New Study of Dx Error in the Emergency Dept

Mark Gusack gusackm at COMCAST.NET
Wed Apr 20 01:48:36 UTC 2016


Good Evening Peggy:

 

I agree.  In fact, isn’t it our job as physicians to be on the lookout for ‘atypical’ presentations of diseases?  After all, if it weren’t for these ‘atypical’ presentations then diagnostic criteria would be so easy to apply that an eighth grader could do it.  In fact, a computer could do it…

 

Hoping to see you at the LA DEM conference.  I plan to submit a number of new posters that may be of interest to you.

 

Mark Gusack

 

From: Peggy Zuckerman [mailto:peggyzuckerman at GMAIL.COM] 
Sent: Tuesday, April 19, 2016 5:57 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] New Study of Dx Error in the Emergency Dept

 

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 <http://www.peggyRCC.com> 

 

On Tue, Apr 19, 2016 at 2:19 PM, Ruth Ryan <ruthryan at cox.net <mailto: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 <tel:%28504%29%20256-8797> 

Email ruthryan at cox.net <mailto:ruthryan at cox.net> 



 

 

 

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