[EXTERNAL] [IMPROVEDX] quick ?

Pauker, Stephen SPauker at TUFTSMEDICALCENTER.ORG
Wed Apr 23 19:19:10 UTC 2014


So far in this discussion I see

3% 5% 15%????????????????????????

 

From: Leonard Berlin [mailto:lberlin at LIVE.COM] 
Sent: Wednesday, April 23, 2014 3:00 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] [EXTERNAL] [IMPROVEDX] quick ?

 

There are reliable data in the radiologic literature that indicate that
the average error rate among radiologists' interpretation of
radiographic exams is approximately 3%.  Fortunately, most of these
errors are inconsequential clinically.
 
Lenny
 
Leonard Berlin, MD, FACR
Radiology Department, Skokie Hospital
Skokie, IL;
Professor of Radiology
Rush University, and
University of Illinois
Chicago, IL
 

 

> Date: Wed, 23 Apr 2014 13:32:12 -0400
> From: Mark.Graber at VA.GOV
> Subject: Re: [IMPROVEDX] [EXTERNAL] [IMPROVEDX] quick ?
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Stephen,
> 
> We (I) believe the risk of diagnostic error in general medical
settings in the US is in the range of 10 - 15% (Graber. The Incidence of
Diagnostic Error in Medicine; BMJ Qual Saf 2013;22:ii21-ii27.
doi:10.1136/bmjqs-2012-001615). That's all errors, most of which
(thankfully) are inconsequential or caught. The risk of harm is clearly
much less and its hard to put a number on that.
> 
> The news stories centered on Hardeep's recent article ( The frequency
of diagnostic errors in outpatient care: estimations from three large
observational studies
> involving US adult populations. Singh H, et al. BMJ Qual Saf
2014;0:1-5. doi:10.1136/bmjqs-2013-002627) where they identified a risk
of approximately 5% from chart reviews in primary care clinics. That
number is in the 10-15% ballpark, given that the approach would have
missed errors that weren't obvious from the medical record, and errors
for which the consequences played out elsewhere, and other methodologic
issues.
> 
> All of these numbers are based on research approaches. So far, there
aren't any healthcare organizations I know of that are measuring error
rates in real time, and the challenges of actually doing this are
substantial. We have little data on the error rate for surgical
patients, or patients seen in the ER. There is a great need for research
on this question, and for finding reliable and reproducible ways to find
and count these errors going forward. You can't improve what you can't
measure.
> 
> Mark
> 
> 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
> Phone: 919 990-8497
> 
> 
> ________________________________
> From: "Pauker, Stephen" <SPauker at TUFTSMEDICALCENTER.ORG>
> Reply-To: Society to Improve Diagnosis in Medicine
<IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, "Pauker, Stephen"
<SPauker at TUFTSMEDICALCENTER.ORG>
> Date: Wed, 23 Apr 2014 12:01:55 -0400
> To: <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: [EXTERNAL] [IMPROVEDX] quick ?
> 
> What # is quoted for freq of diag errors in routine practice
> without reference to selection bias??
> 
> I think I heard a news story quoting something like 40% of encounters
or patients.
> Hard to believe that # which seems grossly inflated
> 
> Steve
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> 
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> 
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair,
Society for Improving Diagnosis in Medicine
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Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair,
Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/

The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Tufts Medical Center HIPAA Hotline at (617) 636-4422. If the e-mail was sent to you in error but does not contain patient information, please contact the sender and properly dispose of the e-mail.








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