patient

Patient Safety and the Culture of Cover-Up

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An interesting article was written by George Lundberg titled “A culture of cover-up has slowed the patient safety movement” on December 1, 2012, on KevinMd.com located at http://www.kevinmd.com/blog/2012/12/culture-coverup-slowed-patient-safety-movement.html. In the article Dr. Lundberg says “Promoting patient safety, preventing medical error, preventing physician error, preventing errors in diagnosis, preventing nurse error, preventing surgical error, preventing communication error, preventing health illiteracy error, preventing errors from language barriers, preventing laboratory error, preventing computer error, preventing patient mix-ups, preventing right and left side of body mix-ups, preventing mistakes, since mistakes are the stepping stones to failure. Recognizing human frailty, recognizing physician humanity, recognizing system fallibility, owning up to problems, eliminating cover-up, acting out professionalism, recognizing that professionalism means self governance, individually and as groups. Self criticism, peer criticism, a culture of peer review, honesty, truth, disclosure, fairness, and negotiated settlements. Objective evaluation and commitment … Read more

Is Creative Diagnosis on the Rise in Dentistry?

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A very interesting MyView column by the American Dental Association (ADA) is titled “Creative Diagnosis” by Jeffrey Camm, D.M.D. located over at http://www.ada.org/9151.aspx and published October 21, 2013. In the column the author touches on an issue he faces as a dentist where he has patients who have seen other dentists who were likely unethical in their treatment (and treating when it is not warranted) – a term he calls creative diagnosis. Of course one can ask, what is the motivation for creative diagnosis and one would answer money and staying afloat. Essentially the author describes several cases he has dealt with at his practice: A 16 year old patient who graduates from his pediatric practice and sees a new dentist who then says she has 16 cavities. The patient and her mother of course are upset and he reviews … Read more

The American Dental Association: Is it Patient-Centered, Science-Based and Ethically-driven?

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Some time recently (within the past 6 months) the ADA (American Dental Association) has updated their about me page over at http://www.ada.org/aboutada.aspx. A new video appears and under it the text reads “This American Dental Association video tells our story and highlights how the ADA has always been a patient-centered, science-based and ethically-driven association. It captures the ADA’s spirit and what the ADA strives to be.” Viewing the video the words patient centered, science-based, and ethically-driven are repeated. The video also throws around the terms continuous learning, research and development, patents, and up to date. In one segment a dentist presumably says do no harm, always do good, treat people with fairness and honesty, and respect the doctor patient relationship. Unfortunately I disagree with the ADA’s assertion that they have always been patient-centered, science-based, and ethically-driven. As stated before on … Read more

Do Physicians Have a Responsibility to Meet the Health Care Needs of Society?

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An interesting article appears in the Fall 2012 issue of the The Journal of Law, Medicine & Ethics by Allan S. Brett titled “Physicians Have a Responsibility to Meet the Health Care Needs of Society.” Allan opens the article by addressing a question that was posed to Ron Paul in the 2012 presidential election by Wolf Blizter which I mentioned before on this post https://blog.teethremoval.com/dumb-americans-trust-their-doctors-for-no-valid-reason/. Allan aruged that Ron Paul agreed with the sentiment that “physicians have a responsibility to meet the health care needs of society.” In the article Allan makes the following case. “In the rest of this essay, I first demonstrate that society is already organized— at least in part — to rescue sick people regardless of ability to pay, and that society is not prepared to abandon that general guiding principle. It follows that physicians — … Read more

What is the Prevalence of Patients with Asymptomatic, Disease-Free Third Molars (Wisdom Teeth)

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An interesting article titled “How Many Patients Have Third Molars and How Many Have One or More Asymptomatic, Disease-Free Third Molars?” appears in the September 2012, supplement 1. (vol. 70, issue 9) of the Journal of Oral and Maxillofacial Surgery written by Thomas B. Dodson, DMD, MPH (pg. S4-S7). The article seems to attempt to arrive at an answer to the question of how many patients really have a wisdom tooth (third molar) that is not causing problems and that has no disease. In the article Dr. Dodson recommends that patients are divided into 4 different categories when having their wisdom teeth evaluated. symptomatic, disease present (based on history and radiological examination) symptomatic, disease absent (includes teething and vague pain symptoms unrelated to wisdom tooth) asymptomatic, disease present (disease is evident from radiological findings or clinical exam but not patient … Read more