Another argument for patient's access to their test results

Amy Reinert amy.reinert at GMAIL.COM
Mon Apr 21 15:31:20 UTC 2014


And yet, David, the result is the same. Even in the case of misconduct, the
patient is left functionally misdiagnosed. It does warrant its own
sub-heading under misdiagnosis, though.

All the best--
Amy


On Mon, Apr 21, 2014 at 10:19 AM, David Gordon, M.D. <davidc.gordon at duke.edu
> wrote:

> Hi Mark,
>
> I don't have more to offer about the details of the case, but this type of
> activity is similar in my mind to the many examples of individuals
> (successfully) pretending to be doctors. This is another example of
> "impersonation" - in this case the technician is impersonating the role of
> the radiologist. Or you might make the distinction between someone with no
> medical background impersonating a health care professional versus a health
> care professional overstepping their professional role and performing
> activities outside of what they are licensed/credentialed to do - like
> Michael Jackson's cardiologist administering propofol. You might call this
> inappropriate  - or illegal - role expansion.
>
> For classification and accounting purposes, it is an interesting question
> of whether your really count these as diagnostic/medical errors? I guess
> you could call it a system error - "Bad Apple."  But personally,  I think
> these types of activities - in which people are doing things they have no
> business doing -  are different from what is intended by the term
> diagnostic error and would treat them separately as diagnostic or medical
> misconduct.
>
> Thanks,
> David
>
> David Gordon, MD
> Associate Professor
> Undergraduate Education Director
> Division of Emergency Medicine
> Duke University
>
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> ________________________________________
> From: Graber, Mark [Mark.Graber at VA.GOV]
> Sent: Sunday, April 20, 2014 11:02 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: [IMPROVEDX] Another argument for patient's access to their test
> results
>
> In a very disturbing story this week, a radiology tech was accused of
> notifying 1000+ women that their mammagrams were normal, although she
> didn't know this to be true, and some in fact were not.
> http://www.today.com/video/today/54989210#54989210
>
> Its my understanding that all women are supposed to receive a copy of
> their test result, and its not exactly clear from this report if the tech
> just gave women a verbal 'ok', or if she actually altered the radiologist's
> report.  This is a class of diagnostic error I've never encountered before,
> but I'm hoping that the directly-mailed results mitigated the tech's false
> assurances.  If anyone has access to more facts on this case, I'd be
> interested to hear them.
>
>
> Mark L Graber, MD FACP
> Senior Fellow, RTI International
> Professor Emeritus, SUNY Stony Brook School of Medicine
> Founder and President, Society to Improve Diagnosis in Medicine
> MARK.GRABER at IMPROVEDIAGNOSIS.ORG
>
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