List Headline Image
Updated by Thomas Masterson on Jan 11, 2017
Headline for Iatrogenesis Imperfecta - Accidental patient harm inflicted by doctors
 REPORT
Thomas Masterson Thomas Masterson
Owner
11 items   1 followers   6 votes   300 views

Iatrogenesis Imperfecta - Accidental patient harm inflicted by doctors

Listly by Thomas Masterson

"The daily thought list should prevent the most common causes of iatrogenic patient discomfort." The original list was published in 1992 in the Intern Pocket Survival Guide by Tom Masterson. The original list items are numbered.

Some issues are now receiving institutional attention such as the foleys and nephrotoxic medications. Other issues remain broken 24 years later.

Please add your 21st century issues. The original list was collected from real patients during rounds at a University Medicine Program. Think about what subtle issues might be overlooked if you don't make a conscious effort to include them in your daily thought process. Vote up issues that you think are of greater concern, and vote down issues that you think are solved at your institution.

Thanks, TM

1

Fluid overload from forgotten IVs. (1)

7

Not recognizing respiratory distress because it had been ignored by an earlier shift. (7)

8

Not recognizing sepsis because charted vital signs look rosier than the patient. (8)

9

Your marriage to the admission diagnosis obscures findings that point in other directions. (9)

10

Not considering pulmonary emboli in differential diagnosis. (10)

11

Incomplete or incorrect home medication list.

2

Hypokalemia. (2)

3

Impaction. (3)

4

Urosepsis from old foleys. (4)

5

Failure to adjust drug dosages for renal failure. (5)

6

Losing track of aminoglycoside or vancomycin levels. (6)