A panel of experts in geriatric care has identified nearly 100 medications that should be avoided or used with caution among the older population in the latest update to the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
The recommendations by the American Geriatrics Society are widely used by clinicians, educators, researchers, health care administrators and regulators to ensure medications are appropriately prescribed. Continue reading
What happens when the medical board of a major state begins reviewing fatal opioid overdoses with an eye to disciplining physicians who wrote the prescriptions?
According to this “How I Did It piece” from Cheryl Clark, depending on the perspective, it’s either a witch hunt, upending practices of physicians who legitimately tried to help patients manage pain, or a much-needed action to protect consumers from inappropriate, and perhaps deadly, prescribing. Continue reading
The evidence-based medical research community lost a hugely influential voice and amazing individual. Lisa Schwartz, M.D., M.S., a physician and researcher who dedicated her life to improving how research is published, interpreted and distributed, passed away on Thursday.
I first met Schwartz during the National Institutes of Health Medicine in the Media workshop in 2012, the last year it ran. She and her research partner (and husband), Steven Woloshin, M.D., M.S., ran the workshop and co-directed the Center for Medicine and the Media at the Dartmouth Institute for Health Policy and Clinical Practice. Continue reading
Journalist, author, and editor Maya Dusenbery first became interested in why women are so often misdiagnosed about five years ago, right after she learned she had rheumatoid arthritis, a chronic autoimmune disease.
Dusenbery, an executive editor at Feministing and author of “Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick,” spoke at the recent Society to Improve Diagnosis in Medicine conference about her research and reporting on the gender gap surrounding medical diagnosis. Continue reading
Robert Wachter, M.D., chair of the Department of Medicine at the University of California, San Francisco, is considered the “father” of the hospitalist field and a leader in the patient safety field. He’s written six books, including “The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age,” which took a detailed look at the role of technology in health care. (We covered his 2015 talk to AHCJ-New York chapter members in this article).
Wachter was a keynote speaker at the recent Society to Improve Diagnosis in Medicine Conference in New Orleans – where he talked about medicine’s digital transformation and the upsides and the downsides that accompany progress. He sat with me for a brief interview prior to his presentation. Continue reading
Balancing the challenges of underdiagnosis (missing or delaying important diagnoses) and overdiagnosis (labeling patients with diseases that may never cause suffering or death) can feel like walking across a canyon on a tightrope. Diagnostic errors occur in an estimated 10 percent to 20 percent of cases and will affect most Americans at least once in their lifetime. They are the leading cause of medical malpractice claims, harming more than 4 million people at a cost of more than $100 billion. Continue reading