Missed and Erroneous Diagnoses Common in Primary Care Visits

Jason Maude Jason.Maude at ISABELHEALTHCARE.COM
Mon Dec 9 09:09:27 UTC 2013


I think it would help to identify dx errors if researchers in this area pushed forward on looking at average time to diagnose for as many diseases as possible. If we could establish that on average it took, or should take,  x days to diagnose disease x from first presentation then, at least, we would would have some sort of bench mark that other cases could be compared to. Any delay of more than say 10 or 20% than the established norm would then be classified as an error. It seems odd that in 2013 we still don't know what the average to diagnosis for various diseases is.

Regards

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

From: Ross Koppel <rkoppel at SAS.UPENN.EDU<mailto:rkoppel at SAS.UPENN.EDU>>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, Ross Koppel <rkoppel at SAS.UPENN.EDU<mailto:rkoppel at SAS.UPENN.EDU>>
Date: Sunday, 8 December 2013 19:01
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
Subject: Re: [IMPROVEDX] Missed and Erroneous Diagnoses Common in Primary Care Visits

Important to note the role of horrible decisions and actions by people/patients.
As a sociologist, I'd only add that there are a lot of societal factors creating some of that obesity, drink, cancer, lack of exercise, etc, etc. Many of those factors can be altered....but we don't

Ross Koppel, Ph.D. FACMI
Sociology Dept and Sch. of Medicine
University of Pennsylvania, Phila, PA 19104-6299
215 576 8221 C: 215 518 0134

On 12/8/2013 10:45 AM, Ted.E.Palen at KP.ORG<mailto:Ted.E.Palen at KP.ORG> wrote:
The death rate for climbers of K2 (the second highest peak in the world) is about 25%.  So although I understand your analogy it is not correct.  People take huge risks everyday. And they even take more risk with their health, although the results of their decision may not have consequences for many years. They smoke, drink to excess, become addicted to pain meds, eat poor, do not exercise.  Even though diagnostic errors and treatment errors may and do have terrible consequences, the behaviors people engage in have far more devastating consequences in regard to heart disease, cancer, obesity, diabetes, etc.

Ted E. Palen, PhD MD, MSPH | Physician Investigator | Institute for Health Research | Kaiser Permanente Colorado
Physician Manager for Clinical Reporting | Medical Cost Management| Colorado Permanente Medical Group
* 303-614-1215 | 7 303-614-1305 | *ted.e.palen at kp.org<mailto:sarah.madrid at kp.org>

N


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