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Conveyor belt medicine: Where are the brakes?

from Medscape (free login required)

Jaya Mallidi, MD, MHS, writes, "Classic conveyor belt medicine is a fast-paced system that encourages reflexive actions, largely to meet quality metrics, and discourages meaningful patient interactions. The second the ECG was interpreted as "anterior STEMI," [my patient] was placed on the conveyer belt. A single snippet of clinical information interpreted by a machine set the belt in motion. Her clinical history, symptoms, physical examination, and labs didn't matter. Her understanding, and accurate informed consent, mattered even less." more

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