Fwd: Your latest submission to listserv

Bob Latino blatino at RELIABILITY.COM
Thu Feb 22 11:11:10 UTC 2018


This is a question that has been raised on this forum a long time ago, and certainly seen as a Step 1 to defining the problem.

Robert J. Latino, CEO
Reliability Center, Inc.
1.800.457.0645
blatino at reliability.com
www.reliability.com
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From: Tom Benzoni [mailto:benzonit at gmail.com]
Sent: Thursday, February 22, 2018 4:21 AM
To: Society to Improve Diagnosis in Medicine <IMPROVEDX at list.improvediagnosis.org>; Bob Latino <blatino at reliability.com>
Subject: Re: [IMPROVEDX] Fwd: Your latest submission to listserv

I think the base problem is "diagnostic error" is a user-defined term.
*Is a referral for a diagnosis which the referring could have made an error? It consumes resources and does not benefit the patient.
*Is a diagnosis of PE for a subsegmental incidental finding on CTA a diagnostic error?
*Is not performing the CTA to diagnose an incidental or even significant but unrelated finding an error (say you're doing a PE workup and find a mass which is not causing symptoms?)
*Is giving a patient a Z-Pak and steroids for a cold an error?
*Is inter-practitioner variation in obtaining CT of 8 - 34% of patients with equivalent outcomes an error?
I think the first thing to do is strictly define the term.
That is very hard work and a task which this group is admirably suited to undertake.

tom

On Wed, Feb 21, 2018 at 5:44 PM, Bob Latino <blatino at reliability.com<mailto:blatino at reliability.com>> wrote:
Is there any data that shows more diagnosis errors are made by a certain demographic (I.e. - young, old, certain specialty, certain type of outcome, etc.)?

Sent from my iPhone

Begin forwarded message:
From: David Meyers <dm0015 at icloud.com<mailto:dm0015 at icloud.com>>
Date: February 21, 2018 at 6:19:07 PM EST
To: blatino at reliability.com<mailto:blatino at reliability.com>
Subject: Your latest submission to listserv
Is there any data that shows more diagnosis errors are made by a certain democratic (I.e. - young, old, certain specialty, certain type of outcome, etc.)?

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