tag:blogger.com,1999:blog-8434050931789572015.post1754683652555380861..comments2023-08-30T22:42:22.226-04:00Comments on DirkMD - CMIO Perspective: Medicine Reconciliation and Chaos TheoryDirk Stanley, MD, MPHhttp://www.blogger.com/profile/09568427937893548660noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8434050931789572015.post-42826821546548980642010-04-02T09:56:14.942-04:002010-04-02T09:56:14.942-04:00I have a somewhat different definition of the Moth...I have a somewhat different definition of the <i>Mother Standard</i>. Do you have the level of accuracy your own mother would accept? For my mother that would get you to 99% or better. Nonetheless, I love the idea.Keith W. Boonehttps://www.blogger.com/profile/16883038460949909300noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-1045688956866490262010-02-12T19:27:18.630-05:002010-02-12T19:27:18.630-05:00(I do totally agree, though - The risk of "ge...(I do totally agree, though - The risk of "getting it wrong" should be weighed...)Dirk Stanley, MD, MPHhttps://www.blogger.com/profile/09568427937893548660noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-33572684908109740982010-02-12T19:26:46.948-05:002010-02-12T19:26:46.948-05:00Steve - Good point about "What's not real...Steve - Good point about "What's not really important for this hospitalization" - But I've studied this to death, in a "retrospectoscope" it's easy to say which meds aren't important, but when it comes to the question :<br /> - What process are you going to leave off the list? (e.g. which of my steps in the "Mother standard" can you safely leave out?) - <br /> ... This is where it gets tough. Hard to accept leaving any one of them out. And yet, you probably don't need all of them in every patient.<br /> Hence... The mother standard. :)Dirk Stanley, MD, MPHhttps://www.blogger.com/profile/09568427937893548660noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-16135952563275578382010-02-11T13:46:19.406-05:002010-02-11T13:46:19.406-05:00The Mother Standard. Love it! Of course, there a...The <i>Mother Standard</i>. Love it! Of course, there are some people whose Mother Standard might kill the old lady, so one might want to be sure they actually love their mother, first.<br /><br />You left out the problem with recording samples dispensed, but I really wanted to point out that achieving this maternal standard will require different levels of effort depending on the situation and the medications in question.<br /><br />You may not need to go beyond the patient when asking about their their statin when being seen for pneumonia, but it could be very important when seeing someone with acute muscle pain and elevated CPKs. So, the calculus needs to include: <br />-the drug <br />-the current clinical situation (risk, urgency), and<br />-the risks involved if you get it wrong.Anonymoushttps://www.blogger.com/profile/04403399390420921365noreply@blogger.com