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"Medical errors Fiction."
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\"Newly minted chief resident at Boston Memorial Hospital Noah Rothauser is swamped in his new position, from managing the surgical schedules to dealing with the fallouts from patient deaths. Known for its medical advances, the famed teaching hospital has fitted several ORs as \"hybrid operating rooms of the future\"--an improvement that seems positive until an anesthesia error during a routine procedure results in the death of an otherwise healthy man. Noah suspects Dr. William Mason, an egotistical, world-class surgeon, of an error during the operation and of tampering with the patient's record afterward. But Mason is quick to blame anesthesiologist, Dr. Ava London. When more anesthesia-related deaths start to occur, Noah is forced to question all of the residents on his staff, including Ava, and he quickly realizes there's more to her than what he sees. A social-media junkie, Ava has created multiple alternate personas for herself on the Internet. With his own job and credibility now in jeopardy, Noah must decide which doctor is at fault and who he can believe--before any more lives are lost\"-- Provided by publisher.
Book
Shame, Guilt, and Medical Error in Ann Patchett's State of Wonder
Medical error can be a devastating experience for medical practitioners who are often called the \"second victims\" of medical mistakes. The emotional toll medical error takes on doctors is not well understood, with few studies investigating shame and/or guilt in response to making mistakes. This essay considers how fiction and medical nonfiction might contribute to this understanding, by exploring the relation between shame, guilt, and medical error in Ann Patchett's novel
(2011) alongside Danielle Ofri's autobiographical reflections in her essay, \"Ashamed to Admit It: Owning up to Medical Error,\" later reprinted as part of a chapter entitled \"Burning with Shame\" in
(2013).
Journal Article
A mistake : a novel
\"Elizabeth is a gifted surgeon--the only female consultant at her hospital. But while operating on a young woman with life-threatening blood poisoning, something goes horribly wrong. In the midst of a new scheme to publicly report surgeons' performance, her colleagues begin to close ranks, and Elizabeth's life is thrown into disarray. Tough and abrasive, Elizabeth has survived and succeeded in this most demanding, palpably sexist field. But can she survive a single mistake? A Mistake is a page-turning procedural thriller about powerful women working in challenging spheres. The novel examines how a survivor who has successfully navigated years of a culture of casual sexism and machismo finds herself suddenly in the fight of her life. When a mistake is life-threatening, who should ultimately be held responsible?\"-- Provided by publisher.
Book
Grace Ogot and the Cultural Politics of Misdiagnosis
Kenyan writer Grace Ogot is known for her realist fiction, for promoting traditional myth and folklore, for her children's literature, and for writing in both English and in Dholuo. Her stories first appeared in East African literary journals in the 1960s, making her the first Luo writer and the first Kenyan woman to achieve wide acclaim. Her best-known work is the 1966 novel The Promised Land , a text that centers on issues of migration and identity in East African history. This paper asserts that we can best understand Ogot's wider accomplishments by asserting the centrality of her medical training and background, which shaped her relationship to all manner of social and cultural initiatives. A discussion of The Promised Land and its reception over the past half century is followed by a look at how medical concepts inform her politics and her writing, with the argument that the trope of misdiagnosis functions as a central feature in this groundbreaking Kenyan novel.
Journal Article
Dirty work : a novel
\"Nancy Mullion, an obstetrician-gynecologist whose botched surgery has put a patient in a life-threatening coma, must face a medical tribunal to determine if she can continue to practice medicine. Throughout four weeks of intense questioning and accusations, this physician directly confronts for the first time her work as an abortion provider-- how it helps the lives of others but takes a heavy toll on her own.\" -- Provided by publisher.
Book
Learning errors from fiction: Difficulties in reducing reliance on fictional stories
Readers rely on fiction as a source of information, even when fiction contradicts relatively well-known facts about the world (Marsh, Meade, and Roediger, 2003). Of interest was whether readers could monitor fiction for errors, in order to reduce suggestibility. In Experiment 1, warnings about errors in fiction did not reduce students' reliance on stories. In Experiment 2, all subjects were warned before reading stories written at 6th- or 12th-grade reading levels. Even though 6th-grade stories freed resources for monitoring, suggestibility was not reduced. In Experiment 3, suggestibility was reduced but not eliminated when subjects pressed a key each time they detected an error during story reading. Readers do not appear to spontaneously monitor fiction for its veracity, but can do so if reminded on a trial-by-trial basis.
Journal Article
Recent study, but not retrieval, of knowledge protects against learning errors
Surprisingly, people incorporate errors into their knowledge bases even when they have the correct knowledge stored in memory (e.g., Fazio, Barber, Rajaram, Ornstein, & Marsh,
2013
). We examined whether heightening the accessibility of correct knowledge would protect people from later reproducing misleading information that they encountered in fictional stories. In Experiment
1
, participants studied a series of target general knowledge questions and their correct answers either a few minutes (high accessibility of knowledge) or 1 week (low accessibility of knowledge) before exposure to misleading story references. In Experiments
2a
and
2b
, participants instead
retrieved
the answers to the target general knowledge questions either a few minutes or 1 week before the rest of the experiment. Reading the relevant knowledge directly before the story-reading phase protected against reproduction of the misleading story answers on a later general knowledge test, but retrieving that same correct information did not. Retrieving stored knowledge from memory might actually enhance the encoding of relevant misinformation.
Journal Article
A Brave New World of Designer Babies?
With recent advances in genetics, the possibilities for reproductive uses are escalating. Prenatal testing and screening have become a routine part of pregnancy for most women in the US, leaving the once-narrow confines of genetics clinics for the broader world of general obstetrics. Couples undergoing in vitro fertilization may now have their embryos tested for genetic defects through preimplantation genetic diagnosis. Gene therapy is slowly offering the possibility of treating genetic and other diseases and may one day allow us to enhance or eliminate desirable and undesirable traits, respectively. Cloning, though not yet technologically feasible in humans, no longer seems merely the stuff of science fiction. As genetics has gained more prominence in the public discourse, inevitable concerns have been raised about the implications of reproductive advancements. The worries are often both forward and backward looking. Many worry about technologies we have never seen before: using gene therapy to enhance individuals, cloning those we find desirable, and creating chimeras of animals and humans. Others express concerns about returning to the attitudes and mistakes of our past. Indeed, many have condemned widely accepted (as well as some still theoretical) practices in reproductive genetics as a form of eugenics. This article explores the latter concerns - namely, that we are currently using, or will soon use, reproductive technologies in eugenic ways. The goal is to give fuller substance to the term \"eugenics,\" and to elaborate on the various aspects of eugenics so that we can more carefully evaluate current and future uses of reproductive technologies.
Journal Article
More than fact and fiction
The Tuskegeee Syphilis Study is surrounded by illuminating misconceptions--myths that cannot be blithely dismissed because they actually provide some insight into the significance of the study. One of those is that the men were deliberately infected with syphilis; another is that they obtained no treatment for the disease. Some other errors are alleged in 2 recent articles, but these articles create their own fictions.
Journal Article
Stories from the front: IE excesses and how to counter them
In two prior papers, \"Properly Documenting a File and Forensic Examination of IME Doctors\" and \"Qualifications and Paradigms for the Independent Examiner,\" we first explained how field practitioners can better document case files to withstand challenges, including those made by Independent Examiners (IEs, a.k.a. IMEs, ICE, DME, QME), and addressed forensically examining the IE, as well. The second paper sought to establish reasonable standards and protocols to which IEs should be held. It is thought that, in this way, the examiner's credibility can be established, to say nothing of actuating fair and accurate examinations. Still, despite nationwide protest and outrage among practicing doctors and angry patients, the reality is that in a vast majority of jurisdictions in the U.S., any doctor can become an IE merely by making application with an insurance company or intermediary; for most states, there are simply no standards or guidelines to organize this process. We have always spoken out against this. The previous two papers represent two of the few published works on this subject. This paper will demonstrate the excesses some IEs go to in cutting claims. While we hasten to add that this is not an indictment against all Independent Examiners, these are stories that need to be told because they shed light on what is becoming alarmingly commonplace in health care: IEs who ignore patients, ignore factual medical realities, and ignore sworn testimony, downgrading real injuries under the fiction of being \"independent.\" When called to task, the IE has only to say, \"That's my opinion,\" without threat of lawsuit, discipline, or any form of sanction. We consider such scenarios a moral outrage and an injustice to patients who suffer as the result of biased \"independent\" examinations. Many IEs do \"reviews\" and \"independent examinations\" full time and do not actually treat patients anymore. Although business is booming, it's the patients who lose out. [PUBLICATION ABSTRACT]
Journal Article