Oops! Radiation overexposure with CT imaging.

Source: US Food & Drug Safety Administration (FDA) and The Wall Street Journal

The FDA just announced a potential patient safety issue with perfusion CT imaging of the head.  The issue? overexposure to dangerous levels of radiation.  Where is this test most prominent?  For imaging to diagnose stroke and to determine treatment for stroke.

Over an 18 [...]

More false positives with breast exam than mammogram

Source:  Journal of the National Cancer Institute, Chiarelli, A., 2009; 101: 1236-43; Barton M., 2009; 101: 1223-25; www.breastcancer.org

Okay, some advice and some terms.  First, women should be performing self breast exams (minds out of the gutter, or enlist a friend, whichever).  The studies referenced compare physical exams by a doctor with current mammography.  So what [...]

From across the Pond: PSA Testing under Review

Source: BBC Health; British Medical Journal

A recent Swedish study (Yes, where the candy fish come from) comparing PSA (Prostate Specific Antigent) Test results of 540 men before they were eventually diagnosed with prostate cancer and 1,000 healthy men failed to determine the point where a PSA Test was a diagnostic predictor of prostate cancer.

What [...]

More Good News for Patients -No, Not Really.

Source: The New York Times, June 2009

A survey led by an associate professor at Weill Cornell Medical College of records of some 5,434 patients at 19 independent primary care and 4 academic medical centers has produced some startling results.

Now before you jump all over the Plaintiff attorney, the Director of Clinical Informatics and Brigham and [...]

In the Spotlight: Diagnostic Errors

Source: Johns Hopkins Medical Institutions -Media (3/11/2009)

Patient safety experts at Johns Hopkins are pushing for medical providers to give the same attention to diagnostic errors as they devote to drug prescription errors, wrong-site surgeries and hospital-acquired infections.

Drs. Newman-Toker and Pronovost, estimate that 40,000 to 80,000 hospital deaths per year are the result of errors in [...]