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Ignoring Patient Insight Tied to Diagnostic Error

Posted on: 2018-11-06 04:13:06

By Marcia Frellick, November 05, 2018

Patients' views are not often included in records of diagnostic errors, but new data released on November 5 suggest that patient and family narratives may contain key information that should formally be included in the system.
To learn more about how patient experience and patient-physician interactions might affect the risk for diagnostic error, Traber Davis Giardina, PhD, MSW, and colleagues analyzed r

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WRAH Jeevansanjivani- COLS Hands on training

Posted on: 2018-10-23 05:06:02

Dear friends,

Tomorrow, history will be written. The entire nation will see COLS activity getting conducted all over India. Every state chapter, city branch and every member of ISA has put in 100% efforts to make this activity a grand success.
Looking at the enthusiasm of all the members, I am really overwhelmed.

Now it is like a Snow ball rolling, it will keep enlarging in size as it rolls and will bring the avalanche like effect all acr

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Request from Dr Ashish Goel:

Posted on: 2018-10-03 05:49:57

I edited a book entitled "Doctors Do Cry" and published this in 2004. This is a collection of short stories written by doctor all over the world and patient interaction incidents that changed the way they practice. Touching stories that impacted their thinking.

This is an attempt in my part to help the society understand doctors as humans and reduce the rising incidents of conflict. This is a link between doctors and humanities that helps them

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Firstpost West Bengal passes stringent bill against medical negligence in private hospitals

Posted on: 2018-09-19 10:44:50

Sanjjeev Nehraa

"QUOTE
The West Bengal Assembly on Thursday passed a bill to regulate functioning of private health facilities, providing for up to three-year jail terms and trials under the IPC for offenders and fines up to Rs 50 lakh in case of death of patients due to medical negligence.

The West Bengal Clinical Establishments (Registration, Regulation and Transparency) Bill, 2017l, tabled by Parliamentary Affairs Minister Partha Chatte

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Types of residents

Posted on: 2018-09-19 10:42:49

Michelle M. Kittleson, MD, PhD, is Director of Education in Heart Failure and Transplantation and Director of Heart Failure Research, Department of Cardiology, Cedars-Sinai Heart Institute.

Corresponding author: Michelle M. Kittleson, MD, PhD, Cedars-Sinai Heart Institute, Department of Cardiology, 8536 Wilshire Boulevard, Suite 301, Los Angeles, CA 90211, 310.248.8300, fax 310.248.8333, michelle.kittleson@cshs.org

My parents taught me that

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Medical trainees should question why they preemptively order "routine" tests and investigations

Posted on: 2018-09-19 10:42:01

Medical students from around the world utter the Hippocratic Oath when graduating medical school as an age-old commitment to professionalism. Yet, much of what we are taught during medical school conflicts with the oath's focus on communication and shared-decision making. There is a hidden curriculum in medicine that encourages trainees to do extensive workups to demonstrate their knowledge and curiosity. Choosing Wisely campaigns, in Canada and

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Medical negligence: there are no winners

Posted on: 2018-09-19 10:41:20

No single measure will unravel the unsustainable problem of rising medical negligence costs. However, several key activities-in the context of a continued requirement to increase expenditure-might help: the promotion of candour, the advocacy of a problem-solving culture rather than one based on blaming the individual, and the improvement in quality of a service that has, for 70 years, been crucial in delivering equitable health care for millions

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The Art of Constructive Worrying

Posted on: 2018-09-19 10:40:52

Some nights I lie awake and think about patients from the past. Mistakes play back like a movie reel in my mind. Some details are now lost to me, as many of these mistakes hark back to when I was a resident. But the sick sensation of realizing an error comes back as vividly as if it were happening now. Why didn't I immediately transfer the patient with a suspected gastrointestinal bleed to the intensive care unit? Shouldn't I have made a diagnosi

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Getting Doctors to Make Better Decisions Will Take More than Money and Nudges

Posted on: 2018-09-19 10:40:19

Research has repeatedly shown that U.S. patients receive recommended care only half of the time. It is also known that patients receive non-recommended or "low-value" care as much as 20% of the time. Despite the proliferation of evidence-based guidelines to improve clinicians' practice patterns, clinicians often don't respond to them. So healthcare leaders have long wondered: what's the best way to change clinicians' behavior and improve their qu

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Anticonvulsants Don't Seem to Ease Low Back Pain

Posted on: 2018-09-19 10:35:59

Anticonvulsant medications like gabapentin and pregabalin don't appear to improve low back pain, a meta-analysis in the Canadian Medical Association Journal finds.

Researchers examined nine studies of nearly 900 patients with chronic low back pain or lumbar radicular pain. Patients received either anticonvulsants (gabapentinoids or topiramate) or placebo. Gabapentinoids had no effect on low back pain or disability, but topiramate appeared to h

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Latest Blogs

Dear friends, Tomorrow, history will be written. The entire nation will see COLS activity getting conducted all over India. Every state chapter, city branch and every member of ISA has put in 100% efforts to make this activity a grand success. Looking at the enthusiasm of all the members, I am really overwhelmed. Read More …

Anticonvulsant medications like gabapentin and pregabalin don't appear to improve low back pain, a meta-analysis in the Canadian Medical Association Journal finds. Researchers examined nine studies of nearly 900 patients with chronic low back pain or lumbar radicular pain.Patients received either anticonvulsants (gabapentinoids or topiramate) or placebo. Read More …
We have been emphasising inappropriate Care as a core patient safety issue all these years. The WHO report below reiterates the same. Low quality healthcare is increasing the burden of illness and health costs globally Read More …
She was a 15-year-old school kid; came in with multiple episodes of seizures ('epileptic fit' in street language). IV injections controlled her fits; CT scan and MRI painlessly sliced through her brain; millimeter by millimeter searching for a focus; negative. 24-hours later she was stable and ready to be started on long term medicines to prevent recurrences. Read More …

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