Comment period on AHRQ Prototype Patient Safety Reporting System

Ross Koppel rkoppel at SAS.UPENN.EDU
Fri Jun 14 12:46:50 UTC 2013

I would agree with those who questioned the clarity of the "at the time
it happened" wording. (I think everyone questioned that.) What if a
wiser clinician had ordered another test or looked at something else at
the time? What if that wiser clinician was just doing usual care...and
just ordinarily wise? He/she would have made a different judgement "at
the time it happened" because there would have been more/better
information then.
We should keep in mind that the wrong Dx rate has been shown to be as
high as 40%.

Ross Koppel, Ph.D. FACMI Sociology Dept and Sch. of Medicine University
of Pennsylvania, Phila, PA 19104-6299 215 576 8221 C: 215 518 0134On
6/13/2013 6:29 PM, Meredith Makeham wrote:

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