Diagnostic error in medicine: introduction

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Diagnostic error in medicine: introduction.

In 1999 the Institute of Medicine (a division of the US National Academy of Sciences) published a landmark report indicating that from 44,000 to 98,000 deaths per year could be attributed to preventable medical errors (Kohn et al. 1999). Although the majority of errors related to therapy, including medication and surgical errors, the report identified a significant number of diagnostic errors. ...

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The incidence of diagnostic error in medicine

A wide variety of research studies suggest that breakdowns in the diagnostic process result in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews, surveys of patient and physicians, voluntary reporting systems, using standardised patients, second reviews, diagnostic testing audits and closed claims reviews. Although these different approaches provide impor...

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Cognitive diagnostic error in internal medicine.

Medical error poses an important healthcare burden and a challenge for physicians and policy makers worldwide. Diagnostic error accounts for a substantial fraction of all medical mistakes. Most diagnostic errors have been associated with flaws in clinical reasoning. Empirical evidence on the cognitive mechanisms underlying such flaws and effectiveness of strategies to counteract them is scarce....

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Diagnostic error: missed fractures in emergency medicine.

The following incident was submitted to the Emergency Medicine Events Register (EMER – http://www.emer .org.au). EMER is an anonymous, confidential and protected incidentreporting system that is supported by ACEM. Anyone working in emergency medicine can enter a near miss or AE by following the link from the website. It should only take 5 min and will help to inform practice and improve patient...

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Diagnostic error in medicine: analysis of 583 physician-reported errors.

BACKGROUND Missed or delayed diagnoses are a common but understudied area in patient safety research. To better understand the types, causes, and prevention of such errors, we surveyed clinicians to solicit perceived cases of missed and delayed diagnoses. METHODS A 6-item written survey was administered at 20 grand rounds presentations across the United States and by mail at 2 collaborating i...

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ژورنال

عنوان ژورنال: Advances in Health Sciences Education

سال: 2009

ISSN: 1382-4996,1573-1677

DOI: 10.1007/s10459-009-9187-x