Death within 7 days of an ER visit

Tom Benzoni benzonit at GMAIL.COM
Wed Feb 1 18:02:26 UTC 2017


Another perspective?

Sick people visit the ED.
and
All people die.
and
Sick people die in temporal proximity to a terminal illness.

This study outcome is likely a simple measure of prevailing bias/life.

tom

On Wed, Feb 1, 2017 at 10:12 AM, Mark Graber <
mark.graber at improvediagnosis.org> wrote:

> Congratulations and thanks to Ziad Obermeyer and colleagues at Harvard on
> this new study on how likely a Medicare patient is to die within 7 days of
> a visit to the Emergency Department.
>
> The authors caution that "These data should not be viewed as evidence of
> error".  Granted that some fraction of these deaths were either
> coincidental or the result of some intercurrent problem, one wonders if
> there might have been clues that were missed at the ED visit in other
> cases.
>
> Viewed from the opposite perspective, the data could also be interpreted
> as evidence of the high quality of care rendered in US emergency
> departments:  Discharge from the ED yielded a 99.9% correct assessment that
> you'd live at least another week.  It would be interesting to know what
> that figure would be in other countries, or say 30 years ago.
>
> Mark L Graber, MD FACP
> President, SIDM
> Senior Fellow, RTI International
> Professor Emeritus, Stony Brook University, NY
>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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