Definition of Diagnosis Error

Tom Benzoni benzonit at GMAIL.COM
Wed Jan 18 19:18:24 UTC 2017


The major class missing is the largest.
"Irrelevant"
Tom

On Jan 18, 2017 12:54, "Mark Graber" <mark.graber at improvediagnosis.org>
wrote:

>
>
>
> I've used the missed - wrong - delayed categories, which were originally
> created by the Australian Patient Safety Foundation decades ago.  These
> categories are useful in clarifying what things we're talking about in
> regard to diagnostic error.  The classification isn't perfect, because
> there will be overlap in the cases where a diagnosis is initially
> mis-labeled, but then correctly diagnosed later on (so originally wrong,
> but ultimately delayed).  Other limitations include the need to have some
> near-gold-standard way of knowing the correct diagnosis, and the fact that
> the categorization can only be done reliably in retrospect.
>
> None of the other definitions are perfect either, but they are all useful,
> and highly complementary, depending on your goals.  For performance
> improvement research, the definitions that focus more on the DIAGNOSTIC
> PROCESS are especially useful:  Gordy Schiff's definition centers on
> identifying breakdowns in the process, and Hardeep Singh's definition
> centers on finding 'missed opportunities'.
>
> The IOM definition is the only patient-focused definition; it starts off
> as another 'label' failure, but then includes that key process step of
> communicating the diagnosis to the patient.
>
> A paper by David Newman-Toker is attached that provides more detail for
> anyone interested, and also attached are the attributions for these 4
> definitions.
>
>    Mark
>
> Mark L Graber, MD FACP
> President, Society to Improve Diagnosis in Medicine
> Senior Fellow, RTI International
> Professor Emeritus, Stony Brook University
>
>
> On Jan 18, 2017, at 8:17 AM, Tom Benzoni <benzonit at GMAIL.COM> wrote:
>
> There are too many flaws in the definition to give it credibility.
>
> Tom
>
> On Jan 18, 2017 8:33 AM, "Bob Latino" <blatino at reliability.com> wrote:
>
>> Is this IOM Definition of Diagnosis Error an accepted definition by SIDM?
>>
>>
>> What is Diagnostic Error?
>>
>> The Institute of Medicine recently defined diagnostic error as the
>> failure to (a) establish an accurate and timely explanation of the
>> patient’s health problem(s) or (b) communicate that explanation to the
>> patient. Simply put, these are diagnoses that are missed altogether, wrong,
>> or should have been made much earlier.
>>
>> These categories overlap, but examples help illustrate some differences:
>>
>> *A missed diagnosis *refers to a patient whose medical complaints are
>> never explained. Many patients with chronic fatigue, or chronic pain fall
>> into this category, as well as patients with more specific complaints that
>> are never accurately diagnosed.
>>
>> *A wrong diagnosis* occurs, for example, if a patient truly having a
>> heart attack is told their pain is from acid indigestion. The original
>> diagnosis is found to be incorrect because the true cause is discovered
>> later.
>>
>> *A delayed diagnosis* refers to a case where the diagnosis should have
>> been made earlier. Delayed diagnosis of cancer is by far the leading entity
>> in this category. A major problem in this regard is that there are very few
>> good guidelines on making a timely diagnosis, and many illnesses aren’t
>> suspected until symptoms persist, or worsen.
>>
>>
>>
>>
>>
>> *Robert J. Latino, CEO*
>>
>> Reliability Center, Inc.
>>
>> 1.800.457.0645 <(800)%20457-0645>
>>
>> blatino at reliability.com
>>
>> www.reliability.com
>>
>> <image001.jpg>
>> <https://www.linkedin.com/company/958495?trk=tyah&trkInfo=clickedVertical%3Acompany%2CclickedEntityId%3A958495%2Cidx%3A1-1-1%2CtarId%3A1464096807851%2Ctas%3Areliability%20center%2C%20inc.>
>>
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>> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
>> Medicine
>>
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>
>
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>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
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>
>
>
>






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


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