A little concern
rmsbell200 at YAHOO.COM
Sun Nov 29 01:49:27 UTC 2015
On reflection I am wondering if we are on the right track in trying to deal with Errors in Diagnosis before all other errors?
How can we ever hope to sort out diagnostic errors when there is so much error an confusion everywhere in medicine.
- Just trying to get a CD sent from an X-ray Dept. to a specialist can be a nightmare. The private doctor’s office forgets to call the X-ray dept. The X-ray dept. is closed for the holidays and cannot get the CD away for three days.
- Patient sees a new gynecologist, a PAP is undertaken and the results cannot be read by the pathologist because of a poor sample - but the doctor’s office forgets to call the patient to inform them. The patient never gets a PAP.
- Lab work results are not called to the patient and a serious problem is forgotten/missed.
- The doctor’s office does not have a calendar for next year, 2016. So the scheduled appointment is not made. The patient is asked to call the doctor in the new year and schedule an appointment. But forgets to do this.
- Most Doctor’s private office do not have a person dedicated as Safety Officer to collect errors that occur in the practice and discuss and correct them, presumable because of litigation concerns - any meeting and error discussions possibly being discovered for court cases.
- That accurate records of errors in medicine are not kept in hospitals presumably because of litigation concerns and hospital reputation. What use is it if you reduce errors in diagnosis in a hospital because of new systems introduced, but you cannot prove that what you are doing is effective because no on want to keep records.
And on, and on, and on, and on………………………
All of you can come up with simple things that go wrong that with common sense procedures could be rectified.
So why not get the basic things first sorted out with procedural recommendations?
Also, looking at the hindrances/barriers and working on those, even if it is litigation concerns, would be so valuable.
Let’s work on the simple things first and start saving lives - and how would we prove that?
Robert M. Bell, M.D., Ph.C.
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
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