Stethoscopes contribution to diagnostic errors

Xavier Prida dr.xavier.prida at GMAIL.COM
Sat Mar 28 12:45:19 UTC 2015


I agree with you ,David, as you address cognitive sensory training
incorporated in the psycho-cognitive concept of "chunking". This is
trainable so that data points(we are currently speaking of visual,
auditory, tactile components of the physical exam but can be relevant to
any data inputs) can be integrated into a whole correct conclusion. As I
mentioned in a previous post this concept is recently illustrated in a *NY
Times* piece entitled *LEARNING to SEE DATA* by *Benedict Carey* in* SUNDAY
REVIEW* March 27, 2015.

On Sat, Mar 28, 2015 at 7:09 AM, David Hallbert <david.hallbert at gmail.com>
wrote:

> 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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>
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-- 
Xavier E. Prida MD FACC FSCAI
Assistant Professor of Medicine
USF Morsani College of Medicine
Department of Cardiovascular Sciences
2 Tampa General Circle
STC 5 th Floor
Tampa, Fl 33606
813 259 0992(O)
813 831 0721(H)
813 245 3143(C)






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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