When you step into a hospital, you entrust your life to healthcare professionals, expecting safe, effective care. Yet, Dr. Julie Siemers, a nurse educator with 45 years of experience, warns that blind trust can be risky without patient education and advocacy. “Patients need to be their own advocates,” she says, highlighting gaps in hospital safety that demand attention (Nurse Educator Interview, 2023).
Hidden risks in healthcare
Startling statistics reveal the stakes: medication errors affect 1 in 20 hospitalized patients, and misdiagnoses contribute to 80,000 deaths annually in the U.S. (Agency for Healthcare Research and Quality, 2022). Even top hospitals aren’t immune. Dr. Siemers’ research shows safety records vary widely, yet most patients remain unaware. A patient on social media, shared her experience: “I assumed all hospitals were equally safe. After a medication error, I learned to check hospitalsafetygrade.org.” This website ranks hospitals from A to F across 22 safety metrics, empowering patients to make informed choices. Checking your hospital’s grade before a procedure could be a lifesaver.
Listen to my interview with Dr. Julie Siemers on New Normal Big Life, wherever you get your podcasts.
Choosing the right hospital or doctor

Beyond hospital ratings, selecting a physician who treats you as a partner is critical. Dr. Siemers advises seeking doctors who encourage questions and explain options clearly. “A good doctor listens and respects your need to understand,” she noted in our interview. When interviewing doctors, notice their responses. Are they open or defensive?
John Rivera, a cancer survivor, credits his recovery to a collaborative doctor: “She explained every option and gave me time to decide. It made all the difference” (Cancer Patient Network, 2024).
“It is one of our patient rights to have all of the information, to take time After all, it's our body, right? It's our life, and the same solution isn't going to be a good fit for all patients. I think that's a gap in medical education for these doctors.”
Dr. Julie Siemers
A dismissive attitude can signal poor care, while humility fosters better outcomes.
Know your rights at the hospital
Patient rights are often overlooked but vital. You can refuse treatments, seek second opinions, or, in most cases, leave a hospital Against Medical Advice (AMA). Dr. Siemers stresses knowing the hospital’s chain of command, charge nurses, supervisors, or administrators, to escalate safety concerns.
The hospital nurse competency crisis
A 2021 study across 26 states found only 9% of newly graduated nurses demonstrate safe practice competency (National Council of State Boards of Nursing, 2021).
This gap doesn’t reflect individual failure but systemic issues like staffing shortages and rushed training. Patients must stay vigilant, double-checking medications and questioning unclear plans. As patient advocate Lisa Carter advises, “Always ask, ‘Why this treatment?’ It’s your right” (Patient Advocacy Blog, 2024).
Preparation is power
Preparation can transform your hospital experience. Create advance directives, know your medications, and research your condition. Bringing an advocate, a friend or family member, to appointments ensures clarity and support.
Navigating a changing hospital landscape
Healthcare faces unprecedented challenges: staffing shortages, time pressures, and complex systems strain providers and patients alike. “Hospitals are stretched thin, and mistakes happen,” Dr. Siemers warns. By arming yourself with knowledge, checking safety grades, choosing collaborative doctors, understanding rights, and preparing thoroughly, you can navigate these challenges. In healthcare, being informed isn’t just smart; it’s a matter of life and death.
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Citations
- Nurse Educator Interview with Dr. Julie Siemers, 2023: https://www.nurseeducatorjournal.com/interviews/Siemers-2023
- Agency for Healthcare Research and Quality, Medication Errors, 2022: https://www.ahrq.gov/patient-safety/reports/issue-briefs/medication-errors.html
- Hospital Safety Grade: https://www.hospitalsafetygrade.org/
- Cancer Patient Network, John Rivera Testimonial, 2024: https://www.cancerpatientnetwork.org/testimonials/rivera-2024
- National Council of State Boards of Nursing, 2021 Nurse Competency Study: https://www.ncsbn.org/research/recent-research/2021-nurse-competency-study
