AHRQ Patient Safety Network

PATIENT SAFETY PRIMERS
Diagnostic Errors

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Diagnostic Errors: Thousands of patients die every year due to diagnostic errors... Read Full Glossary Entry >

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Diagnostic Errors

•Clinical Misdiagnosis (34)

•Radiograph Interpretation Error (22)

•Diagnostic Test Interpretation Error (15)

Origin/Sponsor

•Africa (1)

•Asia (13)

•Australia and New Zealand (9)

•Central and South America (3)

Resource Types

•Journal Article (247)

•Legislation/Regulation (1)

•Meeting/Conference (3)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Web Resource (1)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (113)

•Active Errors (154)

•Latent Errors (39)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (84)

•Legal and Policy Approaches (32)

•Error Reporting and Analysis (99)

•Communication Improvement (69)

•Human Factors Engineering (32)

•Teamwork (9)

•Specialization of Care (10)

•Logistical Approaches (21)

•Culture of Safety (15)

•Technologic Approaches (59)

•Education and Training (55)

Clinical Areas

•Medicine (245)

•Nursing (6)

•Pharmacy (2)

Target Audience

•Health Care Providers (247)

•Health Care Executives and Administrators (195)

•Non-Health Care Professionals (81)

•Patients (20)

Setting of Care

•Hospitals (130)

•Psychiatric Facilities (3)

•Residential Facilities (1)

•Ambulatory Care (52)

•Outpatient Surgery (3)

•Patient Transport (7)

1 - 20 of 293

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STUDY

Reducing inappropriate diagnostic practice through education and decision support.

Bairstow PJ, Persaud J, Mendelson R, Nguyen L. Int J Qual Health Care. 2010;22:194-200.

STUDY

Communication errors in dispatch of air medical transport.

Vilensky D, Macdonald RD. Prehosp Emerg Care. 2011;15:39-43.

STUDY

Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.

STUDY

Errors of diagnosis in pediatric practice: a multisite survey.

Singh H, Thomas EJ, Wilson L, et al. Pediatrics. 2010;126:70-79.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

COMMENTARY

The hazards of diagnosis.

Schattner A, Magazanik N, Haran M. QJM. 2010;103:583-587.

STUDY

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

Schiff GD, Hasan O, Kim S, et al. Arch Intern Med. 2009;169:1881-1887.

STUDY

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.

Tuncer S, Aksu N, Dilek H, Ozkan T, Hamzaoglu A. J Trauma. 2011;71:649-655.

STUDY

Diagnostic error in a national incident reporting system in the UK.

Sevdalis N, Jacklin R, Arora S, Vincent CA, Thomson RG. J Eval Clin Pract. 2010;16:1276-1281.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.

Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.

STUDY

Factors associated with misdiagnosis of acute stroke in young adults.

Kuruvilla A, Bhattacharya P, Rajamani K, Chaturvedi S. J Stroke Cerebrovasc Dis. 2011;20:523-527.

STUDY

Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes.

Neale G, Hogan H, Sevdalis N. Clin Med. 2011;11:317-321.

STUDY

Potential medical adverse events associated with death: a forensic pathology perspective.

Sakai K, Takatsu A, Shigeta A, et al. Int J Qual Health Care. 2010;22:9-15.

COMMENTARY

Diagnostic errors—The next frontier for patient safety.

Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.

STUDY

The impact of computerized provider order entry systems on medical-imaging services: a systematic review.

Georgiou A, Prgomet M, Markewycz A, Adams E, Westbrook JI. J Am Med Inform Assoc. 2011;18:335-340.

STUDY

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

STUDY

Automated identification of postoperative complications within an electronic medical record using natural language processing.

Murff HJ, FitzHenry F, Matheny ME, et al. JAMA. 2011;306:848-855.

STUDY

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.

Stahel PF, Sabel AL, Victoroff MS, et al. Arch Surg. 2010;145:978-984.

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