Stethoscopes contribution to diagnostic errors

Robert Bell rmsbell200 at YAHOO.COM
Sat Mar 28 14:48:41 UTC 2015


David,

So true.

Who will lead the revolution to save those 400,000 a year?

Do we need a revolution? Can we ourselves/HCPs lead the way? What is the solution? Are errors in diagnosis a portal?

Rob B

Sent from my iPad

On Mar 28, 2015, at 4:09 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
> 
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> 
> 
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> 
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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