tag:blogger.com,1999:blog-14743001.post3960712697438633738..comments2024-01-02T02:45:17.328-06:00Comments on Notes from Dr. RW: Analyzing the July effectRobert W Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-14743001.post-26281983938914158362010-08-27T13:32:04.540-05:002010-08-27T13:32:04.540-05:00Orac,
I had not read your post until now and did n...Orac,<br />I had not read your post until now and did not see the full text of the paper (I don't think I had access to it). A few follow up observations.<br /><br />It had escaped my notice that the study went back to 1979, so it says little about whether better resident supervision or the EMR have helped.<br /><br />There's no reason to think that system based med errors should Robert W Donnellhttps://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-45568866638470688442010-08-27T12:42:03.985-05:002010-08-27T12:42:03.985-05:00Reading the study, four words came to mind: Holy e...Reading the study, four words came to mind: Holy ecological fallacy, Batman!<br /><br />http://scienceblogs.com/insolence/2010/06/dont_get_sick_in_july_revisited.php<br /><br />Sorry, but I wasn't as impressed with this paper. Lots of problems, not the least of which is the ecological fallacy, but also the fact that medication errors are a systemic problem that depends a lot more on the Orachttps://www.blogger.com/profile/01370846202152605202noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-91941822230171668502010-08-27T12:41:50.740-05:002010-08-27T12:41:50.740-05:00Reading the study, four words came to mind: Holy e...Reading the study, four words came to mind: Holy ecological fallacy, Batman!<br /><br />http://scienceblogs.com/insolence/2010/06/dont_get_sick_in_july_revisited.php<br /><br />Sorry, but I wasn't as impressed with this paper. Lots of problems, not the least of which is the ecological fallacy, but also the fact that medication errors are a systemic problem that depends a lot more on the Orachttps://www.blogger.com/profile/01370846202152605202noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-76572728776522933232010-08-27T08:03:45.283-05:002010-08-27T08:03:45.283-05:00The first day of my internship, I was asked to pro...The first day of my internship, I was asked to pronounce a patient dead. I had never seen him, he was on my assigned list. Except for the medical school cadaver, I had never seen a dead person. Was this guy really dead? How do I tell? That's the level of clinical acumen we July interns had.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.com