The Individual Error...

Bob Latino blatino at RELIABILITY.COM
Wed Dec 18 19:17:46 UTC 2013


Is it appropriate to include in your definition of Individual Error,  'near misses' where the error chain did not complete and thus did not cause damage or death?

Robert (Bob) J. Latino
CEO
Reliability Center, Inc., P.O. Box 1421, Hopewell, VA  23860
(O) 804.458.0645  (F) 804.452.2119
blatino at reliability.com<mailto:blatino at reliability.com> l http://www.reliability.com<http://www.reliability.com/>

From: Bob Gorman [mailto:bgorman at KNCELL.ORG]
Sent: Tuesday, December 17, 2013 6:48 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] The Individual Error...

Friends,
The Individual Error, I define as: when a patient is treated as one of a statistical group rather than the Individual they are, and damage or death occurs.

In many cases it's considered good medical practice to go with the statistics; it certainly avoids a lot of lawsuits.

Regardless of how many studies of hundreds and thousands of hypothetical 'subjects', the only person to ever enter your examining room is always an Individual. Their strengths, weaknesses, allergies, tolerances, habits, etc. are very specific to them.

Let's look at an example I created to explain what I mean.
You have 100 Individual patients who weigh 100 lbs. and you have 100 Individual patients who weigh 300 lbs. The statisticians would say you have 200 patients with an average weight of 200 lbs. even tho you don't have a single patient that weighs 200 lbs. Based on this, good medical practice would prescribe medication and other procedures for a 200 lb. person, for each of your 200 patients.

This would guarantee that you over prescribe for 100 of your patients, and under prescribe for the other 100. Absolutely NO patient will receive appropriate prescribing...

If you're lucky, all 200 of your patients will be slightly irritated; if you're not lucky all 200 of your patients will die.

What are your thoughts???

Bob

--
The Individual is statistically insignificant;
Statistics is individually insignificant!

- Bob Gorman
http://www.KnCell.org
http://KnCell.org/blog<http://blog.KnCell.org>

________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/








HTML Version:
URL: <../attachments/20131218/296fb3aa/attachment.html>


More information about the Test mailing list