Of all the issues plaguing healthcare, none is more pressing than our inability to see healthcare as a complex system. As a result, we attribute fault to individuals for problems that are fundamentally systemic.Read More
The WHO has introduced nomenclature redefining COVID-19 variants to prevent prejudices formed during the pandemic. But a close examination reveals this prejudice to be systemic throughout healthcare.Read More
America is the land of optimism, with an undeniable taste for dystopian futures. One which pits technological advancements in medicine against personal liberties. A belief more pervasive and systemic than we think, extending well beyond the conspiratorial fringes of society.Read More
Data drives healthcare, whether it is individual decisions or broader health policies. But data only tells us what we know, or presume to know. Studying the uncertainty around data, in much the same way we study data, would reveal gaps in our knowledge, helping to better understand the data itself.Read More
The country has united in support of India. A unity nowhere to be found during our own COVID-19 crisis, revealing a critical contradiction in America that defines our society, and our ability to address healthcare inequity.Read More
Recently the Johnson & Johnson vaccine was placed on hold. We studied data to compare the risk of blood clots with the risk of vaccine availability. But instead of data, we should study our perceptions, particularly our perception of low probability events.Read More
The original battle tanks of antiquity, war elephants were famed for the terror they inflicted on the battlefield. And equally famed for falling apart once faced with uncertainty. Not unlike many of the perceived truths we take for granted in healthcare.Read More
An obvious statement that most would agree with. Yet few understand systemic thinking in healthcare, which requires an understanding of the complex patterns of behavior that define interactions in healthcare.Read More
Another day, another miracle drug. Or so it seems. As seemingly every day we hear about new drugs touted as the next miracle, only to be shelved after a few weeks. We explore this trend, and examine the popularity of the drugs used to treat COVID-19 patients.Read More
Our senses are our world. So what we perceive is what we believe. With the perceptions gleaned during a patient encounter determining the healthcare beliefs we hold. We analyze how perceptions form to see how they diverge in healthcare.Read More
Opioid epidemic in one chart – correlation conflated with causation
There is no cause-and-effect relationship between prescribing and overdose mortality. But millions of patients are being denied safe and effective pain care.
Seniors over age 62 are prescribed opioids for pain three times more often than youth under age 19. But youth have overdose rates three times higher than seniors. No medical model can explain these demographics.
Source: Richard A Lawhern, PhD, Patient Advocate