中国有句俗语,人多力量大。可放在医院里,这句话未必正确。在医学界鼎鼎有名的《新英格兰医学杂志》上,来自耶鲁大学医学院的皮肤科医生Robert Stavert与Jason Lott,用一个真实案例说明了这一点。一位32岁的男性,出现不明原因的肾脏、肝脏与肺功能衰竭,住进ICU。为了找到发病原因,9个治疗小组超过40名医生参与到病人的治疗中。按说,如此庞大的治疗团队,病因理应及早被找到。遗憾的是,病人的情况却不容乐观。治疗小组间缺乏交流,各自进行自己的检查,以致每天进行25种之多的实验室检查,其中许多竟然重复。没有哪个小组 There is a Chinese proverb that people are more powerful. Can be placed in the hospital, this sentence may not be correct. Robert Stavert and Jason Lott, dermatologists from Yale University School of Medicine, used the real case to illustrate this in the prestigious New England Journal of Medicine. A 32-year-old man presented with unexplained kidney, liver and lung failure and admitted to the ICU. In order to find the cause of the disease, more than 40 physicians from 9 treatment groups participated in the treatment of patients. According to say, such a large treatment team, etiology should be found as soon as possible. Unfortunately, the patient’s condition is not optimistic. There was a lack of communication between treatment groups, each carrying out its own tests, so that as many as 25 laboratory tests were performed daily, many of which were repeated. No group