Tag: quality improvement

medical errors in surgery

Are medical errors really the third most common cause of death in the U.S.? (2020 edition)

The claim that medical errors are the third leading cause of death in the US has always rested on very shaky evidence; yet it has become common wisdom that is cited as though everyone accepts it. But if estimates of 250,000 to 400,000 deaths due to medical error are way too high, what is the real number? A recently published study suggests...

/ February 3, 2020

Are medical errors really the third most common cause of death in the U.S.?

A regurgitation of existing data suggested that medical error is the third leading cause of death in America. Is it true? Spoiler alert! No. No it's not. While medical error can and should be reduced, this BMJ article does not justify claims that doctors are a leading cause of death in the United States.

/ May 9, 2016

You’ve been diagnosed with breast cancer. How soon do you need treatment?

Timely surgery for breast cancer is obviously better than delaying surgery, but how long can a patient safely wait for surgery once diagnosed. Because a randomized controlled clinical trial to answer this question would be unethical, this has been a difficult question to answer. Fortunately, a new study provides an estimate of how much of a delay it takes before outcomes start...

/ January 4, 2016

The fine line between quality improvement and medical research

As I’ve mentioned before, the single biggest difference between science-based medicine (SBM) and what I like to call pseudoscience-based medicine, namely the vast majority of what passes for “complementary and alternative medicine” (CAM) or “integrative medicine” is that SBM makes an active effort to improve. It seeks to improve efficacy of care by doing basic and clinical research. Then it seeks to...

/ December 28, 2015