Los Angeles Times

How to deal with Ebola cases here

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Re “On the Ebola trail,” Oct. 2

As a registered nurse and a retired nurse administra­tor, I was concerned about the perception that the failure to identify Ebola symptoms during the patient’s initial hospital visit focused on the nurse. Research has shown that most serious medical errors cannot be attributed to one individual but are usually the result of an organizati­onal failure.

Texas Health Presbyteri­an Hospital in Dallas likely had multiple levels of safety checks in place to identify potential Ebola patients. The Centers for Disease Control and Prevention has a checklist that should be used when assessing patients for possible Ebola, which should have been part of the patient’s medical record and available to healthcare profession­als interactin­g with the patient. The physician seeing the patient should have questioned the patient as part of his medical history.

Nurses and physicians do not come to work intent on erring; they come to work wanting to do the right thing for their patients. Sadly, errors still occur.

We can only learn from our errors if we do not place the blame on one individual but take a hard look at the organizati­on and hold everyone accountabl­e. Only then will we learn what actually happened so we can prevent such an error from occurring again.

Ann Ellenson Marina del Rey

I’m not afraid of Ebola becoming a world wide pandemic. I’m not even worried about a local outbreak in Dallas.

What’s troubling tome is the disconnect between Texas Department of State Health Services commission­er Dr. David-Lakey’s assurance— that “this is not West Africa. This is a very sophistica­ted… hospital”— and the report that Thomas Eric Duncan’s first visit to the hospital ended with doctors sending him away with antibiotic­s because “they thought clinically itwas a low- grade common viral disease.”

Antibiotic­s are not effective against viruses.

David Bortin

Whittier

News of a visitor to the U. S. from Liberia who is now known to be infected with Ebola virus is infuriatin­g. Itwas not a failure of hospital procedure that was at fault somuch as it was a failure of U. S. policy.

Any traveler from West Africa should automatica­lly be quarantine­d for the full incubation period. The Department of Homeland Security could team up with the CDC to carry out this policy. Instead, we have yet another case ( like the 9/ 11attacks) of closing the barn door after the horses are out.

W. A. Sauvageot

Tustin

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