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Search results for "Cognitive Errors ("Mistakes")"
Journal Article > Study
Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims.
Lemoine N, Dajer A, Konwinski J, Cavanaugh D, Besthoff C, Singh H. J Healthc Risk Manag. 2018;38:48-53.
Analysis of closed malpractice claims has been used to characterize safety hazards in a variety of clinical settings. This study used retrospective review of malpractice claims to examine the underlying causes of diagnostic error in the emergency department as well as identify potential systems solutions. The senior author of this study, Dr. Hardeep Singh, discussed the evolving diagnostic error field in a PSNet perspective.
Cases & Commentaries
- Spotlight Case
- Web M&M
Thomas H. Gallagher, MD; May 2011
Transferred to a tertiary hospital, a child with severe swelling of the brain is found to have venous sinus thromboses and little chance of survival. Further review revealed that the referring hospital had missed subtle signs of cerebral edema on the initial CT scan days earlier, raising the question of whether to disclose the errors of other facilities or caregivers.