An interesting article on physician expenditures and malpractice claims

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Sat Dec 5 18:58:52 UTC 2015


Sadly, I was not surprised to see that there was no effort made to contact
any patients in this study, as if the patient's choice to pursue a
malpractice claim was not influenced by her interaction with the doctor.
Nor was there any intent to disseminate the information to patients.

But this lack, along with an admitted lack of analysis of the severity of
the illnesses involved makes me question the quality of this report overall.

Peggy Zuckerman

Peggy Zuckerman
www.peggyRCC.com

On Thu, Dec 3, 2015 at 1:04 PM, Campbell, Samuel <
Samuel.Campbell at nshealth.ca> wrote:

> Yes - the courts do not necessarily get the big picture. They hear about
> diagnoses that tests that were not clinically indicated in the context
> might have picked up (we all remember examples of these), but not the
> patients damaged by unnecessary testing!
> Sam C
>
> Samuel G. Campbell
>  MB BCh, FCFP(EM), Dip PEC(SA), FCCHL.
>  Professor, Department of Emergency Medicine
>  Dalhousie University
>  Chief, Charles V. Keating Emergency and Trauma Centre
>  Queen Elizabeth II HSC
>  1796 Summer St,  Halifax, Nova Scotia. B3H 3A7
>
>  Ph: 902-473 2020
>  Fax: 902-473 3617
> ________________________________________
> From: Jackson, Brian [brian.jackson at ARUPLAB.COM]
> Sent: December 3, 2015 4:04 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: Re: [IMPROVEDX] An interesting article on physician expenditures
> and malpractice claims
>
> Yeah, that was a little depressing, if not necessarily unexpected.
>
> What would be a lot more interesting and useful, but also much harder to
> design:  a study of correlation between "smart/appropriate" diagnostic
> testing and malpractice claims.  In other words, was the malpractice
> reduction in the BMJ study due to shotgun/low pretest probability testing,
> or due to more thorough diagnostic process, or both.
>
> --Brian Jackson
>
> Sent from my iPhone
>
> On Dec 3, 2015, at 11:40 AM, "David L Meyers" <dm0015 at COMCAST.NET<mailto:
> dm0015 at COMCAST.NET>> wrote:
>
> http://www.bmj.com/content/bmj/351/bmj.h5516.full.pdf
>
>
> David L Meyers, MD FACEP
> Listserv Moderator
> Society to Improve Diagnosis in Medicine
> Mobile/text:  410-952-8782
> Save the Date: Diagnostic Error in Medicine Conference 2015
> September 27-29, 2015, Washington DC
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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