AHRQ Patient Safety Network

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Clinical Misdiagnosis

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (2)

Resource Types

•Journal Article (61)

•Newspaper/Magazine Article (13)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (60)

•Latent Errors (9)

Approach to Improving Safety

•Quality Improvement Strategies (27)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (21)

•Communication Improvement (20)

•Human Factors Engineering (7)

•Teamwork (3)

•Specialization of Care (6)

•Logistical Approaches (2)

•Culture of Safety (3)

•Technologic Approaches (7)

•Education and Training (17)

Clinical Areas

•Dentistry (1)

•Medicine (73)

•Nursing (1)

Target Audience

•Health Care Providers (71)

•Health Care Executives and Administrators (43)

•Non-Health Care Professionals (18)

•Patients (12)

Setting of Care

•Hospitals (40)

•Psychiatric Facilities (2)

•Residential Facilities (1)

•Ambulatory Care (16)

•Patient Transport (1)

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COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

The Worst Headache.

Edlow JA. AHRQ WebM&M [serial online]. July 2004.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Hidden Mystery.

Brunette DD. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

An Outpatient “Zebra”

Berkowitz L. AHRQ WebM&M [serial online]. January 2006.

COMMENTARY

The "Customer" Is Always Right

Sehgal NL. AHRQ WebM&M [serial online]. February 2007.

NEWSPAPER/MAGAZINE ARTICLE

For second opinion, consult a computer?

Hafner K. New York Times. December 3, 2012.

NEWSPAPER/MAGAZINE ARTICLE

What's the trouble? How doctors think.

Groopman J. The New Yorker. January 29, 2007;47:36-41.

COMMENTARY

Pregnant with Danger.

Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

When “Psychiatric” Symptoms are Not.

Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.

REVIEW

Patient safety strategies targeted at diagnostic errors: a systematic review.

McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Ann Intern Med. 2013;158(5 Pt 2):381-389.

STUDY

Delayed or missed diagnosis of cervical spine injuries.

Platzer P, Hauswirth N, Jaindl M, Chatwani S, Vecsei V, Gaebler C. J Trauma. 2006;61:150-155.

STUDY

Bedside detection of awareness in the vegetative state: a cohort study.

Cruse D, Chennu S, Chatelle C, et al. Lancet. 2012;378:2088-2094.

STUDY

Diagnostic pitfalls in paediatric ischaemic stroke.

Braun KP, Kappelle LJ, Kirkham FJ, Deveber G. Dev Med Child Neurol. 2006;48:985-990.

COMMENTARY

Autopsy Revelation.

Shojania KG. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.

Miller CS. Am J Med Sci. 2013;345:53-56.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

Berghmans R, Schouten HC. BMJ. 2011;343:d5469.

STUDY

Autopsy as a quality control measure for radiology, and vice versa.

Murken DR, Ding M, Branstetter BF IV, Nichols L. AJR Am J Roentgenol. 2012;199:394-401.

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