Diagnostic Error

/Tag:Diagnostic Error

ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

Background: Diagnostic error in acute care represents an unresolved safety issue: error rates range from 4.8 to 49.8%. If the diagnosis is delayed or incorrect, the patient may not get correct treatment in a timely [...]

By | 2019-03-11T14:20:52+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on ADDRESSING DIAGNOSTIC ERRORS PROACTIVELY USING E-TRIGGERS TO MITIGATE HARM DURING INPATIENT EPISODES OF CARE

ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect [...]

By | 2019-03-11T14:21:05+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, [...]

By | 2018-03-19T12:55:17+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

Diagnostic Discordance and Inter-Hospital Transfer Outcomes

Background:  Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs.  Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Diagnostic Discordance and Inter-Hospital Transfer Outcomes

MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic [...]

By | 2018-03-19T12:57:59+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for [...]

By | 2019-03-11T14:20:59+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on NOVEL APPLICATION OF STRUCTURED CASE REVIEW TO IDENTIFY DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, [...]

By | 2019-03-11T14:21:09+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

THE FALLACY OF “TB RULE-OUT”: NEGATIVE AFB SMEAR/CULTURE AND BAYESIAN REASONING ERROR

Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three [...]

By | 2019-03-11T14:32:04+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on THE FALLACY OF “TB RULE-OUT”: NEGATIVE AFB SMEAR/CULTURE AND BAYESIAN REASONING ERROR

THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days), but little is known about their frequency and characteristics. We performed structured chart review of [...]

By | 2019-03-12T15:50:33+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Patient Safety, Research|Comments Off on THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

Background: Although diagnostic errors are common in hospitals, little is known about the resulting economic burden. Whether the increasing attention to patient safety has led to a decrease in diagnostic error-related claims and cost over [...]

By | 2017-04-20T19:08:45+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH

Background: While understanding the cognitive contributions to diagnosis has become important, few studies have aimed to understand physician diagnostic reasoning in real-time. Using a case-based approach, we sought to: (a) characterize differences in diagnostic reasoning [...]

By | 2018-03-19T13:04:28+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH