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Cases & Commentaries
- Web M&M
Reza Alaghehbandan, MD, MSc, and Stephen S. Raab, MD; March 2013
A woman with abdominal pain, bloating, and weight loss went to her primary physician, who ordered imaging and a biopsy. Lymph node pathology was reported as Castleman disease. A specialist felt the presentation and test results were atypical for this diagnosis. Further testing revealed adult-onset celiac disease.
Journal Article > Study
Sibbald M, De Bruin ABH, van Merrienboer JJG. Adv Health Sci Educ Theory Pract. 2014;19:43-51.
Checklists have been shown to improve patient safety and clinical outcomes when used in combination with other interventions to increase adherence to proven safety strategies. The use of checklists to prevent diagnostic errors has been advocated as well. In this study, medical students, residents, and cardiology fellows were instructed to use a checklist while interpreting electrocardiograms (ECGs). Use of the checklist increased the accuracy of ECG interpretation for all groups and was most effective with the least experienced clinicians. As ECG interpretation errors are common and have serious clinical consequences, checklists such as this have the potential to improve patient care.