AHRQ Patient Safety Network

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Clinical Misdiagnosis

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (2)

Resource Types

•Journal Article (67)

•Newspaper/Magazine Article (10)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (24)

•Active Errors (57)

•Latent Errors (9)

Approach to Improving Safety

•Quality Improvement Strategies (28)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (23)

•Communication Improvement (21)

•Human Factors Engineering (6)

•Teamwork (3)

•Specialization of Care (5)

•Logistical Approaches (2)

•Culture of Safety (3)

•Technologic Approaches (7)

•Education and Training (15)

Clinical Areas

•Dentistry (1)

•Medicine (75)

•Nursing (1)

Target Audience

•Health Care Providers (75)

•Health Care Executives and Administrators (45)

•Non-Health Care Professionals (17)

•Patients (11)

Setting of Care

•Hospitals (39)

•Psychiatric Facilities (2)

•Residential Facilities (1)

•Ambulatory Care (16)

•Patient Transport (1)

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STUDY

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.

Derkx HP, Rethans JE, Muijtjens AM, et al. BMJ. 2008;337:a1264.

COMMENTARY

Sir Karl Popper, swans, and the general practitioner.

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

STUDY

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

Gandhi TK, Kachalia A, Thomas EJ, et al. Ann Intern Med. 2006;145:488-496.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

NEWSPAPER/MAGAZINE ARTICLE

Why doctors make mistakes.

Groopman J. AARP Magazine. September/October 2008.

STUDY

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

de Lusignan S, Sadek N, Mulnier H, Tahir A, Russell-Jones D, Khunti K. Diabet Med. 2012;29:181-189.

STUDY

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

Mamede S, van Gog T, van den Berge K, et al. JAMA. 2010;304:1198-1203.

COMMENTARY

The Worst Headache.

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

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.

REVIEW

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.

Winters B, Custer J, Galvagno SM Jr, et al. BMJ Qual Saf. 2012;21:894-902.

STUDY

Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.

Sibbald M, de Bruin AB, Cavalcanti RB, van Merrienboer JJ. BMJ Qual Saf. 2013;22:333-338.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Inadvertent Castration.

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

STUDY

Underdiagnosis of hypertension using electronic health records.

Banerjee D, Chung S, Wong EC, Wang EJ, Stafford RS, Palaniappan LP. Am J Hypertens. 2012;25:97-102.

STUDY

Role of clinical context in residents' physical examination diagnostic accuracy.

Sibbald M, Panisko D, Cavalcanti RB. Med Educ. 2011;45:415-421.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

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

STUDY

Diagnostic pitfalls in paediatric ischaemic stroke.

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

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