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Search results for "United States of America"

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Audiovisual

The War on Error: Common Diagnostic Errors.

Medscape. 2016–2017.

Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection highlights particular clinical areas of concern such as neurology and infectious disease. The articles offer expert commentary and review strategies to avoid common reasoning errors.

Journal Article > Study

Monitoring the diagnostic process on an inpatient neurology service.

Dhand A, Bucelli R, Varadhachary A, Tsiaklides M, de Bruin G, Dhaliwal G. Neurohospitalist. 2017;7:132-136.

Although diagnostic error has gained widespread attention, measurement remains a challenge. This study described the development and testing of a tool to help neurologists assess their diagnostic approach.

Journal Article > Commentary

Computer-assisted diagnostic checklist in clinical neurology.

Finelli PF, McCabe AL. Neurologist. 2016;21:23-27.

Checklists can reduce risks of cognitive gaps that contribute to errors in health care. This commentary uses case studies to illustrate the potential value of an open-access online diagnostic checklist in neurological care to help physicians determine diagnoses.

Journal Article > Study

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services.

Arch AE, Weisman DC, Coca S, Nystrom KV, Wira CR III, Schindler JL.Stroke. 2016;47:668-673.

This retrospective chart review study found that nearly a quarter of ischemic strokes were initially misdiagnosed in the emergency departments of an academic teaching hospital and a large community hospital. Posterior strokes with atypical symptoms were most frequently missed. Diagnostic errors are an important topic for emerging patient safety research.

Journal Article > Study

Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder.

Miodovnik A, Harstad E, Sideridis G, Huntington N. Pediatrics. 2015;136:e830-e837.

According to this retrospective database study, children with both autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) may have their ASD diagnosis delayed by years if they are initially diagnosed with ADHD, compared to children that are diagnosed with ASD at the same time or prior to receiving their ADHD diagnosis. The authors advocate for clinicians to consider ASD whenever evaluating young children with ADHD symptoms.

Journal Article > Study

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.

Hunter CA, Kirson NY, Desai U, Cummings AK, Faries DE, Birnbaum HG. Alzheimers Dement. 2015;11:887-895.

Diagnostic errors are moving toward the forefront of patient safety. This study analyzed Medicare patients that were initially misdiagnosed as having Alzheimer disease prior to their diagnosis of vascular dementia or Parkinson disease. These patients used more medical services, costing approximately $9,500 to $14,000 more each year, up until the time of their correct diagnosis.

Journal Article > Study

Types of diagnostic errors in neurological emergencies in the emergency department.

Dubosh NM, Edlow JA, Lefton M, Pope JV. Diagnosis. 2015;2:21-28.

This retrospective chart review study examined diagnostic errors in neurological cases in an emergency department. The most common sources of error were clinician knowledge gaps, which accounted for nearly half of all identified mistakes, and cognitive slips. Radiology resident misreads were also frequently implicated in missed diagnoses.

Award > Award Recipient

Safety and Quality Awards.

Minneapolis, MN: American Academy of Neurology; 2014.

This award recognizes up to four projects each year that have designed innovative initiatives to enhance safety or quality which demonstrate measurable and generalizable improvement. The abstract submission process is now closed.

Journal Article > Commentary

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.

Franklin GM. Neurology. 2014;83:1277-1284.

Risk associated with the opioid use has been identified as a growing patient safety concern in the United States. This position paper describes why this problem is emerging, reviews evidence and policy to guide safe opioid prescribing for pain management, and includes recommendations for neurologists to reduce the likelihood of adverse events involving these high-risk medications, such as improved prescription monitoring.

Newspaper/Magazine Article

Preventing medical errors: how to proceed with caution.

Shaw G. Hearing J. July 2014;67:11,14-16.

This article provides an overview of patient safety issues in audiology such as diagnostic error and incomplete documentation. The author reviews steps individual clinicians can take to respond to errors and malpractice claims.

Journal Article > Commentary

Redesigning surgical decision making for high-risk patients.

Glance LG, Osler TM, Neuman MD. N Engl J Med. 2014;370:1379-1381.

Discussing communication weaknesses in surgery, this commentary examines how team-based decision making can contribute to safer and more patient-centered care in this setting, particularly for complex cases. The authors advocate for an enhanced safety culture to support better communication.

Journal Article > Study

Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.

Newman-Toker DE, Moy E, Valente E, Coffey R, Hines AL. Diagnosis. 2014;1:155-166.

This observational study identified patients who visited the emergency department within 30 days prior to a stroke diagnosis. Nearly 13% of patients had a potential missed diagnosis, and more than 1% had a probable missed diagnosis of stroke. This study illustrates a novel approach to characterizing the incidence of missed diagnosis, an important and understudied patient safety problem.

Newspaper/Magazine Article

Save a brain, make a checklist.

Hamblin J. The Atlantic. March 17, 2014.

Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned the effectiveness of checklists in improving safety. The article also discusses how these assessments may influence checklist application in health care over time.

Journal Article > Study

Early access to a neurologist reduces the rate of missed diagnosis in young strokes.

Mohamed W, Bhattacharya P, Chaturvedi S. J Stroke Cerebrovasc Dis. 2013;22:e332-e337.

Diagnosing acute stroke in young patients is notoriously challenging. This retrospective study found fewer missed diagnoses and greater use of appropriate initial therapies in patients who were initially evaluated at hospitals with a neurology residency program.

Journal Article > Commentary

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?

Benbadis SR. Neurology. 2013;80(suppl 1):S47-S51.

This commentary discusses how misinterpretation of electroencephalograms (EEGs) can lead to misdiagnosis of epilepsy and describes methods to prevent these incidents, such as mandatory EEG training during neurology residency.

Newspaper/Magazine Article

Difficulty identifying Alzheimer's makes misdiagnosis easy.

Ackerman T. Houston Chronicle. November 23, 2012.

This newspaper article describes challenges that may precipitate underdiagnosis or misdiagnosis of Alzheimer disease and conditions with similar presenting symptoms.

Audiovisual

Wife 'heartbroken' at death blamed on meningitis.

Cohen E. CNN. October 15, 2012.

This news piece reports on a patient who may have been misdiagnosed with a stroke after receiving a contaminated steroid injection.

Journal Article > Study

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

This study found that stroke patients were more likely to die if admitted on a weekend, as has also been found with myocardial infarctions. However, patients admitted to a specialized stroke center had equivalent outcomes regardless of weekend or weekday admission.

Journal Article > Study

Medication errors in the homes of children with chronic conditions.

Walsh KE, Mazor KM, Stille CJ, et al. Arch Dis Child. 2011;96:581-586.

Medication errors can be difficult to detect in ambulatory care, as patients or caregivers administer medications instead of health care providers. This descriptive study used home visits to children with chronic diseases to identify medication errors committed by parents, and found a remarkably high incidence of errors, particularly when parents did not use aids or support tools to help with medication administration. Although many errors were attributable to suboptimal provider–patient communication, physicians were unaware of errors in 80% of cases. An AHRQ WebM&M commentary discusses the effects of parental misunderstanding of medication instructions for their child.

Newspaper/Magazine Article

For some troops, powerful drug cocktails have deadly results.

Dao J, Carey B, Frosch D. New York Times. February 13, 2011;A1.

This newspaper article reports on the risks of polypharmacy in veterans and discusses the need to improve monitoring to prevent fatal medication errors.

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