Commonest error in medicine?

Robert Bell rmsbell200 at YAHOO.COM
Fri Dec 5 03:55:57 UTC 2014


Good points Bill,
No, not No. 1 misdiagnosis, but a fairly common missed diagnosis.  Not sure about over-diagnosis. 
I am sure PE work up tests are misinterpreted. Getting more clarity there may help with our efforts. Expert help would perhaps help here. 
Which before I forget it, what are the litigation issues with any monograph on common diagnostic errors in medicine?
Rob
      From: "Slater, William" <WSlater at PHCN.VIC.GOV.AU>
 To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG 
 Sent: Monday, November 24, 2014 8:31 PM
 Subject: Re: [IMPROVEDX] Commonest error in medicine?
   
#yiv1707793500 #yiv1707793500 -- _filtered #yiv1707793500 {font-family:Helvetica;panose-1:2 11 6 4 2 2 2 2 2 4;} _filtered #yiv1707793500 {font-family:Helvetica;panose-1:2 11 6 4 2 2 2 2 2 4;} _filtered #yiv1707793500 {font-family:Calibri;panose-1:2 15 5 2 2 2 4 3 2 4;} _filtered #yiv1707793500 {font-family:Tahoma;panose-1:2 11 6 4 3 5 4 4 2 4;}#yiv1707793500 #yiv1707793500 p.yiv1707793500MsoNormal, #yiv1707793500 li.yiv1707793500MsoNormal, #yiv1707793500 div.yiv1707793500MsoNormal {margin:0cm;margin-bottom:.0001pt;font-size:12.0pt;}#yiv1707793500 a:link, #yiv1707793500 span.yiv1707793500MsoHyperlink {color:blue;text-decoration:underline;}#yiv1707793500 a:visited, #yiv1707793500 span.yiv1707793500MsoHyperlinkFollowed {color:purple;text-decoration:underline;}#yiv1707793500 span.yiv1707793500apple-style-span {}#yiv1707793500 span.yiv1707793500EmailStyle18 {color:#1F497D;}#yiv1707793500 .yiv1707793500MsoChpDefault {font-size:10.0pt;} _filtered #yiv1707793500 {margin:72.0pt 72.0pt 72.0pt 72.0pt;}#yiv1707793500 div.yiv1707793500WordSection1 {}#yiv1707793500 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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