Disturbing that lowest error rates occur in the most specialized procedures. Gawande explains in "The Computer and the Hernia Factory" how these clinics that specialize in one procedure come very close to perfection. This is disturbing to me because I don't want the medicine I practice to be super specialized super repetitive, yet the data shows that computers make fewer mistakes then human judgement and they show that humans who perform more repetitive tasks ( to a point) perform those tasks with greater precision.
Three parts to the book.
I Fallibility of doctors.
a) learning to cut
b) computer and hernia factory
c) when doctors make mistakes
d) surgical convention
e) when good doctors go bad
II Mysteries that remain in medicine
a) pain
b) nausea
c) blushing
d) obesity
III Uncertainty and decision making
a) autopsies
b) SIDS
c) doctor vs. patient centered care. who knows best?
d) and of course an exception, when intuition pays off (necrotizing fasciitis)
No comments:
Post a Comment