Biases of a different kind. A way Forward?

ROBERT M BELL rmsbell200 at YAHOO.COM
Tue Feb 26 17:23:33 UTC 2019


Thanks Kimberly,

Agree with "building more accountability and transparency" - that could be a mantra for almost all endeavors.

And you could also ask the question, who should receive most care?

Rob

> On Feb 26, 2019, at 4:08 AM, Applegate, Kimberly E <keapple at UKY.EDU> wrote:
> 
> Thank you for your insight and courage. It reminds me of my favorite saying 'The system is designed perfectly to get the result it gets.'
> Building more transparency and accountability would help.
> Kimberly
> 
> 
> From: Robert Bell <0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG <mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG>>
> Sent: Tuesday, February 26, 2019 12:14 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: [IMPROVEDX] Biases of a different kind. A way Forward?
>  
> Dear all,
> 
> I have been on line with this and one other organization dedicated to errors in medicine.
> 
> I could be wrong but there seems to be no major advances in terms of the estimated rising numbers of patients still experiencing error.
> 
> There are the small things all over that one would guess would save a few lives, and occasionally a big study that saves many lives globally, e.g. Dr. Pronovost’s catheter study. But not too many.
> 
> Why is this?
> 
> I would argue that it is mainly due to biases, yes biases, but not the ones we often talk about.
> 
> We all have ideological biases that in most come from the persons walk through life and upbringing.
> 
> But then there are the loyalty biases that often come from where one's money/salary comes from, and maybe from an organization of which one is a member.
> 
> One notices the absence of comment on this list from time to time about certain topics.
> 
> These biases, I believe, inhibit many from speaking up and suggesting new creative ideas that could be breakthroughs in medicine if adopted.
> 
> I do not have a magic wand on how to break through all the barriers, but have noticed a few things.
> 
> It seems that retired persons are more free to speak out than others.
> 
> Women, seem to speak out more often.
> 
> And Think Tanks which employ their own experts frequently speak out.
> 
> And finally we must not forget imaginative leadership - some people have immense abilities to make a difference by fostering collaboration, getting things done, and saving lives.
> 
> So with all these, how to break through the obstacles, and in error terms, have the equivalent of putting a women or a man on the moon, or having a cure for HIV/AIDS in 10 years, that in turn leads to dramatic reductions in deaths and injuries due to error!
> 
> Would welcome thoughts.
> 
> Rob Bell, M.D.
> 
>  
> 
> 
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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