The patient experience of diagnostic error

TG Ideas LLC tgideas at GMAIL.COM
Sat Oct 26 14:15:24 UTC 2013

Hi Tim - Here's some of my ideas, thoughts, etc.

*  Super Symptom Checker for the public -

*  Example of above -

*  SIDM -

*  CPC -

*  This Symptom Checker electronically works in the background, monitoring
doctor's notes, to provide "another opinion" on an ongoing basis - real
time -

Good luck to you, Tim and to all.

Let me know if I can help, in any way.  I just write what I think could be
done with healthcare - and maybe you all can make sense of it - and put it
into practice.  :-)


On Sat, Oct 19, 2013 at 7:01 AM, Siggs, Tim <ts228 at> wrote:

> Good afternoon all,
> I am a Clinical Psychology trainee at the University of Leicester, UK,
> with an interest in Diagnostic Error and am conducting research into this
> area for my doctoral thesis. As a clinical psychologist to be,I am
> particularly interested in the patient experience of diagnostic error with
> a view to understand the implications of either experiencing, or perceiving
> the experience of, a diagnostic error with reference to future health
> behaviours in patients with chronic illnesses e.g. self management of a
> chronic condition, adjustment, treatment adherence etc. I have followed
> this listserv for a number of months and have found it to be an interesting
> and insightful source of topical information, thank you all.
> I am writing today to ask for thoughts and suggestions regarding my
> research both generally and for a specific question. Firstly there appears
> to be a lack of published studies exploring the depth of experiencing
> diagnostic error from a patient perspective, there are several studies
> looking at adverse events as a whole which include diagnostic error within
> them (e.g. Elder et al., 2005; Entwistle et al., 2010; Kistler et al.,
> 2010; Kuzel et al., 2004; Mazor et al., 2012; Molassiotis et al., 2009;
> Ocloo, 2010), but do not offer specification of the diagnostic error
> experience in itself, and I believe that the impact may be very different
> for diagnostic error. I feel that illuminating this perspective may help to
> address the psychological and emotional impact of diagnostic error such as
> that which can present in a medical psychology department, and this
> knowledge may also inform ideas regarding the process of diagnostic error
> from the patient's perspective. So my question to ask is does anyone know
> of any studies, particularly qualitative, that examine the patient
> experience of diagnostic error or have any particular thoughts on this
> topic area? In particular I'm interested to know if there are any
> identified (evidence based?) approaches to supporting patients who have
> experienced diagnostic error anyone is aware of?
> Having searched much of the literature I am cognizant of the moves to
> bring the patient into the patient safety process and also diagnostic error
> and hope that my proposed research can add to this. Any thoughts or ideas
> you may have are welcomed.
> Many Thanks
> Tim
> Tim Siggs
> Trainee Clinical Psychologist
> University of Leicester
> Moderator: Lorri Zipperer Lorri at, Communication co-chair, Society
> for Improving Diagnosis in Medicine
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