DX error by age groups

Lorri Zipperer Lorri at ZPM1.COM
Tue Apr 30 17:48:55 UTC 2013


From: Geoff Norman [mailto:norman at mcmaster.ca] 
Sent: Tuesday, April 30, 2013 11:45 AM
To: Society to Improve Diagnosis in Medicine; Henriksen, Kerm (AHRQ)
Subject: Re: DX error by age groups

 

To continue answering the question that wasn't asked, Kevin Eva wrote a
review article for Academic Medicine on the aging physician:

 

 <http://www.ncbi.nlm.nih.gov/pubmed/12377689> Acad Med. 2002 Oct;77(10
Suppl):S1-6.


The aging physician: changes in cognitive processing and their impact on
medical practice.


 
<http://www.ncbi.nlm.nih.gov/pubmed?term=Eva%20KW%5BAuthor%5D&cauthor=true&c
author_uid=12377689> Eva KW.

 

As to teaching / non-teaching latest Acad Med has an article on AMI survival
rates, controlling for patient factors, and looking at community / minor
teaching / major teaching. No significant differences.

 

 

Geoff  

 

Geoff Norman

norman at mcmaster.ca

 

MDCL 3519

McMaster University

1200 Main St. W.

Hamilton ON L8N3Z5, Canada

 

norman at mcmaster.ca

(905) 525-9140, ext.22119

 

 

 

On 2013-04-30, at 11:07 AM, Henriksen, Kerm (AHRQ) wrote:





Residency training is mentioned, so isn't Geoff referring to practitioners? 

 

 

Kerm Henriksen, PhD

Human Factors Advisor for Patient Safety

Agency for Healthcare Research and Quality

540 Gaither Road

Rockville, MD 20850

 

e-mail:  Kerm.Henriksen at ahrq.hhs.gov

phone: (301) 427-1331

fax:        (301) 427-1341

 

From: Eta S Berner [mailto:eberner at UAB.EDU] 
Sent: Tuesday, April 30, 2013 10:50 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: DX error by age groups

 

I thought you meant by age of the patient, like are there likely to be more
errors in kids, in the elderly etc.

 

*********************************************

Eta S. Berner, Ed.D.

Professor, Health Informatics

Director, Center for Health Informatics for Patient Safety/Quality

Department of Health Services Administration

School of Health Professions

Professor, Department of Medical Education

School of Medicine

University of Alabama at Birmingham

1675 University Blvd. #534

Birmingham, AL 35294

Phone: (205)975-8219

Fax:       (205)975-6608

Email:   eberner at uab.edu

 

From: Geoff Norman [mailto:norman at MCMASTER.CA] 
Sent: Tuesday, April 30, 2013 9:35 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: DX error by age groups

 

I have been tracking exactly this question for some time.. I have located
probably 15 studies that address the question. First of all, it's easy to
show a strong positive relationship with residency training, which is not
the case if you look at measures like adherence to guidelines, ABIM
performance etc. But beyond residency it's more tricky.I have not summarized
the data quantitatively as yet, but I think the best guess is that there is
a small negative relation between age and dx error, typically around -0.1.
And many outliers. In one study we did with elite internists, the best
performer was 65, and the worst performer was 65. 

 

But a tantalizing possibility is that it may follow the "10,000" hour curve
and be curvilinear, peaking at around 45. There's just not enough data to
find this.

 

 

Geoff  

 

Geoff Norman

norman at mcmaster.ca

 

MDCL 3519

McMaster University

1200 Main St. W.

Hamilton ON L8N3Z5, Canada

 

norman at mcmaster.ca

(905) 525-9140, ext.22119

 

 On 2013-04-30, at 5:46 AM, Jason Maude wrote:

 Hi to the new group.

 Does anybody know of any studies that show dx error by age group?

 

Many thanks 

 

 

Jason Maude

Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com <http://www.isabelhealthcare.com/> 

 








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