Medical Errors

IN the Harvard Medical Practice Study of 30,195 hospital records, diagnostic errors accounted for 17% of adverse events.

Leape et al, The nature of adverse events in hospitalized patients. N E J Med. 1991;324:377-384

Follow up study of 15,000 records from Colorado and Utah reported that diagnostic errors contributed to 6.9% of the adverse events.

Thomas et al, Incidence and types of adverse events and negligent care in Utah and Colorado, Med Care. 2000;38:261-271

Using same methodology, the Canadian Adverse Events Study found that 10.5% of adverse events were related to diagnostic procedures.

Baker et al, The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada CMAJ. 2004;170:1678-1686

The Quality in Australian health care study identified 2,351 adverse events related to hospitalizations, of which 20% represented delays in diagnosis or treatment and 15.8% reflected failure to “synthesize/decide/act” information.

Wilson et al, An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust. 1999;170:411-415

A study in New Zealand examined 6,579 inpatient medical records from admissions in 1998 and found that diagnostic errors accounted for 8% of adverse events; 11.4% of these were judged to be preventable.

Davis et al, Adverse effects in New Zealand public hospitals. N Z Med J. 2003;116:U624


Of 805 voluntary reports of medical errors from 324 Australian physicians, there were 275 diagnostic errors (34%) submitted over a 20 month period.

Compared with medication and treatment errors, diagnostic errors were judged to have caused the most harm, and were least preventable.

Bhasale et al, Analysing potential harm in Australian general practice. Med J Aust. 1998:169:73-76

Mandatory error-reporting system that rely on self-reporting yield fewer error reports than found using other methods. An example, only 9 diagnostic errors were reported out of almost 1 million ambulatory visits over a 5.5 year period in a large health care system.

Fischer et al, Adverse events in primary care identified from a risk-management database. J Fam Pract. 1997;45:40-46

Diagnostic errors are the most common adverse event reported by medical trainees.

Wu AW et al. Do house officers learn from their misgtakes? JAMA. 1991:265;2089-2094

Reminders & Appt.

Above done 21609

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 Tel: 877 245 6228 (Jaime Ramos)


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Done 091308

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Green Pregnancy

The man should have sperms free of exposure from toxic agents like nicotine, alcohol, mercury, and other neurotoxic chemicals or drugs.

The oocyte or eggs from the women likewise should be as "gree" as possible. The oocyte has an early headstart as fetus from the grandmother. Poor nutrition and exposure to many x-rays and radiation could affecgt the oocyte that will ultimately join the sperms. The health of the oocyte start from the time the mother was a fetus herself in her mother (granmother).

When the sperm and oocyte joins during fertilization, a zygote is formed. The eight day trip of this future fetus in the fallopian tube to the uterine wall is full of division and multiplying of cells. During this time it is most vulnerable to nutrient deficiency.

The critical nutrients are: magnesium for transferring energ for cell building, zinc for DNA formation, phophorus for cell replication. Folic acid and vitamin B9 are critcal in DNA synthesis during this stage.

My notes Aug 4, 2008

I will place my notes here so I can review anywhere in the world.

Today I re-typed my Autism MS. I accidentally erased it this morning.

I did an entry at my changingmedicalthinking blog today. It is about sore throat with negative strep.

www.nonieleonidas1944.blogspot.com