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Helping Your Doctor Help You: An Interview with Project Millennial
ByadminKARAN: Though I hope our readers all read your book, for those who haven’t just yet, I want to start with an example that touches on the issues it discusses. I recently got a bad ankle sprain. The following week, I went to a local orthopedic surgeon for it. He was a very old-school doctor; before…
The Crushing Cost Of Tracking Healthcare Quality—One Hospital’s Story
Byadmin2A whole industry is devoted to measuring, tracking and even incentivizing the quality of American hospital care. Unfortunately, that industry is horribly inefficient, costing us billions of dollars.
Quality measurement is inefficient in large part because there is no single source that hospitals (and provider systems, more generally) can use to track the quality of their care.
The Hidden Psychology of Antibiotic Prescribing
ByadminExperts in decision psychology and behavioral economics have conclusively shown that humans, those silly creatures, are not always rational decision makers. They let unconscious forces influence their thinking, and not always for the better. But of course, doctors aren’t human. Right? Well, here is some evidence of just how human we doctors are. The odds…
When Aggressive Medical Care Was More Dangerous Than Assassin's Bullets
ByadminDr. Smith Townsend knelt on the filthy train station floor, the patient lying in front of him with a bullet wound in his back. The patient was clinically stable for the moment, so Townsend turned his attention to the wound, convinced a quick removal of the bullet would offer his patient the best chance of…
When Less is More
Byadmin
Here is a news article discussing a paper I wrote with Michael Volk, in which we try to find ways to keep doctors from harming patients by finding and then getting all worked up over what we in medicine call incidentalomas–unexpected and ultimately benign findings that show up with unnecessary tests. The article is in the Archives of Internal Medicine this week.Want narcotics just ask for them?
ByadminA very disturbing new study was just published, in which physicians viewed a video of a patient with back pain asking for OxyContin. Twenty percent of docs said they would prescribe that med under that circumstance: …Too often, doctors prescribe potentially dangerous medications to patients who shouldn’t be getting them, and what they prescribe is…
