New Study of Dx Error in the Emergency Dept

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Tue Apr 19 21:57:28 UTC 2016


Surprises me to see that 'atypical' presentations are thought to be
non-remedial.  Why not expand the definition of what is typical, though
rarer?

The same kind of thinking that does not permit the 'atypical' presentation
to be reviewed properly is where the "classic symptoms" are missing.
Example; in renal cell carcinoma, the 'classic' symptoms are present in
fewer than 10% of cases.

Peggy Z

Peggy Zuckerman
www.peggyRCC.com

On Tue, Apr 19, 2016 at 2:19 PM, Ruth Ryan <ruthryan at cox.net> wrote:

> A new study by our own peeps.
>
>
>
> This is an ED study of 214 diagnostic errors involving most often the
> most common diagnoses (sepsis, MI, fractures, vascular events) related to
> the usual suspects of cognitive error and systems problems like high
> workload. Three quarters involved multiple factors.
>
>
>
> Nearly a third were due to patient factors, and a similar number to
> “atypical” presentations (when will we find a better term for something
> that happens so often?).
>
>
>
> Citation is: Okafor N, Payne VL, Singh H et al. Using voluntary reports
> from physicians to learn from diagnostic errors in emergency medicine.
> Emerg Med J. 2016 Apr;33(4):245-52. doi: 10.1136/emermed-2014-204604. Epub
> 2015 Nov 3.
>
>
>
> Link is:
> http://www.ncbi.nlm.nih.gov/pubmed/?term=Using+voluntary+reports+from+physicians+to+learn+from+diagnostic+errors+in+emergency+medicine
>
>
>
>
>
> *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
>
> [image: canstockphoto14944494_revised]
>
>
>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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