[No SPF Record] Re: [IMPROVEDX] Transfers/referrals

Bob Latino blatino at RELIABILITY.COM
Mon Jan 8 23:19:05 UTC 2018


Is there any data on reported bad outcomes (i.e. - sentinel events, serious safety events) that involved diagnosis error as a validated cause and/or contributing factor?

Sent from my iPhone

On Jan 8, 2018, at 6:13 PM, Harry Burke <harry.burke at GMAIL.COM<mailto:harry.burke at GMAIL.COM>> wrote:

The incidence depends on how you define diagnostic errors and how you detect diagnostic errors.

Sent from my iPhone

On Jan 8, 2018, at 5:43 PM, Rory Jaffe <rjaffe at CHPSO.ORG<mailto:rjaffe at CHPSO.ORG>> wrote:

There are no reliable estimates of the incidence of diagnostic errors.

Rory

From: robert bell [mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG]
Sent: Sunday, January 07, 2018 10:58 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [No SPF Record] Re: [IMPROVEDX] Transfers/referrals

Dear all,

It is said that of the errors in medicine two thirds are standard errors while one third are diagnostic (does anyone know where those figures came from?).

It this is true then the next question would seem to be what is the impact of standard errors (from computers, hand offs, medication, laboratory and radiology errors, etc., etc.) on diagnostic errors. Is it a  small of large figure? Are there  any estimates?

Then the question arises should we as a community/organization be dealing in someway with all errors and not solely diagnostic.

In fact, if the standard errors significantly effect diagnoses, will we be able to easily prove that any diagnostic approach is worthwhile?

Will historical analyses work? How would you compensate for standard error rates being different in different hospitals and HC facilities.

Do we need to know the level of effect of standard errors on diagnostic errors in different facilities?

Robert Bell, M.D.


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