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The Preventable Death of Michael Skolnik: An Imperative for Shared Decision-Making

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Patient Safety in Surgery

Abstract

This case report describes the ‘worst-case’ experience of a patient and patient’s family with the medical field that resulted in the horrendous suffering and the unnecessary death of Michael Skolnik. This chapter provides a root cause analysis of contributing factors leading to a young man’s preventable death, related to poor communication, lack of experience, improper monitoring, negligent medical care, and absence of a formal ‘shared-decision-making process’ with the patient and the patient’s family.

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Reference

  1. Makary M. Why patient harm is one of the leading causes of death in America. Interview with Marshall Allen of ProPublica, 9–18–12. http://www.propublica.org/article/qa-marty-makary-m.d.-author-of-unaccountable

Further Reading

  • Makary M. Unaccountable: what hospitals won’t tell you and how transparency can revolutionize health care. New York: Bloomsbury Press; 2012.

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  • Mauffrey C, Stahel PF. Shared decision making—the importance of open communication with our patients. Bone Joint J; Feb 2013.

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  • Mayer DB, McDonald T. The faces of medical error—from tears to transparency. The Story of Michael Skolnik. DVD, Solid Line Media; 2010.

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  • National Patient Advocate Foundation. (www.npaf.org).

  • Patient Advocate Foundation. (www.patientadvocate.org).

  • To err is human: building a safer health system. Institute of Medicine; 1999.

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  • Wen L, Kosowsky J. When doctors don’t listen: How to avoid misdiagnoses and unnecessary tests. New York: St. Martin’s Press; 2013.

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Correspondence to David M. Skolnik BASW .

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© 2014 Springer-Verlag London

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Skolnik, P.J., Skolnik, D.M., Butler, N. (2014). The Preventable Death of Michael Skolnik: An Imperative for Shared Decision-Making. In: Stahel, P., Mauffrey, C. (eds) Patient Safety in Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4369-7_33

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  • DOI: https://doi.org/10.1007/978-1-4471-4369-7_33

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4368-0

  • Online ISBN: 978-1-4471-4369-7

  • eBook Packages: MedicineMedicine (R0)

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