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- Communication Improvement 1
- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Logistical Approaches 1
- Specialization of Care 1
- Technologic Approaches 1
- Diagnostic Errors
- Discontinuities, Gaps, and Hand-Off Problems 1
- Fatigue and Sleep Deprivation 1
- Medical Complications 1
- Medication Safety 1
- Psychological and Social Complications 1
Search results for "Diagnostic Errors"
Miller N. The Pathologist. June 2016(20):18-29; July 2016(21):18-33.
In light of the growing focus on diagnostic errors, this magazine series reports on unique challenges that pathologists face when they discover potential errors. The first article in the series discusses how pathologists may experience barriers to disclosure including feeling shame in disclosing their own error, discomfort with raising concerns about a colleague who has misdiagnosed a patient, and lack of direct relationships with patients. The second article expands the discussion to focus on how industry support of open transparency can enable pathologists to participate in reporting and disclosure activities.
Journal Article > Study
Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.
Disclosing errors to patients does not happen consistently, as physicians in patient-care–oriented specialties (such as internal medicine and surgery) frequently "choose their words carefully" and fail to fully disclose errors when they occur. This survey of radiologists who regularly interpret mammograms found that three-quarters regularly discuss mammogram results directly with patients, but only a minority would disclose any information about an error in interpretation without prompting from the patient. Despite patients' clear preference for full disclosure of errors, only 15% of radiologists said they would discuss the specifics of the error and how it occurred. Errors in cancer diagnosis are a frequent cause of malpractice lawsuits, but in this study, having been sued was not associated with likelihood of disclosing an error. The study's lead author, Dr. Thomas Gallagher, was interviewed for AHRQ WebM&M in January 2009.
Special or Theme Issue
Pediatr Crit Care Med. 2007;8(suppl):S1-S43.
This supplement covers issues related to safety indicators, fatigue, electronic medical records, infection, and disclosure of medical errors in the care of critically ill children.
Journal Article > Study
Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.
The investigators surveyed primary care physicians regarding direct notification of results for three specific diagnostic tests. They found that physicians generally favored direct reporting to patients when test results were normal, had less diagnostic severity, or had less potential for emotional impact.
Brody H. Am Fam Physician. 2006;73:1272, 1274.
This article presents a case scenario of an unacknowledged misdiagnosis discovered through a patient's request for a second opinion. The author discusses how the colleague who discovered the mistake should address the first physician's denial of error.