By Neil Chesanow
MedScape
Originally published August 26, 2014
Many physicians are so concerned about being sued for malpractice that they routinely order unnecessary tests and procedures to practice defensive medicine. And yet, when it comes to legal risks in using their electronic health records (EHRs), their concern is often nonexistent, experts assert.
Many doctors use their EHRs in nonstandard ways, without considering how this may affect them in a liability suit. Or they gloss over other aspects of using an EHR.
"Every aspect of EHR selection, implementation, and use may be examined in the course of medical malpractice discovery to uncover the source of the incident, or undermine the records that are being presented in defense of the malpractice claim," warns Ronald B. Sterling, CPA, MBA, an EHR expert in Silver Spring, Maryland, and author of Keys to EMR Success.
"Anything could be a malpractice issue," Sterling says, "from the product itself, to the way it was set up, to how you've been using it."
Are your EHR practices setting you up for a rude awakening should a patient sue you for malpractice? Let's take a look.
The entire article is here.
Wednesday, September 24, 2014
Linguistic Traces of a Scientific Fraud: The Case of Diederik Stapel
By David Markowitz and Jeffrey Hancock
Published: August 25, 2014
DOI: 10.1371/journal.pone.0105937
Abstract
When scientists report false data, does their writing style reflect their deception? In this study, we investigated the linguistic patterns of fraudulent (N = 24; 170,008 words) and genuine publications (N = 25; 189,705 words) first-authored by social psychologist Diederik Stapel. The analysis revealed that Stapel's fraudulent papers contained linguistic changes in science-related discourse dimensions, including more terms pertaining to methods, investigation, and certainty than his genuine papers. His writing style also matched patterns in other deceptive language, including fewer adjectives in fraudulent publications relative to genuine publications. Using differences in language dimensions we were able to classify Stapel's publications with above chance accuracy. Beyond these discourse dimensions, Stapel included fewer co-authors when reporting fake data than genuine data, although other evidentiary claims (e.g., number of references and experiments) did not differ across the two article types. This research supports recent findings that language cues vary systematically with deception, and that deception can be revealed in fraudulent scientific discourse.
The entire article is here.
Published: August 25, 2014
DOI: 10.1371/journal.pone.0105937
Abstract
When scientists report false data, does their writing style reflect their deception? In this study, we investigated the linguistic patterns of fraudulent (N = 24; 170,008 words) and genuine publications (N = 25; 189,705 words) first-authored by social psychologist Diederik Stapel. The analysis revealed that Stapel's fraudulent papers contained linguistic changes in science-related discourse dimensions, including more terms pertaining to methods, investigation, and certainty than his genuine papers. His writing style also matched patterns in other deceptive language, including fewer adjectives in fraudulent publications relative to genuine publications. Using differences in language dimensions we were able to classify Stapel's publications with above chance accuracy. Beyond these discourse dimensions, Stapel included fewer co-authors when reporting fake data than genuine data, although other evidentiary claims (e.g., number of references and experiments) did not differ across the two article types. This research supports recent findings that language cues vary systematically with deception, and that deception can be revealed in fraudulent scientific discourse.
The entire article is here.
Tuesday, September 23, 2014
Perspectives on Juvenile Detention and Solitary Confinement
By Antonia Cartwright
Juvenile Justice Information Exchange
Originally posted August 27, 2014
Juvenile solitary confinement is a poignant indictment of our dependence on incarceration. The practice is pervasive in the United States, despite the fact that it damages our youth and, by causing higher recidivism, harms our society. Many other countries avoid or prohibit juvenile solitary confinement, viewing it as torture.
Disguised under a barrage of euphemisms, including segregation and secure housing, juvenile solitary confinement is pervasive in the United States, but lacks legal definition and practice guidelines. Recent legislation in California sought to restrict juvenile isolation to addressing urgent risks only. Unfortunately this has stalled, but advocates must continue to address the issue. Many states segregate juveniles for protection or punishment, for weeks or even months at a time.
The entire Op-Ed piece is here.
Juvenile Justice Information Exchange
Originally posted August 27, 2014
Juvenile solitary confinement is a poignant indictment of our dependence on incarceration. The practice is pervasive in the United States, despite the fact that it damages our youth and, by causing higher recidivism, harms our society. Many other countries avoid or prohibit juvenile solitary confinement, viewing it as torture.
Disguised under a barrage of euphemisms, including segregation and secure housing, juvenile solitary confinement is pervasive in the United States, but lacks legal definition and practice guidelines. Recent legislation in California sought to restrict juvenile isolation to addressing urgent risks only. Unfortunately this has stalled, but advocates must continue to address the issue. Many states segregate juveniles for protection or punishment, for weeks or even months at a time.
The entire Op-Ed piece is here.
When Leaders Lie
By Cynthia Schoeman
The Ethics Monitor
Originally published September 2014
Telling a lie is arguably something that everyone does from time to time. This can amount to a small exaggeration or a “white” lie that is apparently harmless. A lie can even be shaped by good intentions, for example to avoid hurting someone. (“Of course you look good in that new dress.” / "No, you have definitely not gained weight.”) But the “slippery slope” argument maintains that a relatively small first step can develop gradually until it amounts to something much more significant, when the lie is no longer harmless.
The other factor that exacerbates the impact of lying is when leaders lie. This stems from the fact that leaders exert the greatest influence on the conduct of others. But the ideal of being a good role model who influences his/her followers positively is, unfortunately, not always the case.
The entire blog post is here.
The Ethics Monitor
Originally published September 2014
Telling a lie is arguably something that everyone does from time to time. This can amount to a small exaggeration or a “white” lie that is apparently harmless. A lie can even be shaped by good intentions, for example to avoid hurting someone. (“Of course you look good in that new dress.” / "No, you have definitely not gained weight.”) But the “slippery slope” argument maintains that a relatively small first step can develop gradually until it amounts to something much more significant, when the lie is no longer harmless.
The other factor that exacerbates the impact of lying is when leaders lie. This stems from the fact that leaders exert the greatest influence on the conduct of others. But the ideal of being a good role model who influences his/her followers positively is, unfortunately, not always the case.
The entire blog post is here.
Monday, September 22, 2014
Full disclosure
Do individuals have a right for their medical records to remain private after death, or can public interest prevail?
By Jack El-Hai
Aeon
Originally published September 1, 2014
Here is an excerpt:
Putting aside my thoughts on whether Göring deserved any common courtesies and consideration, I explained to the questioner that I’m not a medical provider, and I do not have to follow the ethics of another profession that places a premium on the privacy of patients, living or dead. I have never sworn by the Hippocratic Oath in all my years as a writer. Furthermore, the Health Insurance Portability and Accountability Act (HIPAA) of 1996, a federal US law that regulates the disposition of medical records and protects the privacy of patients, applies to hospitals, medical providers and insurers – but not to writers. Even if it did apply to writers, HIPAA’s privacy protections last for only 50 years past a patient’s death, making the records of Göring and most of his fellow Nazi defendants clearly free from any restrictions on their use.
‘Don’t private medical records deserve more permanent protections?’ my questioner persisted.
The entire article is here.
By Jack El-Hai
Aeon
Originally published September 1, 2014
Here is an excerpt:
Putting aside my thoughts on whether Göring deserved any common courtesies and consideration, I explained to the questioner that I’m not a medical provider, and I do not have to follow the ethics of another profession that places a premium on the privacy of patients, living or dead. I have never sworn by the Hippocratic Oath in all my years as a writer. Furthermore, the Health Insurance Portability and Accountability Act (HIPAA) of 1996, a federal US law that regulates the disposition of medical records and protects the privacy of patients, applies to hospitals, medical providers and insurers – but not to writers. Even if it did apply to writers, HIPAA’s privacy protections last for only 50 years past a patient’s death, making the records of Göring and most of his fellow Nazi defendants clearly free from any restrictions on their use.
‘Don’t private medical records deserve more permanent protections?’ my questioner persisted.
The entire article is here.
The Dark Side of Emotional Intelligence
By Adam Grant
The Atlantic
Originally published January 2, 2014
Here is an excerpt:
Emotional intelligence is important, but the unbridled enthusiasm has obscured a dark side. New evidence shows that when people hone their emotional skills, they become better at manipulating others. When you’re good at controlling your own emotions, you can disguise your true feelings. When you know what others are feeling, you can tug at their heartstrings and motivate them to act against their own best interests.
Social scientists have begun to document this dark side of emotional intelligence. In emerging research led by University of Cambridge professor Jochen Menges, when a leader gave an inspiring speech filled with emotion, the audience was less likely to scrutinize the message and remembered less of the content. Ironically, audience members were so moved by the speech that they claimed to recall more of it.
The authors call this the awestruck effect, but it might just as easily be described as the dumbstruck effect. One observer reflected that Hitler’s persuasive impact came from his ability to strategically express emotions—he would “tear open his heart”—and these emotions affected his followers to the point that they would “stop thinking critically and just emote.”
The entire article is here.
The Atlantic
Originally published January 2, 2014
Here is an excerpt:
Emotional intelligence is important, but the unbridled enthusiasm has obscured a dark side. New evidence shows that when people hone their emotional skills, they become better at manipulating others. When you’re good at controlling your own emotions, you can disguise your true feelings. When you know what others are feeling, you can tug at their heartstrings and motivate them to act against their own best interests.
Social scientists have begun to document this dark side of emotional intelligence. In emerging research led by University of Cambridge professor Jochen Menges, when a leader gave an inspiring speech filled with emotion, the audience was less likely to scrutinize the message and remembered less of the content. Ironically, audience members were so moved by the speech that they claimed to recall more of it.
The authors call this the awestruck effect, but it might just as easily be described as the dumbstruck effect. One observer reflected that Hitler’s persuasive impact came from his ability to strategically express emotions—he would “tear open his heart”—and these emotions affected his followers to the point that they would “stop thinking critically and just emote.”
The entire article is here.
Sunday, September 21, 2014
Moral decision-making and the brain
NEURO.tv - Episode 11
Published on Aug 16, 2014
What experiments do psychologists use to identify the brain areas involved in moral decision-making? Do moral truths exist? We discuss with Joshua D. Greene, Professor of Psychology at Harvard University and author of Moral Tribes.
Published on Aug 16, 2014
What experiments do psychologists use to identify the brain areas involved in moral decision-making? Do moral truths exist? We discuss with Joshua D. Greene, Professor of Psychology at Harvard University and author of Moral Tribes.
Saturday, September 20, 2014
When Mental Health Professionals are on Facebook
By Steven Petrow
The Washington Post
Originally posted on August 25, 2014
For the past two weeks, whenever I’ve scrolled through my Facebook newsfeed I’ve come to the section “People You May Know.” The suggestions offered have included relatives, co-workers, some people I don’t even like in “real” life — and my current psychologist. “OMG!” I’ve winced repeatedly at the profile photo of my shrink, who for the sake of his privacy I’ll just call Dr. E.
Still, being the curious sort, I clicked to view his page, which isn’t very well protected from eyes like mine. For starters, there are 12 photos of him available for all the world to enjoy, several of them shirtless and one that had a “friend” of his posting “Woof!” underneath it. I also discovered pictures of Dr. E from high school with two nice-looking young ladies. Although I’ve known he was gay, I started to wonder: Was he bisexual then? When did he come out? I found myself thinking much more about his personal life than any patient should.
Among Dr. E’s Facebook friends was another psychologist, one who seemed to deploy no privacy safeguards whatsoever. Any patient clicking on his Facebook page could see tons of photos, including those of his wedding and honeymoon, and even his attendance at a celebration of “Bush 43’s” last night in office. (That makes it a good bet he’s a Dem, which might be TMI for a GOP patient.)
The entire article is here.
The Washington Post
Originally posted on August 25, 2014
For the past two weeks, whenever I’ve scrolled through my Facebook newsfeed I’ve come to the section “People You May Know.” The suggestions offered have included relatives, co-workers, some people I don’t even like in “real” life — and my current psychologist. “OMG!” I’ve winced repeatedly at the profile photo of my shrink, who for the sake of his privacy I’ll just call Dr. E.
Still, being the curious sort, I clicked to view his page, which isn’t very well protected from eyes like mine. For starters, there are 12 photos of him available for all the world to enjoy, several of them shirtless and one that had a “friend” of his posting “Woof!” underneath it. I also discovered pictures of Dr. E from high school with two nice-looking young ladies. Although I’ve known he was gay, I started to wonder: Was he bisexual then? When did he come out? I found myself thinking much more about his personal life than any patient should.
Among Dr. E’s Facebook friends was another psychologist, one who seemed to deploy no privacy safeguards whatsoever. Any patient clicking on his Facebook page could see tons of photos, including those of his wedding and honeymoon, and even his attendance at a celebration of “Bush 43’s” last night in office. (That makes it a good bet he’s a Dem, which might be TMI for a GOP patient.)
The entire article is here.
Friday, September 19, 2014
Using metacognitive cues to infer others’ thinking
André Mata and Tiago Almeida
Judgment and Decision Making 9.4 (Jul 2014): 349-359.
Abstract
Three studies tested whether people use cues about the way other people think--for example, whether others respond fast vs. slow--to infer what responses other people might give to reasoning problems. People who solve reasoning problems using deliberative thinking have better insight than intuitive problem-solvers into the responses that other people might give to the same problems. Presumably because deliberative responders think of intuitive responses before they think of deliberative responses, they are aware that others might respond intuitively, particularly in circumstances that hinder deliberative thinking (e.g., fast responding). Intuitive responders, on the other hand, are less aware of alternative responses to theirs, so they infer that other people respond as they do, regardless of the way others respond.
The entire article is here.
This article is important when contemplating ethical decision-making.
Judgment and Decision Making 9.4 (Jul 2014): 349-359.
Abstract
Three studies tested whether people use cues about the way other people think--for example, whether others respond fast vs. slow--to infer what responses other people might give to reasoning problems. People who solve reasoning problems using deliberative thinking have better insight than intuitive problem-solvers into the responses that other people might give to the same problems. Presumably because deliberative responders think of intuitive responses before they think of deliberative responses, they are aware that others might respond intuitively, particularly in circumstances that hinder deliberative thinking (e.g., fast responding). Intuitive responders, on the other hand, are less aware of alternative responses to theirs, so they infer that other people respond as they do, regardless of the way others respond.
The entire article is here.
This article is important when contemplating ethical decision-making.
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