AW: [IMPROVEDX] Commonest error in medicine?

Kodolitsch von, Yskert kodolitsch at UKE.DE
Fri Dec 5 09:37:48 UTC 2014


Don´t forget aortic dissection. It is highly lethal and it is notoriously underdiagnosed.
Yskert v. Kodolitsch

Von: Robert Bell [mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG]
Gesendet: Freitag, 5. Dezember 2014 04:56
An: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Betreff: Re: [IMPROVEDX] Commonest error in medicine?

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<mailto:WSlater at PHCN.VIC.GOV.AU>>
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Sent: Monday, November 24, 2014 8:31 PM
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<mailto: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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