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SUBJECTS
Medical Mistakes 34% Patients Suffered Serious Medical Mistakes Rece
Paradigm Shift of Millinneum Communication Biggest Risk in Enterpris

0904 -
0904 -    ..
0905 - Summary/Objective
0906 -
090601 - Follow up ref SDS 40 0000. ref SDS 32 0000.
090602 -
090603 -
090604 -
090605 -
090607 -  ..
0907 -
0908 -
0909 - Progress
0910 -
091001 - Reuters reported a study that found 34% of patients received wrong
091002 - medication, improper treatment, incorrect or delayed test results
091003 - during the last two years. ref OF 1 0001
091005 -  ..
091006 - The study released today was reported in Health Affairs and supported
091007 - by The Commonwealth Fund.
091009 -  ..
091010 - Health Affairs has an Internet location that mentions the article...
091011 -
091012 -              http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w5.509?ijkey=10nPOyqgRXKAM&keytype=ref&siteid=healthaff
091013 -
091014 - ...but only presents an abstract.
091016 -  ..
091017 - Thus, the Reuters article offers opinion on findings in Health Affairs
091018 - that presents a survey on patient healthcare experiences which is
091019 - presented on the Commonwealth Fund website....
091020 -
091021 -        http://www.cmwf.org/
091023 -  ..
091024 - The Health Affairs article....
091025 -
091026 -              Taking the Pulse of Health Care Systems:
091027 -              Experiences of Patients with Health Problems
091028 -              in Six Countries, ref OF 2 0001
091029 -
091030 - ...is located at...
091031 -
091032 -              http://www.cmwf.org/publications/publications_show.htm?doc_id=313012
091034 -  ..
091035 - The explanation of the survey and character of data reported appear to
091036 - represent subjective perceptions of patients remembering incidences of
091037 - perceived medical mistakes.  Nothing is presented showing verification
091038 - occurred to establish actual, frequency, and severity of mistakes.
091040 -  ..
091041 - The core finding that only 34% of patients were aware of having
091042 - experienced medical mistakes, ref OF 2 JU8L, suggests a significant
091043 - error in the study, since mistakes are routine in healthcare, reported
091044 - on 990912, ref SDS 40 0001, as in other sectors caused by the tsunami
091045 - of information density. ref SDS 40 Q45D  On 991221 a study found that
091046 - doctors do not communicate adequately with patients 90% of the time.
091047 - ref SDS 52 0001  Thus, the current study showing only 34% of patients
091048 - are aware of mistakes, when 90% of communications are defective,
091049 - suggests significant opportunity for improving medical practice
091050 - through better communications.
091052 -  ..
091053 - Reporting that errors rise when several doctors collaborate to treat
091054 - the patient, ref OF 2 00ES, aligns with experience at Kaiser reported
091055 - on 050923 showing team care practice, presented for enhancing care,
091056 - actually reduces quality, because doctors do not have time for joint
091057 - meetings that reduce mistakes, and further because Communication
091058 - Metrics that make collaboration effective for saving lives, time and
091059 - money, is avoided as unnecessary overkill. ref SDS 67 N45O  More
091060 - recently on 051027 surgeon plans to repeat failed communication
091061 - practice relying on Oncology department to notify when to perform
091062 - follow up examination, rather than provide timely 2nd opinion to
091063 - prevent repeat of past mistakes diagnosing IBC. ref SDS 68 255I
091065 -  ..
091066 - This study seems to primarily weigh customer dissatisfaction more
091067 - than it identifies problems to fix and solutions to implement.
091069 -  ..
091070 - The Human Affairs article reports a communication gap that adversely
091071 - affects patients experience, ref OF 2 J077, does not offer any clues
091072 - about actual problems and solutions.  Earlier on 991221 ABC News
091073 - reported a study found critical information is missing from 90% of
091074 - discussions doctors have with patients. ref SDS 52 0001
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