Ten Commandments to Reduce Diagnostic Errors

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Tue Aug 26 02:55:45 UTC 2014


I would be pleased to see these posted on the wall of the doc's office, as
it would remind me as a patient of the difficulty in asking for an
immediate answer to "What's wrong with me?".  I do want a thoughtful
response, and would love to hear the doctor say that he is gathering
information from me and from the tests, and perhaps would want to do
additional research.  Very few of us claim to know everything at every
minute about our own skills and knowledge sets.  We patients would prefer
and engaged discussion versus a glib--and possibly wrong--response.

Peggy Zuckerman


On Mon, Aug 25, 2014 at 5:52 PM, Patrice F. Hirning, MD, MACP, CPHRM <
phirning at umia.com> wrote:

>  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.
> 310 East 4500 South, Suite 550
> Salt Lake City, Utah 84107
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> 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
> <nonieleonidas68 at gmail.com>>
>
>
>
>
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> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
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>
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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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>



-- 
Peggy Zuckerman
www.peggyRCC.wordpress.com







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