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Can Electronic Clinical Documentation Prevent Diagnostic Errors – An NEJM Perspective Article
GD Schiff & DW Bates, NEJM, March 25, 2010, Vol 362 (12), 1066-1069.
Not everything about a patient’s life can be gathered from a brief consultation in a clinic. Dr. Berland has devised a fascinating method of looking into the personal lives and troubles of her disabled patients – encouraging them to carry a video camera with them. Read about the unique insight that she gained through this novel, simple idea.
Untangling the Web – Patients, Doctors, and the Internet – An NEJM Perspective Article
P Hartzband & J Groopman, NEJM, March 25, 2010, Vol 362 (12), 1063-1066
Medicine has built on a long history of innovation, from the stethoscope and roentgenogram to magnetic resonance imaging and robotics. Doctors have embraced each new technology to advance patient care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet. Its profound effects derive from the fact that while previous technolgoies have been fully under doctor’s control, the Internet is equally in the hands of patietns. Such access is redefining the roles of physician and patient.
The View from the Other Side — Patients, Doctors, and the Power of a Camera – An NEJM Perspective Article
G Berland, NEJM, December 20 2007, Vol 357 (25), 2533-36
Not everything about a patient’s life can be gathered from a brief consultation in a clinic. Dr. Berland has devised a fascinating method of looking into the
personal lives and troubles of her disabled patients – encouraging them to carry a video camera with them. Read about the unique insight that she gained through this novel, simple idea.
Guilty, Afraid, and Alone—Struggling with Medical Error – A NEJM Perspective Article
T Delbanco and SK Bell, NEJM, October 25 2007, Vol 357 (17), 1682-3
Medical error creates an agonizing experience for patients, family members, and clinicians alike, and feelings of guilt or blame hinder closure and forgiveness. Dr. Delbanco describes cases of medical error and perspectives from all sides. He then suggests that honest and direct communication may be the best antidote, especially when doctors are paralyzed by shame or fear of legal repercussions, and patients and families struggle to understand their situation fully.
Condom Use and the Risk of Genital Human Papillomavirus Infection in Young Women – An NEJM Original Article
R. L. Winer et al., NEJM, June 22 2006, Vol 354 (25)
Using detailed computer-assisted questionnaires, Winer et al. studied a sub-population of female students at the University of Washington, examining whether condom use by their male partners reduced the female student’s risk of infection from Human Papillomavirus (HPV). The results offer encouraging evidence on the effectiveness of condoms usage by male partners in thwarting HPV transmission; and show further elements that may decrease HPV infections through sexual intercourse.
A 17-Year-Old Girl With Respiratory Distress and Hemiparesis After Surviving A Tsunami – An NEJM Original Article
Case Records of the Massachusetts General Hospital by A. Kao et al., NEJM, June 23 2005, Vol 352(25)
In this case record, physicians from the MGH discuss the case of a teenage girl via teleconference aboard the hospital ship U.S.N.S. Mercy. Although healthy prior to the tsunamis in Indonesia on December 26, 2004, this young woman arrived aboard the hospital ship with respiratory distress and hemiparesis (paralysis on one side of the body).
Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery – An NEJM Original Article
Original Article by M.B. Landon et al., NEJM, December 16 2004, Vol 351(25)
Many clinicians have discouraged pregnant women from choosing a vaginal delivery after a previous cesarean delivery. Do the risks to the mother and newborn justify a surgical procedure over a natural trial of labor?
