that doctors should not be too hard on themselves when an error occurs and also that errors can be seen as a learning opportunity.

But I want to point out that certain errors are not acceptable when doctors make mistakes due to their indifference in examining patients or their lack of diligence in keeping abreast of medical knowledge or ignorance of the medical histories of certain patients, which may be essential to prevent damage. to these patients.

For example, I have had patients bring me their blood tests and research results done at other clinics to explain the meaning of certain results. I was surprised to discover that certain negative results were not noted or highlighted, perhaps because they were overlooked or due to ignorance of the latest criteria.

There have been other cases where certain medications that can cause serious complications were given without proper procedures to ensure safety and patients were not told to watch for such side effects, which would mean that these medications would have to be stopped and reviewed. the treatment.

I am fully aware that the practice of medicine comes with great responsibility. But if the errors were made due to “laziness” in taking a proper history and examination, then this could be considered unacceptable despite claims of lack of time and being overwhelmed by work, because the problems involve the life and well-being of the patients.

But if mistakes occurred even though everything necessary was done, then the doctor can learn from the mistake and do much better in the future.

Doctors must be responsible to their patients and ensure that errors do not occur due to indifference and lack of diligence.

Quek Koh Choon (Dr.)