Types and Origins of Diagnostic Errors in Primary Care Settings

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Types and origins of diagnostic errors in primary care settings.

IMPORTANCE Diagnostic errors are an understudied aspect of ambulatory patient safety. OBJECTIVES To determine the types of diseases missed and the diagnostic processes involved in cases of confirmed diagnostic errors in primary care settings and to determine whether record reviews could shed light on potential contributory factors to inform future interventions. DESIGN We reviewed medical r...

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Diagnostic errors in primary care: lessons learned.

BACKGROUND Diagnostic errors occur more commonly than other kinds of errors, they are more likely to harm patients, and they are more likely to be preventable. Little is known about the presenting complaints, initial (incorrect) diagnoses, and physicians' personal lessons learned related to diagnostic errors. METHODS In 2009 and 2010, we invited a random sample of 200 family physicians, 200 g...

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Preventing Diagnostic Errors in Primary Care.

Diagnosis is the most difficult thing we do. We usually do it well, but we are not perfect. Diagnostic errors are important because they are common,1,2 and they harm patients and physicians.3,4 Until recently, physicians and hospitals have ignored diagnostic errors, partly because they are not like other kinds of medical errors. They are more difficult to define and detect, more difficult to pr...

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Contamination of diagnostic ophthalmic solutions in primary eye care settings.

Pharmaceutical agents and irrigating solutions are widely used in both optometric and ophthalmologic practices. Contamination of these containers or solutions could possibly pose some risk of infection to a patient. We set out to investigate the possible contamination of a representative sample of these containers in small office practices. Representative bottles of two diagnostic pharmaceutica...

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The global burden of diagnostic errors in primary care

Diagnosis is one of the most important tasks performed by primary care physicians. The World Health Organization (WHO) recently prioritized patient safety areas in primary care, and included diagnostic errors as a high-priority problem. In addition, a recent report from the Institute of Medicine in the USA, 'Improving Diagnosis in Health Care', concluded that most people will likely experience ...

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ژورنال

عنوان ژورنال: JAMA Internal Medicine

سال: 2013

ISSN: 2168-6106

DOI: 10.1001/jamainternmed.2013.2777