13. Second Victim
Just as a patient and family members suffer from a medical error, the healthcare provider who makes that mistake is a second victim, often riddled with destabilizing shame, perhaps ridicule from co-workers, and an impaired ability to remain effective.
Soon we'll have guidance from the Joint Commission on the need for hospitals to create appropriate guidelines and rapid response systems for healthcare providers involved in adverse events and the training and certification those programs should have to appropriately intervene.
Second victim advocate and Johns Hopkins research center director Albert Wu, MD, says that the creation of more understanding healthcare environments can encourage personnel involved in such incidents to report medical hazards. Doing so not only minimizes their own suffering, but helps assure those same errors don't happen again.
14. Narrow Networks
These are also called "high-value provider networks" by members of the health insurance industry. This is a phenomenon by which patients enrolled in the health insurance exchanges discover they may only be covered for certain services through a limited group of physicians and hospitals, often excluding more expensive academic medical centers.