To the Editor:

Re “When Does a Nurse’s Slip-up Develop into a Crime?,” by Daniela J. Lamas (Viewpoint guest essay, Sunday Evaluate, April 17):

Though techniques totally require to improve to reduce professional medical errors, we will have to not overlook a single of the most pertinent contributors to faults that Dr. Lamas alludes to a number of situations: “overworked medical practitioners and nurses” who are “juggling many higher-tension tasks.”

Men and women want to have very affordable entry to superb health and fitness treatment. And we want our nurses and health professionals to be nutritious, nicely rested and targeted on us. So why do we assume them to choose treatment of so a lot of clients and for these kinds of long hrs? Why do we work them to their breaking issue? The answer: the bottom line.

Indeed, we need devices checks for all processes. We also want nurses and doctors who have time to hear to and evaluate our clients, and time to think about diagnostic and treatment designs. For this to take place we will have to end considering of well being care as a revenue producer for coverage companies, prescription drugs and wellbeing treatment organizations.

We will have to prioritize human wellness, not corporate wealth. The well being of all of us is at stake: clients, medical professionals and nurses.

Nancy Bermon
Nyack, N.Y.
The writer is a household medical professional and assistant professor at the Center for Spouse and children and Local community Medicine, Columbia College.

To the Editor:

As graduate college students in nursing, we discover multistage checks for treatment security, performed under the daunting eyes of our scientific instructors. At my institution, we observe a heart-rending video of a dad or mum describing the agony of shedding their child to a medication mistake, an educational working experience that leaves college students terrified — at very best — and far more frequently traumatized. We appear to work exhausted from learning and terrified of committing the exact faults that now definitely haunt RaDonda Vaught, the nurse who administered the completely wrong medicine and was convicted of negligent homicide.

As Dr. Daniela J. Lamas pointed out, this terror inculcates an angle of constant vigilance and particular accountability that exhausts and lessens critical thinking, as many scientific tests on harmful strain have demonstrated. However, the medical procedure has no respond to for running the huge responsibility of this function and the need to have to fail properly as aspect of the studying cycle.

With out a systemic reaction to properly-documented motorists of medical glitches and workarounds, such as substantial affected individual-to-nurse ratios and the inequitable liability for such glitches thrust upon the registered nurse, we will see a lot more expert nurses go away the field.

Mags Hines
Oakland, Calif.
The writer is a college student at the U.C.S.F. Faculty of Nursing.

To the Editor:

Dr. Daniela J. Lamas’s endorsement of superior units to reduce health-related errors is correct on focus on. For case in point, the now universally performed working place “time out,” a brief pause in advance of the begin of surgery to affirm that the appropriate course of action is about to be accomplished on the correct affected individual and to allow everyone in the running place to categorical any fears, has tremendously decreased erroneous-web page and other avoidable surgical mistakes.

On the other hand, there is a different reality that must be pointed out and strongly emphasized when adjudicating health-related problems: Well being care experts are human, and wherever humans are involved glitches will inevitably happen. When human mistake will become a criminal offense, we are all in difficulty — and not just in the location of wellness treatment delivery.

Mitchell Stein
Scarsdale, N.Y.
The author is an ophthalmologist.

To the Editor:

Re “The Unseen Scars of the Distant-Controlled Kill” (front website page, April 17):

The evolution of army weaponry has to become much more destructive, far more indiscriminate and remotely impersonal. The catchphrase “destroying the enemy’s will to combat,” generally accompanied by dehumanizing propaganda, turned the justification in Globe War II for large-scale destruction of nonmilitary targets and mass killing of noncombatants. It was possible since it was completed remotely, impersonally.

But drones have manufactured warfare own, have humanized the enemy, have challenged the operator’s sense of morality, typically destroyed his self-image, and — in Capt. Kevin Larson’s situation, informed in the posting — taken his existence.

Sad to say, we have come to settle for it as just a further casualty of war.

K. Neal Snyder
Columbus, Ohio
The author is a retired Air Pressure colonel.

To the Editor:

Re “The Culture Wars Have Absent World-wide,” by David Brooks (column, Sunday Evaluation, April 10):

Just after many many years in which pundits have been advertising us on globalization’s democratizing magic, it turns out that much of the world is busily rejecting Western values. But this really should occur as no shock.

The entire world is massive. It’s crammed with the variety the West claims to price. As globalization advancements, it in a natural way adapts to the tradition — and the values — of the region embracing it.

To assume that China, for illustration, would someway turn into extra like the West and embrace its democratic values as a response to globalization ignores the power of culture and displays a Western bias.

Just for the reason that our values have been rejected somewhere does not suggest that globalization is useless. Know-how assures that globalization will keep on to advance, but its advance will be independent of our values, and in accordance to the values of the cultures participating in its march. The failure of globalization, if there is any, is in the West’s presumption that globalization appear and truly feel Western.

The irony is that the phrase “globalization” by itself implies an embrace of all items and lots of approaches, not just the Western way.

Dean Foster
The writer is the founder and president of Dean Foster World wide Cultures, a consulting firm for company operating globally.