Exam 2(5) - Thursday Soc lec 6 Missed first 20 I Professional self-regulation Docs make a lot of mistakes Wrong medssome cant be stopped others

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Thursday 11/1/07 Soc lec 6 Missed first 20 I. Professional self-regulation Docs make a lot of mistakes. Wrong meds…some can’t be stopped, others blatant A. Peer regulation fails to ensure quality of care 1. Docs respect ea other’s professional judgment, so only say malpractice when very blatant 2. Cannot observe docs’ work behind closed doors 3. Belief that mistakes are normal part of medicine 4. Good manners prevent docs from criticizing ea other docs are higher up…good manners B. Continuing education fails to ensure quality of care Private ($$), unreged industry. So quality varies enormously. Can pay big money for easy credits. C. Result – “medical standards of care” are rules of process rather than measures of patient health Did enough if just do what the book says to do II. How do docs minimize errors in routine practice? Study: “Forgive and Remember: Managing Medical Failure” 1979 A. Managing Medical Failure study details Shadowed diff docs ea week 5 deaths/week – some due to mistakes interviews, looked up edu info on ea person head surgeon – does tricky parts chief resident – supervises surgery 2 nd
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This note was uploaded on 09/27/2008 for the course SOCIOLOGY 210 taught by Professor Hansell during the Fall '07 term at Rutgers.

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Exam 2(5) - Thursday Soc lec 6 Missed first 20 I Professional self-regulation Docs make a lot of mistakes Wrong medssome cant be stopped others

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