Rate of misdiagnosis getting worse!

Shapiro, Barbara Barbara.Shapiro at UHHOSPITALS.ORG
Sun Oct 1 11:32:17 UTC 2017


Yes, you are so correct.


Barbara E. Shapiro, M.D.,Ph.D.
University Hospitals Cleveland Medical Center




From: Mark Gusack
Sent: 9/30/17, 4:55 PM
To: Society to Improve Diagnosis in Medicine
Subject: Re: [IMPROVEDX] Rate of misdiagnosis getting worse!
Peggy:

It's worse than that.  I have been a risk manager in the past and an expert witness as well as a hospital medical director.  My experience is that those physicians who should be pursued by the lawyers are not, while those who shouldn't are!  The same is true regarding how healthcare facilities treat their better physicians.  Poorly.  Whereas, those who are clearly not fully competent tend to be protected.

Therefore, the system tends to select out and eliminate the truly best doctors while promoting those who are not into positions where they carry on this same selection in a form of feed forward.  Given the rapid advancement of medical "science" and the need for critical/rational thought regarding the medical literature and the practice guidelines based on it, this cycle of feed forward is leading to thoughtless diagnostic processes.

It's a sorry state of affairs which undermines safety, quality, and value of care:

RISK: Our patients are made less safe by being taken care of by less competent doctors
QUALITY: Our patients experience more pain, suffering, and frustration
UTILITY: The less competent physicians always order far more tests then they should and then can't properly interpret or follow up on them

Looking forward to seeing everyone at DEM 2017 in Newton, MA next week.  I have a bunch more posters I hope everyone will take a look at.

Mark Gusack, M.D.
President
MANX Enterprises, Ltd.

On 000000040134e744-dmarc-request at list.improvediagnosis.org> wrote:

Peggy

Its disheartening that you even mention that lawsuits are a "solution" or remedy for the current state of affairs

Lawsuits rarely improve hospital care processes: instead,  they are helping bankrupt our healthcare system via the over usage if defensive medicine , forcing doctors to change their practice patterns , and actually can hurt future pts

As an high risk pregnancy obstetrician  practicing in a highly litigious state , I have been sued approx 12 times in my 25 yr career and have three active lawsuits against me right now ... (american families unfortunately have an unrealistic perception of the ability of modern obstetrics to prevent fetal injury and harm)

Litigation is one important reason why the cesarean rate in the USA is around 33%

And the repeat cesarean rate is around 90%

Which can and does result in harm to women

Simple example of inappropriate litigation : a parent carries a familial gene for a thrombophilia (gene that predispose to blood clots), the baby develops a stroke before birth resulting in harm, family sues because the baby wasn't delivered "before the stroke" ; hospital system settles the case to avoid prolonged and expensive litigation

Obviously true medical errors do occur but the tort system is filled with cases of harm that were not the result of medical error (at least in obstetrics)

We need to focus on revamping the tort system and developing a "no-fault injury compensation" system similar to the vaccine manufacturer system whereby hospitals are encouraged/mandated to report true errors (in order to fix the relevant etiologies)

And where the injured pts are duly compensated and included in the remediation process

Respectfully
Tom

Thomas Westover MD
Vice Chair NJ section
American College OBGYN
Chair: NJ Hospital Association Statewide Perinatal Safety Collaborative
Cooper Medical School
Camden NJ

Sent from my iPhone

peggyzuckerman at GMAIL.COM> wrote:

Jason, I would say that most patients are either too busy trying to deal with the consequences of the medical errors, or think that these errors are atypical--that they had the single bad doctor or single poor hospital.

Furthermore, as they come to understand that they have been harmed, there is no clear way to correct those errors or even bring some attention to a problem.  Often, the only option seems to bring a legal suit, and few patients have the heart or financial resources to do that.

Peggy

Peggy Zuckerman
www.peggyRCC.com<http://www.peggyRCC.com>

On Fri, Sep 29, 2017 at 8:05 AM, Jason Maude <jason.maude at isabelhealthcare.com<mailto:jason.maude at isabelhealthcare.com>> wrote:
The NPSF has just published an updated survey (attached with my highlights) of Americans’ experiences of medical error with pretty shocking results.

As a survey, we may think less of it but it essentially repeats and expands on questions from the first one done in 1997 and also one which our founding charity commissioned in 2005. The results are very consistent across all them. They also all used sample sizes of well over 2,000.

The shocking take away for me is that effectively the number of Americans who say they have experienced a misdiagnosis personally or of someone close to them is 24%, up from 17.5% in 2005. This is almost 1 in 4 of the adult population!

Either the figures are rubbish or how is it there are not riots on the streets?!

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886<tel:+44%201428%20644886>
Tel: +1 703 879 1890<tel:(703)%20879-1890>
www.isabelhealthcare.com<http://www.isabelhealthcare.com/>




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