Transfers/referrals

robert bell rmsbell200 at YAHOO.COM
Fri Jan 5 04:24:41 UTC 2018


Is there a problem in medicine regarding diagnoses and other errors in medicine when a patient gets transferred from one Physician/HCP to another, in or out of hospital?

Some difficulties:
One or more specialists are outside the computer system of the other.
When the physician/HCP does not usually comment on diagnoses and treatment of another, or even review what is happening to the patient on a daily basis. This even when they have access to the computer story. 
There is a culture of non-interference.
When there is an important error in the computer system that is immensely difficult to remove. E.g. “The patient has disseminated carcinoma,” when it is not true. The error repeats time an time again with differing results. 
When there are many specialists involved in a patient’s care who are not talking to each other, directly, by phone or computer and watching the diagnoses and treatments unfold.
Etc. etc.
One would ask what needs to be done? Are there barriers that need to be broken and new procedures adopted?

Do we leave as is because it is complex?

Rob Bell, M.D.





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


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