The Individual Error...
bgorman at KNCELL.ORG
Wed Dec 18 19:38:44 UTC 2013
On 12/18/2013 2:17 PM, Bob Latino wrote:
> 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?
I've had a few of those 'near misses' in my 72 years.
One caused me a year & a 1/2 of pure misery, which could have,
been avoided had they read my chart instead of the PDR.
But they haven't killed me - yet.
> Robert (Bob) J. Latino
> 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...
> 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???
> The Individualis statistically insignificant;
> Statistics is individually insignificant!
> - BobGorman
> http://KnCell.org/blog <http://blog.KnCell.org>
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