Diagnostic errors related to acute abdominal pain in the emergency department.

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Thu Nov 19 22:45:15 UTC 2015


Interesting to consider that two of the three errors, the history-taking
and the follow up as to abnormal results, might well have been somewhat
minimized. Had the patients known how to give a better history and able to
review and correct what history was available the diagnoses might have been
more accurate.  When the patient and the doctor receive the same results,
abnormal and normal, the follow up might have been greater.  When the
patient NEVER receives the abnormal results from the doctor's office,  as
can happen up to 15% of the time, there will not be any follow up.

Peggy

Peggy Zuckerman
www.peggyRCC.com

On Thu, Nov 19, 2015 at 2:34 PM, Ruth Ryan <ruthryan at cox.net> wrote:

> I can’t get to the whole article, but here is a link to the abstract.
> http://www.ncbi.nlm.nih.gov/pubmed/26531859
>
>
>
> Medford-Davis L, Park E, Shlamovitz G, Suliburk J, Meyer AN, Singh H.
> Diagnostic errors related to acute abdominal pain in the emergency
> department.
>
> Emerg Med J. 2015 Nov 3. pii: emermed-2015-204754. doi:
> 10.1136/emermed-2015-204754. [Epub ahead of print]
>
>
>
> Of interest, over 1/3 of high risk abdominal pain pts in the ED in this
> study had diagnostic errors. The most commonly missed diagnoses were gall
> bladder disease and UTI, confirming once again that it tends to be the most
> common diagnoses, not the rarest that are misdiagnosed.
>
>
>
> 2/3 of the cases had breakdowns in the diagnostic process, most often
>
> ·        history-taking
>
> ·        ordering insufficient tests
>
> ·        problems with follow-up of abnormal test results
>
>
>
> *Ruth*
>
>
>
> Ruth Ryan RN, BSN, MSW, CPHRM
>
> Medical writer
>
> Risk management/patient safety
>
> Continuing medical education
>
> Telephone (504) 256-8797
>
> Email ruthryan at cox.net
>
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>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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