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View Diary: Medical Error, Liability, and Murtha (322 comments)

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  •  We should all have access to a doctors (3+ / 0-)

    database like a BBB for docs. If I need a plumber, I'm able to find a reputable one via BBB. But how do I find a good doc? They should be forced to publically post every complaint and the resolution.

    What do you call the guy who graduated last in class at med school?


    Now, who would you rather have treating your child?

    "Two things are infinite, the universe and human stupidity, and I'm not sure about the universe." Albert Einstein

    by GrannyOPhilly on Wed Feb 10, 2010 at 08:23:51 AM PST

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    •  Not complaints but reporting of quality measures (1+ / 0-)
      Recommended by:

      Google 'hospital compare' and 'nursing home compare'.
      Over the next few years this type of reporting will become more comprehensive and include individual physicians.

      •  This seems like a great idea (2+ / 0-)
        Recommended by:
        wvhillrunner, stitchmd

        but in practice, it isn't really working.  the "quality" measures are chosen becasee they are easy to measure, not becasue they represent the most important measures of quality.

        For instance, the current measures for anesthesiologists- whose care determines whether you live or die- are 1) the timing of the pre-op antibiotic (really a surgical, not an anesthetic issue) and 2) the temperature of patients having colon cases upon arrival in the recovery room- regardless of the blood loss, length of procedure, or the method of temperature measurement.  
        Hosp[ital measure that which is easy to measure.  

        Qualtiy is a very difficult thing to measure, especially with rare events.  I could be twice as likely to kill a patient through inattention as a colleague- but it would take our entire careers to show that statistically- and he might have a death in the first year, and I might have both of mine at the end of my career.

        I'm not against quality measurement at all, but the curent attempts are like the drunk looking for his lost keys under a lamp post- not because he lost them there, but because the light is better.  Hosptials and JACHO measure what is easy to measure.

        •  disagree that its not working (0+ / 0-)

          Most of the processes being measured are improving.  
          You are correct that the current set won't tell you anything about anesthesiologists, but improved compliance with evidence based guidelines saves real lives and money.
          Public reporting of PQRI should be coming soon with a variety of measures relevant to many specialties.

        •  It doesn't work like that in life. (0+ / 0-)

          doctors who are screwups do it early  and often.

          We are in a time where it is risky NOT to change. Barack Obama 7-30-08

          by samddobermann on Thu Feb 11, 2010 at 03:31:21 AM PST

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      •  The HCR bill requires hospitals to report (0+ / 0-)

        infection rates and maybe error rates (but I'm not sure about the last.).

        But the HCR bill has a lot of good things in it.

        We are in a time where it is risky NOT to change. Barack Obama 7-30-08

        by samddobermann on Thu Feb 11, 2010 at 03:29:21 AM PST

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    •  Academic success does not correlate (0+ / 0-)

      with being a good or not good doctor.

      The top students usually go into research anyway.

      We are in a time where it is risky NOT to change. Barack Obama 7-30-08

      by samddobermann on Thu Feb 11, 2010 at 03:27:13 AM PST

      [ Parent ]

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