disappointed

robert bell rmsbell200 at YAHOO.COM
Wed Sep 23 21:25:27 UTC 2015


But our foot is in the door.  

Also, as we get more information on Time to Diagnosis, it would seem that there could be a kind of “standard time to diagnosis,” for less common diseases/conditions that could be adjusted from time to time as we get more proficient (e.g. for myasthenia gravis), perhaps even adjusted in some way for the medical sophistication of the medical center in question!

Do we need to talk about standards for what is a delayed diagnosis?  Or maybe that has already been discussed.

Just publishing a list of the common conditions we THINK are diseases of delayed diagnosis would be a start.

Rob Bell, M.D.


> On Sep 23, 2015, at 11:19 AM, Michael Grossman <Michael.Grossman at MIHS.ORG> wrote:
> 
> I agree with your assessment. The IOM sometimes seems to fall short of expectations. Their relatively recent report on Graduate Medical Education was disappointing. 
> The fact that multiple news agencies are running with this story may lead to some misunderstandings , especially on the nature of "delayed diagnoses".
> Michael Grossman, MD MACP
> 
> -----Original Message-----
> From: Robert L Wears, MD, MS, PhD [mailto:wears at UFL.EDU] 
> Sent: Wednesday, September 23, 2015 9:31 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: [IMPROVEDX] disappointed
> 
> Great that misdiagnosis and related failures are getting attention, but ...
> 
> This is a disappointing effort; a naïve, keyhole view of a complex problem.
> 
> I count 82 mentions of 'error' in the first 15 pages (~5.5 per page), 753 in the entire document.
> 
> Lots of discussion about biases (78 mentions) but important issues that challenge the focus on 'error', such as hindsight bias, or outcome bias, are never mentioned even once.
> 
> This restriction to a very narrow framing of the problem is unlikely to lead to progress.
> 
> bob
> 
> 
> 
> Robert L Wears, MD, MS, PhD
> University of Florida  	Imperial College London
> wears at ufl.edu		r.wears at imperial.ac.uk
> 1-904-244-4405 (ass't)  	+44 (0)791 015 2219
> Nothing matters very much, and very few things matter at all.
>                                                  ---Balfour
> 
> 
> 
> 
> 
> 
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
> 
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> </p>
> 
> 
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> 
> 
> 
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
> 
> To unsubscribe from the IMPROVEDX list, click the following link:<br>
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Robert M. Bell, M.D., Ph.C.
P.O. Box 3668
West Sedona, AZ  86340-3668
USA
Tel: Fax: 928 203-4517









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


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