Comment period on AHRQ Prototype Patient Safety Reporting System

Donna Woods woods at NORTHWESTERN.EDU
Thu Jun 13 22:52:51 UTC 2013


I have not had the chance to look through this comprehensively but preventive medical advice does not require a diagnosis.
Best 
Donna

Sent from my iPhone

On Jun 13, 2013, at 11:52 AM, "Swerlick, Robert A" <rswerli at EMORY.EDU> wrote:

> I am not so sure that lumping the two together does not make sense. A diagnosis is essentially always linked to medical advice, even if the advice is that no additional action is advised. Similarly, advice in the absence of a diagnosis infers diagnostic information.
> 
> RAS
> 
> 
> Robert A. Swerlick, MD
> Alicia Leizman Stonecipher Chair of Dermatology
> Professor and Chairman, Department of Dermatology
> Emory University School of Medicine
> 404-727-3669
> 
> ________________________________________
> From: Jason Maude [Jason.Maude at ISABELHEALTHCARE.COM]
> Sent: Thursday, June 13, 2013 12:11 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: Re: Comment period on AHRQ Prototype Patient Safety Reporting System
> 
> What jumps out at me is why are they lumping 'diagnosis' and 'medical
> advice' together? Surely it would make sense to separate them as medical
> advice is so broad.
> 
> Jason Maude
> Founder and CEO Isabel Healthcare
> Tel: +44 1428 644886
> Tel: +1 703 879 1890
> www.isabelhealthcare.com <http://www.isabelhealthcare.com/>
> 
> 
> 
> 
> On 13/06/2013 16:37, "Graber, Mark" <Mark.Graber at VA.GOV> wrote:
> 
>> 
>> Dear colleagues,
>> 
>> As many of you may know, AHRQ is supporting the development of a national
>> reporting system that patients could use to identify their concerns. The
>> prototype is just about ready to go, and AHRQ is accepting one final set
>> of comments (by July 8th).  SIDM will be submitting a unified set of
>> comments, and I’d really appreciate your input.  Thanks for your
>> suggestions!
>> 
>> Mark
>> 
>> 
>> Here’s the 3 main issues:
>> 
>> 1)  Their definition of error:   Does this adequately apply to diagnostic
>> error?
>> “A medical mistake or error is something that was done (or not done) by a
>> health care provider that would be considered incorrect at the time it
>> happened. Sometimes medical mistakes can result in harm or injury to the
>> patient, but not every time.”
>> 
>> 
>> 2)  The questions the patient will be asked:   Are these 2 questions
>> sufficient to identify, classify and study diagnostic error?
>> 
>> See the full questionaire at:
>> http://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=201306-0935-001&icID=20
>> 7255
>> 
>> 
>> 3.1 Did the medical mistake or error involve any of the following? Please
>> choose the one answer that fits best.
>> □A A mistake related to a medicine
>> Medicines can include prescription or non-prescription medication,
>> herbs, dietary supplements, vaccines, contrast dye or other injected
>> medicines] à GO TO 3.1.1.1
>> 
>> □B A mistake related to a test, procedure, or surgery
>> This includes tests that involve taking samples of skin or tissue,
>> inserting tubes to examine internal parts of your body, or other tests
>> involving blood, urine, or X-rays.] à GO TO 3.1.2.1
>> 
>> □C A mistake related to pregnancy or childbirth
>> This includes errors in diagnostic testing during pregnancy and errors
>> during labor and delivery] à GO TO 3.2
>> 
>> □D A mistake related to a diagnosis or advice from a doctor, nurse, or
>> other health care provider à GO TO 3.1.3.1
>> 
>> □E A mistake related to poor cleanliness or poor hygiene à GO TO 3.2
>> 
>> □F Something else, or more than one mistake [GO TO 3.1f1]
>> 
>> 
>> 3.1.3.1 In your opinion, what was the mistake with the diagnosis or
>> medical advice?
>> 
>> 
>> 3)  The questions the physician will be asked:   Are the questions asked
>> sufficient to classify and study diagnostic error?
>> 
>> http://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=201306-0935-001&icID=20
>> 7256
>> 
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