Backstage at the Medical Revolution
Behind-the-scenes technologies are transforming medicine -- but who's gonna pay?
Digital Imagery continued...
Big deal, you say? It is if you're the one trying to clutch an
envelope full of X-rays while maneuvering hospital corridors balanced on
Not too long ago, only Superman had X-ray vision, but now every Dr. Tom, Dr. Dick, or Dr. Harriet
with a computer terminal, the right software, and security authorization can
peer into the inner workings of his or her patients to see whether the hip
bone's connected to the thigh bone.
It's the flashy stuff in medicine -- the latest miracle surgery
or wonder drug -- that gets all the rave notices these days, but what goes on
behind the scenes is also making subtle but important changes in how doctors
practice medicine and how patients and physicians communicate.
Barring Drug Errors
Everybody makes mistakes, but when mistakes come in the form of
the wrong drug or the wrong dose, they can be very costly indeed. In 1994, a
mistake in the dosing of a chemotherapy drug for treatment of breast cancer cost Boston Globe
health reporter Betsy Lehman her life.
According to a 1999 report from the Institute of Medicine, an
independent organization associated with the National Academy of Science,
medication errors account for more than 7,000 deaths in the United States each
year; another study estimates that "adverse drug reactions" (such as
breathing failure caused by narcotics or anesthesia drugs) cause more than
100,000 patient deaths annually.
The Institute of Medicine report, titled "To Err is Human:
Building a Safer Health System" says that in most cases medical errors
aren't the fault of a single person or group, but instead are caused by system
"[T]his is not a 'bad apple' problem," the IOM report
says. "More commonly, errors are caused by faulty systems, processes, and
conditions that lead people to make mistakes or fail to prevent them. For
example, stocking patient-care units in hospitals with certain full-strength
drugs, even though they are toxic unless diluted, has resulted in deadly
To reduce the chance of fatal or harmful drug errors, the FDA
in March 2003 proposed widespread adoption of a barcode scanning system for use
with all prescription drugs and select over-the-counter
medications as well.