What comes first?

Hueth, Kyle D. kyle.hueth at ARUPLAB.COM
Sun Mar 12 22:55:11 UTC 2017

I completely agree!  The common examples you list really highlight the impact these inaccuracies could potentially have on the development of a working diagnosis for a large number of patients.  I am a consultant that specializes in appropriate utilization of laboratory testing and my experience has taught me that, while the analytical accuracy of testing has drastically improved, the accuracy in ordering the right test and at the right time has decreased.  This isn't surprising considering the rapidly evolving test menu and the subpar functionality of the EHR when it comes to ordering labs and displaying results.  I feel addressing these identifiable sources of error are the logical first steps towards reducing diagnostic error.  AI solutions won't help solve this problem if the inputs are inaccurate.

Kyle Dean Hueth, MLS(ASCP)
Healthcare Consultant

Sent from my iPad

On Mar 12, 2017, at 14:06, robert bell <0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG<mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG>> wrote:

I have often wondered whether we should at the same time as we work towards more accurate diagnoses, whether we should first sort out all the errors that we blindly seem to accept in medicine.

  *   The inaccuracy of all the tests we use. Including routine lab tests and radiological evaluations.
  *   The inaccuracy of the stethoscope with HCPs, particularly those with hearing losses and lack of experience.
  *   The need for two forms of identification for each patient.
  *   Taking a blood pressure measurement over differing layers of clothes.
  *   Weighing someone at the time of an office visit with differing weights of clothes and items being carried.
  *   Taking three blood pressure measurements on separate days after resting to diagnose hypertension. It is said that there are many on hypertensive medicine who need not be.
  *   And I am sure there are 100s more to add to this small list.

Perhaps ally with a Society that can take on this task, or even do it ourselves? Triage the most important and, ? issue a report, do research if necessary, ? start tomorrow.

? A FIRST TIDY UP MEDICINE PROGRAM - that should help with diagnoses.

Rob Bell, M.D.



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