Cited by 14Clinical Reasoning and Diagnostic SkillsHistory of Science and MedicineHistory of Medicine Studies

To Err is Human: Can American Medicine Learn from Past Mistakes?

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Ritterman, Jeffrey B·2017·The Permanente Journal

Abstract

The history of medicine includes many errors. Some persisted for decades and caused great harm. Several are highlighted in this article, including the mythical thymic diseases: thymic asthma and status thymicolymphaticus. Some medical mistakes, such as the diet-heart hypothesis of Ancel Keys, continue to cause harm. To avoid future errors and their associated harm, I suggest a cultural shift encouraging professional humility and greater questioning of medical dogma. Medical education focused on teaching students this history may help with this cultural shift.

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  • Poor reasoning and data collection resulted in radiation treatment of children to prevent sudden infant death syndrome in the early 1900s, resulting in more than 10,000 babies dying of thyroid cancer.

    “Poor reasoning and data collection resulted in radiation treatment of children to prevent sudden infant death syndrome in the early 1900s, resulting in >10,000 babies dying of thyroid cancer (71).”

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References 51 · Cited by 14

Research works printed but not linked: 6

  1. Tannenbaum J. Delayed gratification: Why it took everybody so long to acknowledge that bacteria cause ulcers. Journal of Young Investigators [Internet] 2005 Feb [cited 2017 Mar 6]. Available from: www.jyi.org/issue/delayed-gratification-why- it-took-everybody-so-long-to-acknowledge-that- bacteria-cause-ulcers/.
  2. Sapolsky RM. Poverty's remains. The Sciences 1991 Sep-Oct;31(5):8-10.
  3. Friedländer A. Status lymphaticus and enlargement of the thymus: With report of a case successfully treated by the x-ray. Arch Pediatr 1907; 24:490-501.
  4. Andrade J, Mohamed A, Frohlich J, Ignaszewski A. Ancel Keys and the lipid hypothesis: From early breakthroughs to current management of dyslipidemia. B C Med J 2009 Mar;51(2):66-72.
  5. Lustig RH. Fat chance: Beating the odds against sugar, processed food, obesity, and disease. New York, NY: Hudson Street Press; 2013. p 110-1.
  6. Staff of the Select Committee on Nutrition and Human Needs, United States Senate. Dietary goals for the United States, 2nd edition. Washington, DC: US Government Printing Office; 1977.

Authors
Ritterman, J. B.
Affiliations
Touro University California (US)
Corresponding author
Ritterman, Jeffrey B
Venue
The Permanente Journal
Published
2017-09
Volume
21
Issue
3
Pages
16-181
ISSN
  • 1552-5767 (ISSN-L)
  • 1552-5775
OpenAlex
W2627000577
Cited by
14
References
51
Citations by year
2025: 2 · 2024: 4 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 3
FWCI
0.18
Type
journal article
Language
en
Open access
Locations
  • The Permanente Journal (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Touro Scholar (Touro College) (submittedVersion)
Topics
  • Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › History of Science and Medicine
  • Social Sciences › Arts and Humanities › History › History of Medicine Studies
Keywords
medical errors, history of medicine, diet-heart hypothesis, Ancel Keys, medical education, medical culture
MeSH terms
Attitude of Health Personnel, Education, Medical, Humans, United States, Medical Errors

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