"Iatrogenicity cascade": doing harm by treating harm?

Details

Serval ID
serval:BIB_5330C6EC326A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
"Iatrogenicity cascade": doing harm by treating harm?
Journal
Wiener Medizinische Wochenschrift
Author(s)
Wagner C.C., Biollaz J., Zeitlinger M., Buclin T.
ISSN
0043-5341
Publication state
Published
Issued date
2009
Volume
159
Number
1-2
Pages
53-57
Language
english
Abstract
An electronic survey on substance-induced epileptic crisis was conducted in order to investigate whether doctors, who recognise their own prescription errors, increase their therapeutic aggressiveness, resulting in a so-called "iatrogenicity cascade". Two pairs of clinical vignettes were constructed, in which a patient suffers from iatrogenic (original version) or non-iatrogenic (control version) epileptic crisis. Vignettes were randomised and sent to doctors at the University Hospital of Lausanne, Switzerland, at an interval of 3 weeks. The results of the present survey in the surveyed population of doctors suggest that inappropriate prescription does not increase therapeutic aggressiveness.
Keywords
Adult, Aged, Attitude of Health Personnel, Confidence Intervals, Data Collection, Data Interpretation, Statistical, Drug Prescriptions, Epilepsy, Female, Humans, Iatrogenic Disease, Male, Medication Errors, Middle Aged, Physicians, Practice Guidelines as Topic, Specialties, Medical, Switzerland
Pubmed
Create date
29/05/2009 11:02
Last modification date
20/08/2019 14:08
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