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Medical errorsErreurs ou des erreurs commises par des professionnels de sante entrainant mal au patient. Disclosing medical errors made by physicians is extremely important yet often extremely difficult. One study involved a review of more than 300 previously published papers on factors that hinder or help doctors' disclosure of mistakes. The literature review revealed 91 factors involved in physician error disclosure, and the focus group research added an additional 27 factors. The research also showed that some physicians are frustrated with reporting systems set up by hospitals to encourage error reporting because there is little or no feedback. Some doctors said the "bottom line" in terms of positive motivation to report an error was the desire to be straightforward with patients.
To promote further study of positive and negative factors underlying error disclosure, the research team developed a taxonomy of four positive and four negative domains.
Kaldjian and colleagues will examine next the many factors to see which appear to be most influential in terms of shaping physicians' beliefs and attitudes about error disclosure. Compared to whole foods containing unrefined carbohydrates, refined carb foods tend to have a higher glycemic index, which is the ability of a food to raise your blood glucose level.
Refined carbohydrates include white pasta, white rice, white all purpose flour, white bread, sucrose (white table sugar), high fructose corn syrup and any foods containing these ingredients such as soda pop, cereal, processed syrups, jellies, preserves, pastries and desserts. When whole-grain wheat is refined, the outer bran layers and germ is removed to produce flour with a finer texture and extended shelf life.


Consuming too many processed, refined carbohydrate foods will not only cause nutrient deficiencies, but it can also lead to the development of chronic metabolic diseases such as diabetes and heart disease. Your total daily energy expenditure is determined by your metabolism at rest, or your basal metabolic rate. Excessive consumption of refined carbohydrates will increase fat mass, body weight and the body mass index, or BMI, that measures body fat. Ils comprennent les erreurs de diagnostic (diagnostic) erreurs, erreurs de l'administration de medicaments et d'autres medicaments (medicaments) erreurs, erreurs de la performance d'interventions chirurgicales, dans l ’ utilisation d ’ autres types de traitement, dans l'utilisation d'equipement, et dans l ’ interpretation des resultats de laboratoire.
Two University of Iowa studies examine why this is the case and how increased understanding might help patients, doctors and health care systems overall.
Those findings appear in the April 2006 issue of the Joint Commission Journal on Quality and Patient Safety. Yet, physicians also noted that talking about errors "doesn't earn you points," and that the culture of competition in medicine can discourage doctors from being straightforward about mistakes, even among colleagues. We can learn from the doctors who are wiling to talk about their errors and what helps them disclose their errors," he said. Even the best doctors may make mistakes for reasons that are hard to understand -- we all have strange moments when we have lapses.
In this regard, regular consumption of refined carbs will increase your risk for developing Type 2 diabetes an numerous other health issues. In this process, most of the fiber, essential fatty acids, vitamin E, B vitamins and essential minerals are removed.


Compared with whole, unprocessed carb foods, refined carbohydrate foods lower the thermic effect of your meals, which causes weight gain and decreases your basal metabolic rate. Metabolism increases when food is ingested, this is also called the "thermic effect". The thermic effect of food, or "thermogenesis" accounts for about 10% of your total daily energy expenditure. Refined carb foods are rapidly digested and absorbed, and they tend to elevate your blood glucose levels very quickly, causing the pancreas to produce more insulin to prevent your blood glucose from getting too high, which then causes the liver to secrete triglyceride-rich lipoproteins and this increase in your fat mass will tend to lower your basal metabolic rate.
The second study suggested a new framework for understanding these factors, based on the literature review and new research involving five focus groups. However, we need to pay attention to the difference between honest mistakes and mistakes that happen when professionals are knowingly negligent," Kaldjian said. Foods that are more complex, require more work by the gastrointestinal tract and digestive organs, greater enzyme production and more secondary metabolism in the liver have a higher energetic cost than less complex foods. Although a few of the major B vitamins and iron are added back to the flour (Enriched Flour), the nutritional quality of refined wheat flour is inferior to that of whole-wheat flour. Your energy expenditure due to a thermic effect after consuming a refined carbohydrate or processed food meal may be only about one-half of that after consuming a whole-food meal containing complex carbohydrates and dietary fiber.



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