In Search of a Common Definition of Dx Error

Julianne Nemes Walsh nemeswalsh at GMAIL.COM
Sun May 8 02:16:22 UTC 2016


Hi Ruth,

Diagnostic errors may be categorized as an act of commission as well as an
act of omission, both leading to an undesirable outcome for the patient.
The problem with the IOM definition " a failure to accurately and timely
explain a patient’s health problem, or a failure to communicate findings of
an evaluation to the patient" does not take into account those patients who
experience over diagnosis (ear infections in children) but a combination of
the several definitions you listed may be too cumbersome.

Julianne Nemes Walsh
Atrius Health
Pediatrics

On Thu, May 5, 2016 at 3:23 PM, Ruth Ryan <ruthryan at cox.net> wrote:

> To all,
>
>
>
> Allow me to pick the finest brains on this topic.  Should SIDM adopt one
> of these definitions below, or craft a combination of these elements?  How
> would you define it?
>
>
>
> *DEFINITIONS OF DIAGNOSTIC ERROR*
>
>
>
> *Author*
>
> *Source or Citation*
>
> *Definition*
>
> *Mark Graber*
>
> Diagnostic errors in medicine: a case of neglect. *Jt Comm J Qual Patient
> Saf*. 2005.
>
>
>
> Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. *Arch
> Intern Med*. 2005
>
> Medical diagnoses that are wrong, missed, or delayed.
>
>
>
> A diagnosis that was unintentionally delayed (sufficient information was
> available earlier), wrong (another diagnosis was made before the correct
> one), or missed (no diagnosis was ever made), as judged from the eventual
> appreciation of more definitive information.
>
>
>
> *Hardeep Singh*
>
>
>
> Helping healthcare organizations to define diagnostic errors as
> opportunities in diagnosis. *Jt Comm J Patient Safety,* 2014.
>
>
>
> A breakdown in the diagnostic process and a missed opportunity to have
> made the diagnosis more accurately or more efficiently…regardless of
> whether there was patient harm.
>
> *Gordon Schiff et al*
>
> Schiff GD, Hasan O, Kim S, Abrams R, Cosby K, Lambert BL, et al.
> Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors. *Arch
> Intern Med*. 2009
>
> Any mistake or failure in the diagnostic process leading to a
> misdiagnosis, a missed diagnosis, or a delayed diagnosis. This could
> include any failure in timely access to care; elicitation or interpretation
> of symptoms, signs, or laboratory results; formulation and weighing of
> differential diagnosis; and timely follow-up and specialty referral or
> evaluation.
>
>
>
> *Institute of Medicine*
>
> Improving Diagnosis in Health Care, 2015 report Institute of Medicine
> (IOM)
>
> The failure to establish an accurate and timely explanation of the
> patient's health problem(s) or to communicate that explanation to the
> patient.
>
>
>
>
>
> *BEST DEFINITION OR COMBINED DEFINITION:*
>
>
>
> *Fill in the blank*
>
>
>
>
>
>
>
> *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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>
>
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> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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