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A strong basic background in internal medicine is essential for general Dermatology with a broad exposure to the medical subspecialties especially Rheumatology . According to a report in Nursing Management magazine , a bedside bar coding system at Northern Michigan Hospital in Petoskey , Mich ., has helped prevent more than 1,000 medical errors . It can be argued that this compilation recognizes not only that medical errors occur in the health care system , but also that there are significant learning opportunities that may arise in the identification of these errors that are otherwise known as medical misadventures . Previously focused on financial issues , IT projects now target operational improvements , such as reducing medical errors . These were the medical intensive care unit , five medical wards , and the emergency room . Use of this technology , in combination with information systems that incorporate decision support , will reduce medical errors and improve productivity . As Chen so eloquently argues , a zeal to cure is no excuse for failing to communicate prognoses honestly or for sidestepping ongoing dialogue with patients and families as medical events deteriorate . However , the above referenced sections will have a major impact on improving patient safety and reducing medical errors . Northern Montana did not argue that Alzheimer 's disease and dementia are not medical diagnoses , and the list of possible diagnoses contained in the MDS category titled " Disease Diagnoses " includes both Alzheimer 's and dementia other than Alzheimer 's .