It's that time of year, again, when any self-respecting healthcare provider looks to bone up on the latest terms in the lexicon. As in previous years, we welcome your suggestions for the next installment of this annual list.
1. Oculostenotic Reflex
Writing in the journal Circulation in 1995, Eric Topol, MD, and Steven Nissen, MD, described the term oculostenotic reflex as the "irresistible temptation among some invasive cardiologists to perform angioplasty on any significant residual stenosis after thrombolysis."
The phrase has resurfaced in light of current estimates that at least 11%, or as many as one-third or even one-half of interventional cardiology procedures and certain other invasive cardiac operations may unnecessary or even harmful because the conditions are better treated with medications.
As hospitals look to reduce costs and improve outcomes, and as organizations step away from fee-for-service payment systems, look for this phrase to be increasingly used as a metaphor for unnecessary, expensive and potentially harmful care.
2. The Three Biases
These terms have long been understood to impede objective research. They're the reason why clinical trials are best conducted when investigators are blinded to who gets what treatment regimen. But now they're increasingly appreciated as what happens in normal human brains to direct behavior that results in errors.
1.Confirmation Bias: A caregiver wants to think that a patient received the correct medication, selects a drug because it's in the place where the right one was before and where it ought to still be, even if it isn't.
2.Pro-Intervention Bias: The belief that no matter what, it is better for a caregiver to perform a procedure or prescribe a medication than to do nothing, because otherwise, what use would the caregiver have?
3.Pro-Technology Bias: The belief that a new device, drug, procedure, or approach is better for no other reason than that it is complicated, or expensive, or new.