- Joined
- Oct 21, 2016
- Messages
- 219
- Reaction score
- 320
@johnny_bananas, what do you mean? an African or European swallow?
@johnny_bananas, what do you mean? an African or European swallow?
We've finally figured out the cause of all preventable death!Vascular events
Infection
Cancer.
Very finite small buckets with easy directed solutions.
That would be Tim the enchanter. I still don't get it.That line was asked to a specific character in the movie. That shall be your quest, then you will know.
Vascular events
Infection
Cancer.
Very finite small buckets with easy directed solutions.
He's a troll.That would be Tim the enchanter. I still don't get it.
Some free advice, if you have to explain a joke, it's not funny!He's a troll.
Haven't heard that before. Very creative.Some free advice, if you have to explain a joke, it's not funny!
Ahh, and I was mistaken. That is in fact the bridge troll who Arthur asks that to, not to Tim who led them to the murderous rabbit and the ultimate use of the holy hand grenade. I clearly need to watch it again. It's probably been a decade. Mea culpa.He's a troll.
We lose because we're in an end-stage capitalism hellscape within a society that has aggressively discourages feelings of connection. Docs calling other docs idiots is a time honored tradition (I'm remembering surgery M&Ms in the late 90s) that has possibly improved with time.I’m not seeing the outrage. The diagnostic error rate from these data sets is what it is; it may be close to accurate, it may be off by several orders of magnitude. Who cares? What makes me think that it may be closer to reality is that fact that EM’s performance is right on par with other out-patient specialities - despite all of the challenges inherent to working in the ED. So, to the extent that a diagnostic accuracy problem exists, it would be a health system issue, not an EM specialty problem.
The other aspect of the study that seems to comport with prior experience and data is that a small proportion of illnesses are responsible for a disproportionate number of missed diagnoses and harm. They are the common offenders - missed stroke, MI, vascular and cord catastrophes, etc. They are the classic atypical presentations of lethal diseases or lethal diseases masquerading as common ailments that are the bane of our existence. The paper even notes the problem with testing inaccuracies when dealing with these drivers of bad outcomes. Again, this would suggest that EPs are lacking the hardware (tests) rather than the software (expertise) to make the diagnosis.
No, I don’t think that this paper should have been blasted out to the lay media in the manner that it was. We can thank the mentality that drives us to Tweet every finding as soon as it passes peer review for that. On the other hand, we need to think long and hard about how much treasure we want to spend to try and improve this “problem” because it’s going to take an expensive system overhaul to meaningfully improve it.
Oh, and then there is the issue of doctors calling doctors idiots behind the anonymity of the internet. Yeah, this is why we lose.
Ahh, and I was mistaken. That is in fact the bridge troll who Arthur asks that to, not to Tim who led them to the murderous rabbit and the ultimate use of the holy hand grenade. I clearly need to watch it again. It's probably been a decade. Mea culpa.
There are some who call me..................Tim?
The castle guards are the ones who imbue Arthur with that knowledge.I thought it was the two castle guards in the early scenes of the film. But then remembered the bridge of death.
One word - elegant.I wrote a thing:
An Incorrect Report on Emergency Department Diagnostic Errors - ACEP Now
ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.www.acepnow.com
Excellent breakdown of the terrible methods of this "meta-analysis". The authors spent years on a fishing expedition, only caught a muddy shoe, and are trying to tell us that muddy shoe is a 20 pound fish.I wrote a thing:
An Incorrect Report on Emergency Department Diagnostic Errors - ACEP Now
ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians.www.acepnow.com
Well, unfortunately it seems that the media and public are more than happy to eat that shoe and tell each other it's bluefin.Excellent breakdown of the terrible methods of this "meta-analysis". The authors spent years on a fishing expedition, only caught a muddy shoe, and are trying to tell us that muddy shoe is a 20 pound fish.