re: 250K Americans die per year from ER misdiagnosis.

Is this more or less than those killed by those guns they want to take away from us?

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Does Scruffy twerk?

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Only while working.

Hospitals are now more worried about patient satisfaction scores and how the perception of the facility may look versus actual results driven care which is unfortunate for everyone involved i.e patients and staff.

Nearly everyone I know who gets checked into to one NELA hospital gets some type of infection during their stay. The old people don't usually get over their illnesses when they go there.

I believe it. Husband went into ER with septic knee, sweating/dying and passing out. We told her how he cut his toe a couple weeks before and maybe bacteria got in. She laughed at brushed it off. Dr swore gout, said stop drinking and sent him home with pain meds. 10 days later calls back, he is septic. Had to get strongest drip IV and couldn’t walk for two months. Still isn’t the same. That ER bill alone was $21k to drain the knee and run tests and X ray. Got nothing out of it and started fresh 10 days later.

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Emergency medicine is an extremely risky specialty. As an EM physician you are encountering a patient for the first time ever and only have time to spend ~10 minutes in the room. Plus the increase in PA/NPs in ERs is extremely troubling. Midlevels overrunning EM is leading to further mismanagement of

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Know the problem with volume, lack of training for front end providers, and hospitals focusing on metrics and time instead of patient care?

This and

Overworked inpatient physicians who get dumped on. The Swiss cheese model exists.

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250K Americans die per year from ER misdiagnosis

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Honestly, I think this is kind of misleading in that it leads you to believe doctors are simply incompetent. If we want doctors to run an exhaustive battery of tests even when they are not warranted simply to avoid all misdiagnosis, we had better to be ready to pay for it.

We can’t have it both ways.

Another way to read it:
Some Number of People would die each year if not for the ER. But instead, the ER is unsuccessful in curtailing death in 250,000 of them because they guessed which process was acutely killing them incorrectly

I didn’t mean the previous comment to sound as critical of ER doctors as it sounded, one of my best friends was an ER doctor for 30 years. it’s a total shite job, hospitals hate it as it losses money, it’s stressful, on every level imaginable, they are always understaffed etc because they don’t make hospital money. Then they have to deal with all the drug addicts, nut jobs etc. He tried so hard to do a good job but it’s basically tilting at windmills.

I did mean it to be critical of our current medical system, just pray you have the best insurance and some problem that’s profitable to treat. It’s not great and it’s not sustainable