Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment.

Torrey Schmidt; Ronald Maag; Andrew J Foy

Commentary

Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment.

November 23, 2016

Schmidt T, Maag R, Foy AJ. JAMA Intern Med. 2016;176(12):1747-1748.

View more articles from the same authors.

Overdiagnosis can result in financial, psychological, and physical harm to patients. This commentary discusses how a communication gap left a patient uninformed about the risks associated with an invasive cardiac procedure that was later found to be unnecessary.

PubMed citation

Available at

Related study

Related Resources From the Same Author(s)

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths.

November 1, 2006

Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures?

June 14, 2023

Simulation training in obstetrics.

October 11, 2017

Standardised proformas improve patient handover: audit of trauma handover practice.

October 22, 2008

The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety.

November 20, 2019

Excess cost and length of stay associated with voluntary patient safety event reports in hospitals.

January 28, 2009

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

The case for simulation as part of a comprehensive patient safety program.

November 2, 2011

Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.

March 23, 2016

The relationship between safety climate and safety performance: a review.

March 1, 2023

The role of surgeon error in withdrawal of postoperative life support.

September 26, 2012

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.

May 5, 2021

Half-life of a printed handoff document.

May 11, 2016

A survey of outpatient internal medicine clinician perceptions of diagnostic error.

February 5, 2020

Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers.

May 1, 2019

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

August 16, 2017

Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.

January 11, 2017

Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework.

April 18, 2018

Remedies sought and obtained in healthcare complaints.

September 7, 2011

Associations between attending physician workload, teaching effectiveness, and patient safety.

February 3, 2016

The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.

July 28, 2021

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.

February 19, 2020

Surgeon-reported conflict with intensivists about postoperative goals of care.

March 27, 2013

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.

March 9, 2022

Impact of resident workload and handoff training on patient outcomes.

April 4, 2012

Are med school grads prepared to practice medicine?

May 7, 2014

Rates of serious surgical errors in California and plans to prevent recurrence.

May 19, 2021

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab.

June 8, 2022

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients.

January 17, 2018

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.

May 18, 2011

Improving diagnostic decision support through deliberate reflection: a proposal.

November 9, 2022

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.

March 24, 2021

Medication safety event reporting: factors that contribute to safety events during times of organizational stress.

May 24, 2023

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.

May 12, 2021

A comprehensive departmental care review model: requirements, structure, and flow.

June 30, 2021

Portable advanced medical simulation for new emergency department testing and orientation.

May 10, 2006

Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements.

September 23, 2020

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety.

August 22, 2018

Defining optimal length of opioid pain medication prescription after common surgical procedures.

October 18, 2017

Implementation of a structured hospital-wide morbidity and mortality rounds model.

May 31, 2017

Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.

March 3, 2010

Use of a public health law framework to improve medication safety by anesthesia providers.

March 20, 2019

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.

March 13, 2019

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.

August 1, 2018

Incidence and predictors of opioid prescription at discharge after traumatic injury.

July 12, 2017

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis.

March 15, 2023

Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication.

October 23, 2019

Diagnostic errors and reflective practice in medicine.

March 21, 2007

Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.

October 27, 2010

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals.

May 4, 2016

Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.

September 24, 2014

Point-of-care testing, medical error, and patient safety: a 2007 assessment.

August 1, 2007

Identification errors in pathology and laboratory medicine.

March 6, 2005

Simulation exercises as a patient safety strategy: a systematic review.

March 20, 2013

Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.

June 9, 2021

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Critical events in the lives of interns.

November 19, 2008

Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department.

February 24, 2010

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

December 7, 2011

The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

December 22, 2010

New solutions to reduce wrong route medication errors.

December 13, 2017

Barcode medication administration work-arounds: a systematic review and implications for nurse executives.

November 27, 2013

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

May 30, 2007

The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study.

January 4, 2012

Health information technologies: from hazardous to the dark side.

August 3, 2016

The tension between promoting mobility and preventing falls in the hospital.

May 10, 2017

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.

April 1, 2009

Design and implementation of an ICU incident registry.

November 1, 2006

What context features might be important determinants of the effectiveness of patient safety practice interventions?

June 29, 2011

The role of theory in research to develop and evaluate the implementation of patient safety practices.

January 30, 2005

How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research.

May 4, 2011

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.

November 16, 2016

The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.

April 3, 2013

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review

December 11, 2019

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.

April 12, 2006

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.

March 1, 2017

Radiology research in quality and safety: current trends and future needs.

April 19, 2017

Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes.

March 21, 2012

Clinically missed cancer: how effectively can radiologists use computer-aided detection?

May 16, 2012

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.

April 28, 2021

Overcoming human barriers to safety event reporting in radiology.

March 6, 2019

Physician practice patterns resemble ACGME duty hours.

July 8, 2009

Why the nation needs a policy push on patient-centered health care.

August 18, 2010

A framework for classifying patient safety practices: results from an expert consensus process.

January 30, 2005

Bringing the clinical laboratory into the strategy to advance diagnostic excellence.

September 22, 2021

Factors underlying suboptimal diagnostic performance in physicians under time pressure.

January 16, 2019

Why do doctors make mistakes? A study of the role of salient distracting clinical features.

December 11, 2013

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.

May 31, 2017

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.

February 6, 2013

Managing an acute adverse event in a radiology department.

August 6, 2008

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

March 13, 2013

Medical reconciliation in patients discharged from the emergency department.

January 11, 2012

Long-term effects of a perioperative safety checklist from the viewpoint of personnel.

April 3, 2013

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.

December 9, 2020

Related Resources

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities.

October 19, 2022

How cisgender clinicians can help prevent harm during encounters with transgender patients.

August 24, 2022

Patterns of error in interpretive pathology.

August 17, 2022

WebM&M Cases

Management of Cardiac Arrest in Unconventional Locations.

May 16, 2022

Error and cognitive bias in diagnostic radiology.

April 13, 2022

A family and hospital's journey and commitment to improving diagnostic safety.

March 9, 2022

Diagnostic reasoning in cardiovascular medicine.

January 19, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

January 11, 2022

Misdiagnosis of acute myocardial infarction: a systematic review of the literature.

October 6, 2021

WebM&M Cases

Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks

June 30, 2021

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.

February 12, 2020

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.

May 22, 2019

Implementation and evaluation of a laboratory safety process improvement toolkit.

May 22, 2019

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

The computerized ECG: friend and foe.

April 10, 2019

Addressing medicine's bias against patients who are overweight.

March 27, 2019

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

December 5, 2018

Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.

October 24, 2018

Ten principles for more conservative, care-full diagnosis.

October 10, 2018

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

WebM&M Cases

Slow Down: Right Drug, Wrong Formulation

January 1, 2018

What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up.

November 22, 2017

Risk factors of missed colorectal lesions after colonoscopy.

September 6, 2017

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

August 30, 2017

WebM&M Cases

Hemolysis Holdup

May 1, 2017

WebM&M Cases

Consequences of Medical Overuse

March 1, 2017

See More About The Topic

Hospitals

Health Care Providers

Educators

Cardiology

Diagnostic Test Interpretation Error

Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment.

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment.

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site