Tag Archives: overconfidence

Resistance to change: a basis for error in Medicine

Resistance to change: a basis for error in Medicine

Medication error?

Most of the time humans are not happy to change a routine. There is also a feeling of safety when we work with electronic database thinking that, because computer are fast and efficient, we are going to be able to avoid errors. But, even with the best computer tool for data storage and retrieval the human factor is always present.

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My story: error in the midst

I have been in the medical world for over 30 years, most of them in the field of Medical Oncology. I try to remember some of the mistakes I have made throughout this time and one of them had a real influence in my search of improving diagnosis. This is the story… Continue reading My story: error in the midst

If you hear hoofs you will see horses no zebras

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An 80-year-old man had a diagnosis of heart failure, atrial fibrilation and diabetes. He was taking digoxin and warfarin. He went to the Emergency Department  with nausea, vomiting and pain on his upper right quadrant. No bleeding was present but the hemoglobin level value was 7,9 g/dl. Digoxin level was higher than normal. The initial diagnosis was digoxin overdose and anemic syndrome.

Continue reading If you hear hoofs you will see horses no zebras