Dan Morgan
@dr_dmorgan
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ID doctor and epidemiologist creating pragmatic solutions for hospital isolation, better diagnosis and AI for patient safety metrics.
Baltimore, MD
Joined November 2014
How good are doctors at diagnosis? . This is the most relevant paper I have written. Not perfect but addresses a huge issue I think could change medicine if acknowledged.…it has changed how I think about diagnosis. .@JAMAInternalMed .@drjohnm .1/n.
jamanetwork.com
This survey study of physicians, nurse practitioners, and physician assistants explores practitioner understanding of diagnostic reasoning.
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At the @SHEA_Epi conference, Valeria Fabre talking about diagnostic stewardship!.@ValerieVaughnMD
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Wild to hear about DeepSeek being used in Chinese hospitals. Seems risky but a snapshot of where things are going. Worth a read.@AdamRodmanMD @PreetiNMalani .
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Requirement to throw away most medical equipment after single use is largely driven by extra barrier by @FDA to prove safe to reuse. @DrMakaryFDA, would you reconsider this? @SHEA_Epi conference
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RT @jakescottMD: Annual N95 fit-testing is still required based on 1 small study of 229 participants. In a study of 12,065 HCWs followed o….
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Great to hear about these SNAP trials, @DrEmilyMcD !.
It’s happening now! The results of the SNAP PSSA and MSSA domains. Recently, the number of patients recruited in SNAP surpassed all randomized patients in staph aureus trials combined! . #ESCMIDGlobal2025 .@syctong @DrToddLee.
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RT @Musa_alGharbi: De-Baathification was. not a successful policy. like. famously. it was the source of most of America's challeng….
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RT @AdeAdamson: Among the 12 most commonly diagnosed cancers in the US, we found striking variability in the incidence/mortality relationsh….
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Great work @JonBaghdadi.
Across ~750k inpatients in 928 U.S. hospitals, starting with empiric narrow-spectrum antibiotics escalated to broad-spectrum antibiotics based on cultures was NOT associated with worse outcomes compared with empirically starting broad.
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RT @AdamRodmanMD: There is a lot of buzz about our new paper in Nature Medicine on the effects of LLMs (GPT-4) on physician management reas….
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Great to see talk about Mindlines, evoking the great BMJ paper about actual clinical practice.
Are clinicians’ beliefs & emotions key drivers of their antibiotic prescribing?.🆕💫 Sub study INHALE.Guidelines vs mindlines: a qualitative investigation of how clinicians’ beliefs influence the application of rapid molecular diagnostics in intensive care.
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RT @jbcarmody: Articles like this wear me out. It comes so close to discussing real problems - then parrots back the same platitudes. Do….
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RT @JALM_ADLM: Diagnostic stewardship, which extends to clinical medicine, and laboratory stewardship serve complementary roles & collabora….
academic.oup.com
AbstractBackground. Diagnostic stewardship is a set of clinically based changes to the ordering, processing, and reporting of diagnostic tests designed to
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RT @drjohnm: The use of oseltamivir in the total absence of evidence of benefit meets the criteria of therapeutic fashion. Evidence-based….
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Same group wrote: Same group examined hospitalized patients. "in severe influenza, oseltamivir and peramivir might reduce duration of hospitalisation compared with standard care or placebo, although the certainty of evidence is low." .
thelancet.com
In hospitalised patients with severe influenza, oseltamivir and peramivir might reduce duration of hospitalisation compared with standard care or placebo, although the certainty of evidence is low....
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I know some asked for the manuscript. Hopefully this screenshot is clear. We wrote a note on a SR/MA that included grandfather of EBM, @GuyattGH
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The Limited Role for Antiviral Therapy in Influenza . commentary on a SR/MA with @JonBaghdadi . "When considering the evidence, we are left to wonder why reflexive treatment of influenza with oseltamivir has become so ingrained in clinical practice." .
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Yup.
A mess of a figure. Likely driven by lead & length time biases without meaningful gains. There surely are some real gains here but most IMO is from screening, including incidental diagnoses from rampant testing & imaging. Separate by cancer & stage, and look at mortality rates.
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RT @AdamRodmanMD: But we know how to test efficacy in medicine. Clinical trials are messy, more expensive than in silico studies, and requi….
pubmed.ncbi.nlm.nih.gov
Existing evaluations of LLMs mostly focus on accuracy of question answering for medical examinations, without consideration of real patient care data. Dimensions such as fairness, bias, and toxicity...
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