Iatrogenesis has been considered for a long time as a situation created by the wrongdoing of an individual, that is, the physician. Nevertheless, we propose that medical error be considered a very complex "social omission" in which public funding, training of health professionals including administrators, and even the public education may be responsible for an adverse medical event, considering that medical officials are just a part of a system. Detection of latent errors and the epidemiologic study of those that have occurred, including differences in quality, must be considered as the main effort in prevention.
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Child Neuropsychol
January 2025
Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Persisting symptoms after concussion (PSaC) affect up to 30% of children, adolescents, and young adults beyond 1 month post-injury, posing challenges in clinical care. This retrospective study examined 54 patients referred for neuropsychological evaluation due to PSaC, exploring factors contributing to symptom persistence. Results showed that 75.
View Article and Find Full Text PDFProbl Sotsialnoi Gig Zdravookhranenniiai Istor Med
November 2024
The Federal State Budget Educational Institution of Higher Education "N. I. Pirogov Russian National Research Medical University" of Minzdrav of Russia, 117997, Moscow, Russia.
The article considers social legal aspects of concepts of "medical error", "iatrogenesis", "defect of medical care" in view of absence of their clear definition and understanding in public and professional communities. The usage of these concepts is distinguished by chronological continuity that is conditioned by influence of approaches existed at different stages. On the basis of analysis of scientific publications and normative legal base their genesis and peculiarities of definition are demonstrated.
View Article and Find Full Text PDFThe main goal of the modern dentist should be to address the urgent need to promote treatments focused on conservative dentistry, together with maintaining the health of the periodontium. Instead, iatrogenesis that results in the invasion of the biologic space is a significant and increasing problem in dentistry. The present case report illustrates a 5-year computed tomography follow-up of a successful minimally invasive rehabilitation involving ceramic veneers.
View Article and Find Full Text PDFActa Med Port
September 2024
Introduction: Considering the increase in the proportion of the older population worldwide, the demand for health system resources also arises. These tools optimize clinical decision-making, thus avoiding iatrogenesis and thus contributing to a better quality of life for the older population. In response, we created an online web application, the APIMedOlder, that provides access to healthcare professionals to allow healthcare professionals to access potentially inappropriate medication identification criteria through a useful tool with a simplified profile, allowing its applicability in clinical practice.
View Article and Find Full Text PDFPLoS One
August 2024
INSERM, Methods in Patients-centered Outcomes and Health Research, SPHERE, CHU Tours, CHU Nantes, Tours Université, Nantes Université, Nantes, France.
Introduction: Polypharmacy in patients with advanced cancer represents a major public health problem, leading to risk of iatrogenesis, decrease of quality of life and increase of healthcare costs. In the field of geriatrics, health policies have been developed to address polypharmacy through the use of deprescribing tools. Recently, palliative care initiatives have been introduced, yet these have not fully considered the specificities of this population, particularly their perceptions.
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