Treatment more harmful than misdiagnosis in the elderly
rmsbell200 at YAHOO.COM
Sat Sep 19 04:52:24 UTC 2015
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.
> 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 Ryan RN, BSN, MSW, CPHRM
> Medical writer
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