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Search results for "Overtreatment"
- Cognitive Errors ("Mistakes")
Journal Article > Commentary
Korenstein D. JAMA Intern Med. 2019;179:26-27.
Medical overuse can have negative ramifications for both patients and health care organizations. This commentary suggests that cognitive error is a key contributor to overuse. Rethinking evidence-based medicine education and improving physician skills in risk assessment and decision analysis can help reduce overuse. A PSNet perspective discussed medical overuse as a patient safety problem.
Journal Article > Review
Kale MS, Korenstein D. BMJ. 2018;362:k2820.
Overdiagnosis has emerged as a quality and safety concern due to its potential to result in financial and emotional harm for patients and their families. This review discusses factors that contribute to overdiagnosis in primary care including financial incentives and innovations in diagnostic technologies. The authors recommend increasing awareness about the negative consequences of unneeded screenings, clarifying the definition of overdiagnosis, and adjusting cultural expectations for testing and treatment as avenues for improvement.
Szabo L. Kaiser Health News. October 23, 2017.
Overdiagnosis and overtreatment present a challenge to patient safety. This news article reports on the prevalence of overtreatment among patients with cancer, how it can result in patient harm, and patient stories that illustrate the impact of overtreatment. A past PSNet interview discussed the patient safety implications of diagnostic radiology overuse.
National Quality Partners. Washington, DC: National Quality Forum; 2016.
Antimicrobial stewardship has been promoted as a strategy to improve patient safety by reducing overuse of antibiotics to prevent hospital-acquired infections. This report draws from the experience of existing programs to summarize practical strategies for implementing initiatives. Core elements include engaging leadership, monitoring effectiveness, and reporting benchmarks.
Journal Article > Study
Filice GA, Drekonja DM, Thurn JR, Hamann GM, Masoud BT, Johnson JR. Infect Control Hosp Epidemiol. 2015;36:949-956.
Overuse of antibiotics is a major factor in the development of certain types of health care–associated infections. This retrospective study found that unnecessary antibiotic use was often a result of diagnostic error, particularly in patients who were empirically treated for urinary tract infections without clear diagnostic evidence. The results of this study imply that addressing diagnostic uncertainty should be a component of antimicrobial stewardship programs.