On health misinformation on national television.
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The four experiments reported here provide evidence that (1) misleading postevent suggestions can impair memory for details in a witnessed event and (2) subjects sometimes remember suggested details as things seen in the event itself. All four experiments used recall tests in which subjects were warned of the possibility that the postevent information included misleading suggestions and were instructed to report both what they witnessed in the event and what was mentioned in the postevent narrative. Recall of event details was poorer on misled items than on control items, and subjects sometimes misidentified the sources of their recollections. Our results suggest that these findings are not due to guessing or response biases, but rather reflect genuine memory impairment and source monitoring confusions.
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Medical record information has become less reliable than ever before despite the electronic information revolution in medical care and the authority medical records have been accorded in our society. Long flawed by errors introduced by medical personnel, patients, and machines, medical records have had a further decline in credibility as a result of the loss of confidentiality and the imposition of well-meaning but unrealistic cost-control regulations on medical practice. Medical records are being distorted and fashioned to keep clinically important but sensitive personal information about patients from public view. To comply with standards of care and a reimbursement system blind to biologic diversity, medical records are being forced to address only the technical side of care. Until these deficiencies are corrected, our increasing dependence on medical records should be balanced by increasing skepticism about the value of the information they contain.
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UB-82s, those ubiquitous green forms hospitals rely on for proper reimbursement, also are being used as a research tool, a purpose for which they weren't designed. While the data have some valid applications, flaws such as inconsistent coding, distorted data and omitted information make their use unreliable for broad studies in such critical areas as quality of care and utilization.
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In 1928, while investigating variant strains of Staphylococcus aureus, Alexander Fleming found that a fungus growing near the edge of a culture of S. aureus produced a substance which had diffused into the medium, lysed the nearest organisms and thus produced a clear area immediately surrounding the fungus. Further away was a zone of transparent, degenerate colonies, while those in the outer zone appeared healthy. This culture plate was one of several left on his laboratory bench at room temperature while he was away on holiday. On his return, he noticed the difference on this plate from the usual contaminated plate. He cultivated the fungus, Penicillium notatum, which he was initially informed was P. rubrum, and called the soluble extract penicillin. It cured local infections but, at the time, could not be purified to treat systemic infections. Many authors have criticized apparent failings in Fleming. This paper catalogs the criticisms and provides evidence to refute them.
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