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人非圣贤,孰能无过:美国医学能从过去的错误中吸取教训吗?

To Err is Human: Can American Medicine Learn from Past Mistakes?

作者信息

Ritterman Jeffrey B

机构信息

Retired Chief of Cardiology of the Kaiser Richmond Medical Center; he is the Clinical Coordinator and Associate Professor in the Joint MSPAS/MPH Program at Touro University in Vallejo, CA.

出版信息

Perm J. 2017;21:16-181. doi: 10.7812/TPP/16-181.

Abstract

The history of medicine includes many errors. Some persisted for decades and caused great harm. Several are highlighted in this article, including the mythical thymic diseases: thymic asthma and status thymicolymphaticus. Some medical mistakes, such as the diet-heart hypothesis of Ancel Keys, continue to cause harm. To avoid future errors and their associated harm, I suggest a cultural shift encouraging professional humility and greater questioning of medical dogma. Medical education focused on teaching students this history may help with this cultural shift.

摘要

医学史包含诸多错误。有些错误持续了数十年并造成了巨大危害。本文着重介绍了其中几个,包括虚构的胸腺疾病:胸腺性哮喘和胸腺淋巴体质。一些医学错误,比如安塞尔·基斯的饮食-心脏假说,仍在造成危害。为避免未来出现错误及其相关危害,我建议进行文化转变,鼓励专业上的谦逊态度,并对医学教条提出更多质疑。专注于向学生传授这段历史的医学教育可能有助于实现这种文化转变。

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本文引用的文献

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