rmsbell200 at YAHOO.COM
Sun Jan 24 21:55:42 UTC 2016
I have suggested that at the same time, or even before we tackle Errors in Diagnosis, we see that all our support diagnostic tests (Lab, X-ray, etc.) are in good order so as to help make the correct diagnoses more often.
I have been made aware that it is easy to miss a low but rising PSA in someone who has had a past radical prostatectomy.
The Lab reports results as ng/mL with a reference range of (0.000 - 4.000). The range for someone with a prostate present.
I asked myself with all the technology is there anything that could be done to prevent such happenings?
And then I thought there must be 100s of similar situations when time, disease, surgery, treatments, etc effect lab interpretations - the PSA lab reports on the ones I have seen do not mention that the ranges are for someone with a prostate. Should they?
Yes, good clinical skills would help but could the lab with or without technology do anything to help avoid such problems? Could training or anything else help prevent?
I wondered how often this happens - and if you decided to do something about it, could you triage it - presumably not without good error data!?
Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine
More information about the Test