DX error by age groups

robert bell rmsbell at ESEDONA.NET
Tue Apr 30 17:39:46 UTC 2013


Thanks Fletcher,

That is interesting - but will we ever find out the truth if Hospitals are reluctant to keep and publish Safety data?

Another thing that I would like to see correlated is Diagnostic Errors and all the other patient errors. What is that relationship over time?

Incidentally, as a more acceptable surrogate time to diagnosis might be appropriate in parameter that a diagnostic error.

I remember reading many years ago that myasthenia gravis took on average 7 years to diagnose.  Have no idea if that was based on any good study.

Incidentally, I am not sure how I go on this list. I did not sign up as far as I know - but it is interesting. Thanks to who ever!!

Rob Bell



On Apr 30, 2013, at 9:58 AM, Penney, Fletcher T wrote:

> On Apr 30, 2013, at 12:07 PM, Robert Bell <rmsbell at ESEDONA.NET> wrote:
> 
>> There is data suggesting Docs crash their private planes mor often, but then there may have been other factors e.g. The beachcraft bonanza which lost it's tail section was bought more frequently by physicians. With private planes there is a very cautious period followed by a confident period and then another cautious period. Crashes are low then higher then low again. So complex.
> 
> Reminds me of the joke/aphorism I heard back in med school/residency, "The most dangerous person in the hospital is a second-year resident."  Interns know that they don't know much yet.  Third year residents have seen enough to be reminded that they still have much to learn.  Anecdotally, second years sometimes seem to fall into that middle period where their confidence has increased more than their experience, possibly making them more vulnerable to overconfidence induced mistakes. 
> 
> Fletcher Penney
> 
> --  
> Fletcher T. Penney, MD, FHM
> Medical Director, Orthopaedic Comanagement Services
> Hospital Medicine
> Medical University of South Carolina
> penneyft at musc.edu
> (T) 843.792.2900
> (F) 843.792.6355
> 
> 
> 
> 
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
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