Treatment more harmful than misdiagnosis in the elderly

robert bell rmsbell200 at YAHOO.COM
Sat Sep 19 04:52:24 UTC 2015


Dear Ruth,

To my mind multiple medications in the elderly are an error if there are undesirable side effects.

Misdiagnosis is said to be 30% of the error pie - but I do not know where those figures come from.

The Improve Diagnosis Society has established a consortium of societies to try and do something as per the suggestion in the article below.

However, that ignores the 70% of errors that you mention, that to me are so important and kill or maim so many.

the IOM on Tuesday is coming out with their report and that may take us further down the road to be doing something.

Rob Bell



> On Sep 18, 2015, at 12:41 PM, Ruth Ryan <ruthryan at COX.NET> wrote:
> 
> New article in Annals of Family Medicine cites a study in New Zealand from malpractice claims data showing that the elderly are more at risk from treatment errors, particularly medications than medical error.  Misdiagnosis is far down the list, #12.
>  
> Authors conclude, “The no-fault perspective reveals the greatest threat to the safety of older patients in primary care to be, not error, but the risk posed by treatment itself. To improve patients’ safety, in addition to reducing error, clinicians need to reduce patients’ exposure to treatment risk, where appropriate.”
>  
> In my view, the cascade of new recommendations to prescribe statins to virtually everyone, meds and combination meds to ratchet down cholesterol, blood pressure and blood sugar to ever lower levels ignores the special risks of polypharmacy to the elderly. As we are beginning to see with some screening recommendations, there might be a good age to quit doing that. 
>  
> It’s also interesting to read about the no-fault approach to compensation for harm from medical treatment.
>  
> Ann Fam Med 2015;13:472-474. doi: 10.1370/afm.1810. http://annfammed.org/content/13/5/472.full.pdf+html <http://annfammed.org/content/13/5/472.full.pdf+html>
>  
>  
> Ruth
>  
> Ruth Ryan RN, BSN, MSW, CPHRM
> Medical writer
> Risk management/patient safety
> Continuing medical education
> Telephone (504) 256-8797
> Email ruthryan at cox.net <mailto:ruthryan at cox.net>
> <image002.jpg>
>  
>  
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1 <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 <http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX>
> 
> 
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/ <http://www.improvediagnosis.org/>
Robert M. Bell, M.D., Ph.C.
P.O. Box 3668
West Sedona, AZ  86340-3668
USA
Tel: Fax: 928 203-4517









Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20150918/9452b38c/attachment.html> ATTACHMENT:
Name: ILM 3Q 2015 BELL pgs 34-36.pdf Type: application/pdf Size: 1062831 bytes Desc: not available URL: <../attachments/20150918/9452b38c/attachment.pdf> HTML Version:
URL: <../attachments/20150918/9452b38c/attachment-0001.html>


More information about the Test mailing list