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November/December 2011 Annals of Family Medicine Tip Sheet
Date:11/14/2011

ian advocacy for environmental change can help to assuage the epidemic of childhood obesity. Pointing out that this public health crisis resides in the community and demands environmental interventions, she calls for physicians to go beyond addressing lifestyle issues in the office and to engage with the community to affect environmental and policy change. U.S. physicians, she asserts, can synergize with efforts such as the White House Task Force on Childhood Obesity and the Surgeon General's emphasis on changing the national conversation "from a negative one about obesity and illness" to a positive one about health and fitness.

Promoting Healthy Lifestyles and Decreasing Childhood Obesity: Increasing Physician Effectiveness Through Advocacy

By Jessica Schorr Saxe, MD

Carolinas Medical Center, Charlotte

Dutch Disciplinary Law System Offers Lessons for Patient Safety

Researchers in the Netherlands conduct an analysis of 250 random disciplinary law verdicts concerning Dutch family physicians between 2008 and 2010 and find a wide range of complaints, 74 of which included a serious outcome, most commonly related to a wrong diagnosis (45 percent) or insufficient care (23 percent). They conclude the Dutch disciplinary system, which differs fundamentally from a legal malpractice system in that it offers no potential financial benefit for patients involved, can be useful for learning about medical errors with the goal of improving patient safety. Because this analysis uncovered serious patient safety incidents not detected by other methods, including large-scale medical record review or incident reporting, they call for researchers to include disciplinary law verdicts in patient safety studies.

An accompanying editorial uses the Dutch study findings and the analogy of a lightning strike to remind readers that medical errors do happen, aren't random and can be prevented. The author calls on the health care community to view error r
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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