Quantifying ER misdiagnoses

Pat Croskerry croskerry at EASTLINK.CA
Sun Jul 23 21:44:28 UTC 2017


Gina: I don’t know of any demographic studies in the ED that have ranked diagnoses in terms of their failure rate, although a recall some data from an unpublished study in which respiratory, cardiac and missed injuries diagnoses were ranked as the most likely – in that order.

The psychologists Hogarth specifically described the emergency department as a ‘wicked environment’ – the implication being that the work conditions and ambient conditions generally were not supportive of good decision making. 

The most recent study on ED diagnostic errors that I am aware of is that by Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J 2016;33:245–52.

Pat Croskerry 

 

From: Gina Siddiqui [mailto:gina.siddiqui at GMAIL.COM] 
Sent: July 23, 2017 5:06 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Quantifying ER misdiagnoses

 

Hi all,

 

Wanted to ask the group's knowledge on studies that have ranked diagnoses in the ER by the likelihood they are missed/mistaken for something else -- an empirical/quantitative measure of the "noise" attribute of certain diagnoses that Dr. Croskerry refers to. 

 

I'm especially interested in estimates for the prevalence of diagnostic error in PE, ectopic pregnancy, CVA, and SAH.

 

Gina

 

Gina M. Siddiqui, MD

Yale New Haven Hospital

Mobile: 703-973-3470

Twitter: @gina_wrote <https://twitter.com/Gina_wrote> 

 

 

 

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