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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
Verified account
@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    1. David Gorski, MD, PhD‏Verified account @gorskon 10 Mar 2018
      Replying to @ToErrIsHumanDoc

      Then why use the 440,000 number as your Twitter header photo?

      1 reply 0 retweets 6 likes
    2. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @gorskon @ToErrIsHumanDoc

      That number comes from a single paper, and that notably is the “high” estimate that it provided in the range. Why not take the low estimate or the middle? Second, that paper uses global trigger tools, not direct measurement of error to come up with that estimate.

      2 replies 0 retweets 4 likes
    3. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @MarkHoofnagle @gorskon @ToErrIsHumanDoc

      Why does that matter? Because the tools have poor interhospital consistency and are not appropriately validated. They look for “proxies” for error in administrative data - an unreliable data set, that suggest an error may have happened.

      2 replies 0 retweets 2 likes
    4. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @MarkHoofnagle @gorskon @ToErrIsHumanDoc

      Worst of all while it may be “validated” for being sensitive to error, I have yet to see that it is specific enough. That is, can someone show me that the tools are not detecting death period? All the proxies are events one would also expect in a dying patient without error.

      2 replies 0 retweets 2 likes
    5. To Err Is Human  👨‍⚕️ 🏥 👩‍⚕️‏ @ToErrIsHumanDoc 10 Mar 2018
      Replying to @MarkHoofnagle @gorskon

      Throughout our 30+ interviews we encountered people who argued just as fervently that 440k was too low. That the number of deaths across the board caused by easily preventable systemic flaws could be higher.

      1 reply 0 retweets 0 likes
    6. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @ToErrIsHumanDoc @gorskon

      Fanstastic. 440 would be over half of all deaths happening in the hospital and thats too low. There are people who won’t be happy until it’s 100% I guess but that doesn’t seem a good reason to listen to them. Do any of them actually treat patients?

      2 replies 0 retweets 3 likes
    7. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @MarkHoofnagle @ToErrIsHumanDoc @gorskon

      Do you not get how that is prima facie absurd? I have no doubt that there are people with careers invested in making this the number 1 priority, but there is significant pushback for a reason and it’s not that we are defensive - it’s that measuring this wrong causes real harm.

      2 replies 0 retweets 2 likes
    8. To Err Is Human  👨‍⚕️ 🏥 👩‍⚕️‏ @ToErrIsHumanDoc 10 Mar 2018
      Replying to @MarkHoofnagle @gorskon

      All I can really say is that we worked for 3 years on this film, using interviews from leaders in medicine and policy. We worked hard to provide a balanced look at what is being done to improve the flaws in our health care system.

      1 reply 0 retweets 0 likes
    9. To Err Is Human  👨‍⚕️ 🏥 👩‍⚕️‏ @ToErrIsHumanDoc 10 Mar 2018
      Replying to @ToErrIsHumanDoc @MarkHoofnagle @gorskon

      If the use of this numbers means you will not give our film a chance, I can’t make you watch it. But I do believe our film’s intent is good & helpful. We can’t tackle every area of this issue, so I am happy that people like you both are working hard to promote more accurate data.

      3 replies 0 retweets 0 likes
    10. Mark Hoofnagle‏ @MarkHoofnagle 10 Mar 2018
      Replying to @ToErrIsHumanDoc @gorskon

      The road to hell is paved with good intentions. And the road to mismeasurement, bullshit coding, underdiagnosis, and fraudulent “improvement” started the same way. Intentions are meaningless. I’m interested in high quality science, not intentions.

      1 reply 4 retweets 3 likes
      David Gorski, MD, PhD‏Verified account @gorskon 10 Mar 2018
      Replying to @MarkHoofnagle @ToErrIsHumanDoc

      Yup. Good intentions without rigorous science have led people to become antivaccine, for instance.

      2:15 PM - 10 Mar 2018
      • 2 Likes
      • Trix
      0 replies 0 retweets 2 likes

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