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Cases & Commentaries
- Web M&M
Jeffrey M. Rohde, MD, and Scott A. Flanders, MD; November 2012
A 32-year-old man went to the emergency department with fever and pleuritic chest pain. Following an extensive work-up, he was discharged with "fever, pleural effusion, and chest wall pain", but no clear diagnosis. He returned to the ED 3 days later with worsening pain, continued fever, a new cough, and dyspnea. The patient was started on antibiotics and admitted for pneumonia with effusion.
Journal Article > Study
Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea.
Zwaan L, Thijs A, Wagner C, Timmermans DR. Soc Sci Med. 2013;91:32-38.
Inappropriate selectivity (failure to consider all available information or potential diagnoses) was a major contributor to diagnostic errors in patients with dyspnea.