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D Emmott

Publications and source records attributed to D Emmott.

2 recordsLinked to original sources

Medical errors in surgery.

Researchers at the Institute of Medicine have reported a staggering number of medical errors, that is, adverse effects as a result of treatment, in healthcare in America. This article argues against a no-faults systems view as a corrective for these events and calls us instead to trust the motivations of providers and the peer review process to bring about the needed cultural revolution. It sees healthcare as an honorable profession rather than an off-the-shelf commodity, and calls on providers to be courageous leaders who make safety their priority.

Confidentiality↗

A comparison of end versus loop stomas for ileal conduit urinary diversion.

We compared the loop and end stoma techniques for ileal conduit urinary diversion in 54 and 27 adults, respectively, with serious bladder disease during a 3-year interval. Followup by trained enterostomal therapists averaged nearly 2 years for all patients. Stenosis occurred in 12 end stomas (44 per cent) but not in any loop stomas. We believe that this result reflects the inherently better blood supply of the loop stoma, which we recommend over the end ileostomy for patients undergoing ileal diversion.

Adult↗