Dx error & epidural abscess
Mittal, Manoj K
MITTAL at EMAIL.CHOP.EDU
Fri Apr 7 15:01:06 UTC 2017
I am afraid hindsight bias pervades a lot of such work. It is easy to find mistakes when you have already seen the future!
The trick for providers is to find the needle in the haystack-these rare conditions, prospectively, when dealing with hundreds of patients every week in the office/emergency department presenting with non-specific seeming complaints of fever, back pain and the like!
To be real and relevant, and to be taken seriously by practicing clinicians, the study designs have to change, and start with all the patients that a provider is seeing, and find the diagnostic error rate. That is what will help the providers in improving their capabilities! The question is how to do that in a meaningful and practical manner!
Manoj Mittal, MD
From: Mark Graber <graber.mark at GMAIL.COM>
Sent: Friday, April 7, 2017 12:32 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Dx error & epidural abscess
Congratulations to Viraj Bhise & colleagues for an informative article on diagnosing spinal epidural abscess - for SURE one of the low-hanging fruit areas where timeliness of diagnosis needs to improve.
Mark L Graber MD FACP
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University
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