Ten Commandments to Reduce Diagnostic Errors

Patrice F. Hirning, MD, MACP, CPHRM phirning at UMIA.COM
Tue Aug 26 00:52:06 UTC 2014


What a great list. This should be shared with all medical students, house staff and practicing physicians. I plan to add these to my presentation to physicians about diagnostic error.

Patrice

Patrice F. Hirning, MD, MACP, CPHRM
Medical Director
UMIA Insurance, Inc.
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phirning at umia.com<mailto:phirning at umia.com>


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From: Lorri Zipperer [mailto:Lorri at ZPM1.COM]
Sent: Sunday, August 24, 2014 7:13 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Ten Commandments to Reduce Diagnostic Errors


Forwarded by the moderator:



from  Dr. Leonardo Leonidas, Bangor, Maine 20 May 2001  Copyright 2001

Given to his Son Len and Class 2001 Tufts University School of Medicine



   1. Thou shalt First "Do No Harm."

   2. Thou shalt think of serious and treatable conditions and act on them without delay.

   3. Thou shalt remember that Diagnosis is History, History, History.  Then confirm with clinical examination and more History.

   4. Thou shalt request a test only if it will change your plan or help in predicting the outcome.

   5. Thou shalt question "authority" such as your senior residents, attendings, experts, or even National guidelines.

   6.  Thou shalt continue the debate and questioning even though the data is "IN."

   7. Thou shalt maintain a high index of suspicion for uncommon presentations of the common.

   8. Thou shalt recognize your own beliefs, biases, prejudices, and thinking style.

   9. Thou shalt be wary of your hunches and intuitions. It is better to use Evidence Based Medicine.

  10.  Thou shalt have an iPad* or a smartphone in your palm.



*Palm Pilot in the first edition.



Leonardo L. Leonidas, MD

Assistant Clinical Professor in Pediatrics (retired 2008)

Tufts University School of Medicine, Boston, USA

nonieleonidas68 at gmail.com<mailto:nonieleonidas68 at gmail.com> <mailto:nonieleonidas68 at gmail.com>


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