Commonest error in medicine?

Pauker, Stephen SPauker at TUFTSMEDICALCENTER.ORG
Tue Nov 25 05:45:02 UTC 2014


In addition to knowing what are most common MIS- and missed- diagnosis, don't we also need to know how frequent they are, that is, the prevalence or prior probability? If we don't know that frequency, we may likely over diagnose them??

Steve



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Stephen Pauker, MD, ABMH
Professor of Medicine and Psychiatry

-----Original Message-----
From: Slater, William [WSlater at PHCN.VIC.GOV.AU]
Sent: Monday, November 24, 2014 11:10 PM Eastern Standard Time
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Commonest error in medicine?



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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