New NPSF Patient Safety Survey

Ruth Ryan ruth at RYAN-GRAHAM.COM
Sat Sep 30 20:07:54 UTC 2017


I don't know about the UK, but in the US, you have only to attend a family function, cocktail party or discussion in the break room to hear someone's tale of diagnostic error in their family, confirming for me the general accuracy of these surveys.

Our American hospital and healthcare system is payer- and profit-driven, with all the wrong incentives and reimbursement patterns deeply entrenched. All of which serves to promote siloes, fragmentation of care, patients falling through the cracks, systems barriers, cognitive pitfalls, overwork, cacophony and interruptions for clinicians, nurses and others.  It's a miracle when a medical encounter or hospitalization goes entirely right.

Ruth
rom: Jason Maude [mailto:jason.maude at ISABELHEALTHCARE.COM]
Sent: Friday, September 29, 2017 5:13 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] New NPSF Patient Safety Survey

Tom
These are essentially three surveys with good sample sizes over a period of 20 years asking broadly the same questions and coming up with consistent results. We can argue whether the respondents were right but it's what they think and that's important. Any industry that got these kind of results from customer surveys should be seriously concerned.

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com<http://www.isabelhealthcare.com>
_____________________________
From: Tom Benzoni <benzonit at gmail.com<mailto:benzonit at gmail.com>>
Sent: Friday, September 29, 2017 10:33 pm
Subject: Re: [IMPROVEDX] New NPSF Patient Safety Survey
To: <improvedx at list.improvediagnosis.org<mailto:improvedx at list.improvediagnosis.org>>



Simplest analysis first: "Say" occurs 53X in this document, "data" once referring to "say", "verify" or "found" = 0X.

"Data is not the plural of anecdote." (for more: https://sites.google.com/site/skepticalmedicine/the-plural-of-anecdote-is-not-data)

As someone who was working until 2200 last night doing this then spending 2 more hours completing the EBR (some call EMR, but that's another discussion) I want a lot more intellectual rigor before I'm on the bandwagon.
I am concerned that we here lack the skepticism about ourselves (meta-cognition/introspection) that we have when viewing others. Some might place this phenomenon with "CDR":https://lifeinthefastlane.com/ccc/cognitive-dispositions-to-respond/

So let's apply a technique of cognitive debiasing on this listserv and find what's wrong with this paper.
If the paper is correct in it's assertions, then we'll circle back around to it; the findings will be stable.

Let us first disagree with ourselves (without being disagreeable) and see what happens.
After all, any hack lawyer can argue their own side; the expert argues the opposition's.
tom

On Thu, Sep 28, 2017 at 9:45 PM, Mark Graber <Mark.Graber at improvediagnosis.org<mailto:Mark.Graber at improvediagnosis.org>> wrote:
http://www.ihi.org/about/news/Documents/IHI_NPSF_Patient_Safety_Survey_Fact_Sheets_2017.pdf

The NPSF has just released the results of a recent patient safety survey conducted nationwide:

  *   Twenty-one percent of Americans say they have personally experienced a medical error and 31 percent have been personally involved with the care of someone who has experienced an error.
  *   The most commonly reported type of error are those related to diagnoses. Among those who have experience with a medical error, 59 percent say that the patient had a medical problem that was not diagnosed, was diagnosed incorrectly, or a diagnosis was delayed.


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
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
Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
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

Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
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

Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/






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


HTML Version:
URL: <../attachments/20170930/e1b594eb/attachment.html>


More information about the Test mailing list