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Medical Ethics and Errors E-mail
Written by Naoum Issa, MD, PhD   

In the seven years since the Institute of Medicine's report "To Err is Human: Building a Safer Health System" much has been said about the types of errors prevalent in healthcare and ways of reducing these errors.

While some progress has been made, one aspect of medical errors has garnered little attention. Specifically, there is a disincentive to report errors.

If we lived in a world in which physicians were simply servants of their patients, the only question going forward would be how to reduce medical errors. But in the real world we must ask in addition how to decouple error reporting from financial and professional risk to healthcare providers.

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Physician Profiling E-mail
Written by Ardena L. Flippin, MD, MBA   
 physician profiling

Do you know that there are methods in progress to change your (practice) behavior and improve your efficiency and quality of care?  These performance measures are known as “physician profiling”.  Have you ever received a report of your performance?  Were you given the opportunity to explain unusual circumstances if you were deemed an “outlier?”

According to Nancy Nielsen, MD, speaker of the AMA House of Delegates, just because physicians might be unaware of the profiling “doesn’t mean it’s not being used to calculate your efficiency.” (quoted in Ref. 1)

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