Commonest error in medicine?

robert bell rmsbell at ESEDONA.NET
Tue Nov 25 05:44:35 UTC 2014


Thanks Bill,

I was thinking first of focussing on a few common hospital errors in diagnoses where a reduction would do most good. That would include the ones you suggest. You do bring up a good point of over diagnosis. 

Are most errors in medicine missed diagnoses or over diagnoses?  It would be good to sort that out first. If over diagnosis is a big problem with death and injury it should definitely be included in the priority list.

Perhaps asking people to list say three errors in both under or over diagnosis that they think are common. Then tabulate these and start discussing those with with the most votes.

Then with discussion focussed on prevention perhaps we could move the ball forward, one by one.

Are there any articles/studies on the commonest errors in hospital diagnosis - I assumed there are none, but I could be wrong. Do the autopsy studies of yesteryear provide any help?

Rob





On Nov 24, 2014, at 8:31 PM, Slater, William <WSlater at PHCN.VIC.GOV.AU> wrote:

> Ok, Robert. I like this.
>  
> Are you suggesting that PE is no 1 miss-diagnosis or perhaps over-diagnosis?
> Or are CTPAs (with the radiation exposure) done far too often because the d-dimer test is misused or misinterpreted??
>  
> In my view we may be over-diagnosing and therefore over-treating small, clinically insignificant PEs.
>  
>  
> Bill Slater FRACP
>  
> Director Physician Education Peninsula Health Melbourne
>  
> From: robert bell [mailto:rmsbell at ESEDONA.NET] 
> Sent: Tuesday, 25 November 2014 11:41 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: [IMPROVEDX] Commonest error in medicine?
>  
> A thought.
>  
> Do we know what is the most common serious error in diagnosis in medicine in the USA?
>  
> If not can we guess at what is the commonest error in diagnosis? And then perhaps the top five.
>  
> Then could we discuss intensely on line and come to conclusions as to how we could lower that rate?
>  
> When we have come up with a list of suggestions for that one error we move on to Number 2  on what we think is the list of commonest serious errors in Medicine and how to reduce their incidence.
>  
> This way we would be doing something positive rather than just talking. Not that talking is important.
>  
> My contribution for serious No. 1 is Pulmonary embolism.
>  
> This way we could just on line make a seripous contribution to medicine particularly if someone would write up our discussions.
>  
> A thought
>  
>  
> Robert M. Bell, M.D., Ph.C.
>  
> 
>  
>  
> 
> 
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Robert M. Bell, M.D., Ph.C.
P.O. Box 3668
West Sedona, AZ  86340-3668
USA
Tel: Fax: 928 203-4517

I am changing my e-mail address to rmsbell200 at yahoo.com  

Kindly change the e-sedona e-mail above in your address book so we stay in touch.














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