Stethoscopes contribution to diagnostic errors

David Hallbert david.hallbert at GMAIL.COM
Sat Mar 28 11:09:59 UTC 2015


Why stop there?  I do flight physicals for pilots including airline
pilots.  The FAA requires extensive testing on a regular basis of multiple
senses that can lead to error including medical conditions that can lead to
sudden incapacitation or other human factors problems.  1 jumbo jet can be
downed by a single ill pilot, but an ill physician examining thousands of
patients over time can affect the same numbers as well.  We "self-attest"
to our health to credential or depend on colleagues to "turn us in" when
the defects are too obvious to ignore any longer (on occasion).

On Wed, Mar 25, 2015 at 10:09 PM, robert bell <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:

> Should physicians/HCPs be checked before being able/allowed to use a
> stethoscope?  Should they be cleared for hearing loss before being allowed
> to use a stethoscope?  This would seem to be so very important with so much
> high frequency hearing loss in young people.
>
> I have the idea that many errors in diagnosis are associated with
> stethoscope decisions.
>
> It would seem that there are tremendous differences between a First Year
> Medical student with or without hearing loss, a fourth year medical
> student, with or without hearing loss, a 2nd year resident, with or without
> hearing loss, a practicing physician with or with our hearing loss, and a
> cardiologist of 30 years experience, with or without hearing loss.
>
> Should we not address the basics before we move further ahead in trying to
> reduce diagnostic errors?
>
> Do we know what the error rates are in various groups of HCPs who use
> stethoscopes?
>
> Rob B
>
>
>
>
>
>
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
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