Beyond biases?

Tom Benzoni benzonit at GMAIL.COM
Thu Feb 9 00:42:33 UTC 2017


As is frequently the case, there is much missing from this story as
reported.

I'd draw no conclusions or lessons without a lot more information.

tom


On Wed, Feb 8, 2017 at 1:56 PM, Peggy Zuckerman <peggyzuckerman at gmail.com>
wrote:

> How is it possible for a child so severely impacted by his unrecognized
> disease to have to wait for two years to get an appointment at the
> children's hospital?  Is that typical or was there some other reason not to
> get the review needed when it was obvious that this was a complex situation?
>
> Shocking and to read that the child died of sepsis in such a setting is
> beyond belief.
> Peggy
>
> Peggy Zuckerman
> www.peggyRCC.com
>
> On Tue, Feb 7, 2017 at 11:22 AM, Jason Maude <
> jason.maude at isabelhealthcare.com> wrote:
>
>> These 2 tragic cases of misdiagnosis have been reported recently by the
>> Daily Mail:
>>
>>
>>
>> 1.   The first is a 5 year old boy with a missed diagnosis of juvenile
>> arthritis  http://www.dailymail.co.uk/news/article-4198822/Boy-died-ar
>> thritis-two-years-misdiagnosis.html
>>
>> 2.   The second covers a 24 year women with a missed diagnosis of brain
>> tumor http://www.dailymail.co.uk/health/article-4172188/Fit-intell
>> igent-woman-24-dies-brain-tumour.html
>>
>>
>>
>> The most significant aspect of both these cases is that in the first the
>> patient was seen *20x over 2 years by clinicians and in the second 14x
>> over 9 months*!
>>
>>
>>
>> With this number of visits we must have gone beyond ‘biases’ to just
>> plain pig headedness!
>>
>>
>>
>> These cases show how the most effective and simple trigger to catch
>> potential cases could be one that flags up re attenders for the same
>> problem for a complete rethink.
>>
>>
>>
>> Regards
>>
>> Jason
>>
>>
>>
>> Jason Maude
>>
>> Founder and CEO Isabel Healthcare
>> Tel: +44 1428 644886 <+44%201428%20644886>
>> Tel: +1 703 879 1890 <(703)%20879-1890>
>> www.isabelhealthcare.com
>>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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