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Skeptical Scalpel

Patient Satisfaction Surveys Are Bogus

Patient satisfaction surveys are flawed in many ways. Here are just a few: 1. Sampling is a huge problem. A description of why sampling is an issue can be found here. It’s a bit complex. To summarize, the validity of a survey is...

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Do EMRs Make Documentation Too Easy?

There are many interesting unintended consequences of electronic medical records (EMRs). I was reminded of this by a recent blog I wrote about what interns really do when they are on call. According to a study from a VA hospital...

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The Truth About Lying to Patients

A recent survey published in Health Affairs found that 20% of nearly 2,000 physician respondents said that “they had not fully disclosed mistakes to patients for fear of being sued” in the past year. When I first heard about...

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Patients Clueless About Insurance Coverage

Not long ago, I blogged about a plastic surgeon who aggressively pursues patients who refuse to pay her bills. The state is suing her to make her stop and also considering lifting her medical license. You may want to take a look...

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Why I Wear a White Coat

A recent article in a major newspaper asked why physicians still wear white coats. The theme echoed many recent stories about bacterial contamination of clothing and other inanimate objects. It also brought to mind a...

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Shorter Hospital Stays: Lessons from Disaster

I recently wrote about my plan to reduce hospital readmissions. Now I will discuss the problem of reducing length of stay. The recent hurricane in New York City and the closures of some hospitals requiring the transfer of a...

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What Do Interns Do When They’re on Call?

You may be surprised and dismayed when you find out. A study in the Journal of General Internal Medicine from a VA hospital affiliated with the University of Wisconsin reveals some startling facts. During a 14-hour call period...

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44 Journals I’d Like to Read If I Had the Time

The following are all actual journals that seem really interesting [with my comments in brackets]. If I only had more time … 1. Anadolu Kardiyoloji Dergisi – The Anatolian Journal of Cardiology 2. Antioxidants & Redox...

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