other murky, messy Dx-related terms

Alan Morris Alan.Morris at IMAIL.ORG
Thu Apr 10 01:40:37 UTC 2014


Thank you.

I have not appended a list, Lorri, because of the following argument.
Language (words) is one of the major features that distinguish humans from the rest of the animal kingdom.  I teach residents that the most important models we use in Medicine are the same as the most important models we use in all human intercourse.  They are words.  Words must be used with accuracy and precision to maximize communication.  We are discussing, in this email conversation, the vague and sloppy use of words.  While this practice is common in ordinary conversation and everyday life, it is harmful in scientific and medical discourse.  It interferes with clear expression and with systematic application of many things, including diagnostic terminology

This is a large problem domain that would not be well-served by a list, in my opinion.

Alan
From: Lorri Zipperer <Lorri at ZPM1.COM<mailto:Lorri at ZPM1.COM>>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, Lorri Zipperer <Lorri at ZPM1.COM<mailto:Lorri at ZPM1.COM>>
Date: Wednesday, April 9, 2014 1:14 PM
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
Subject: [IMPROVEDX] other murky, messy Dx-related terms

Thank you Alan for bringing the conversation back to a broader issue ;-).

Messiness of terminology is problematic in many facets of patient safety.

What terms do you think cause the most trouble in trying to not only communicate with our professional peers, but with our patients and families around Dx error and improvement efforts?

When you respond to this question – pls note either “peer” or “patient” in the subject line above to streamline the comments abit.

Thanks –

Lorri

Lorri Zipperer, Cybrarian and editor
Zipperer Project Management

Patient Safety: Perspectives in Evidence, Information and Knowledge Transfer
http://www.gowerpublishing.com/isbn/9781409438571 (May 2014)
ISBN 978-1-4094-3857-1

Knowledge Management in Health Care
http://www.gowerpublishing.com/isbn/9781409438830; 2014.
ISBN: 978-1-4094-3883-0
lorri at zpm1.com<mailto:lorri at zpm1.com>
www.zpm1.com
http://www.linkedin.com/pub/lorri-zipperer/0/661/904
Blog
http://patientsafetylib.blogspot.com/

Data: nurse numbers
Information: nurse textbooks
Evidence: nurse effectiveness
Knowledge: nurse experience


From: Alan Morris [mailto:Alan.Morris at IMAIL.ORG]
Sent: Wednesday, April 09, 2014 12:24 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: Re: [IMPROVEDX] CANNOT MAKE THE DIAGNOSIS?

Those of you who have paid attention to my past suggestions about standardization might see in this exchange the problems that surface when standards are absent.  Some would assign to chronic renal insufficiency those whom others think normal.
Have  a nice day.

Alan H. Morris, M.D.
Professor of Medicine
Adjunct Prof. of Medical Informatics
University of Utah

Director of Research
Director Urban Central Region Blood Gas and Pulmonary Laboratories
Pulmonary/Critical Care Division
Sorenson Heart & Lung Center - 6th Floor
Intermountain Medical Center
5121 South Cottonwood Street
Murray, Utah  84157-7000, USA



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