What is evidence in diagnosis

Bob Latino blatino at RELIABILITY.COM
Wed Mar 21 17:28:08 UTC 2018


Thank you Bimal.

Tell me if I am making a correct analogy to your point below.

I am in the investigative/RCA business.  I see it all the time in healthcare when observing RCA teams, they will use a 'literature search' to validate a hypothesis in any given RCA on some undesirable outcome.  I tell them while a literature search may help somewhat determine the probability of that hypothesis occurring overall, it is not a valid form of evidence to conclude it occurred in this particular case.  A literature search is representative of experience outside of this case, which cannot conclude anything about this specific case.

I can't imagine a detective doing a literature search to draw a conclusion about how and/or why a certain crime occurred.

Many are not receptive to this perspective of mine as oftentimes literature searches are acceptable forms of evidence in healthcare RCAs.

Am I comparing apples to apples?

Bob

Robert J. Latino, CEO
Reliability Center, Inc.
1.800.457.0645
blatino at reliability.com
www.reliability.com
[linkedin logo signature file]<https://www.linkedin.com/company/958495?trk=tyah&trkInfo=clickedVertical%3Acompany%2CclickedEntityId%3A958495%2Cidx%3A1-1-1%2CtarId%3A1464096807851%2Ctas%3Areliability%20center%2C%20inc.>

From: Jain, Bimal P.,M.D. [mailto:BJAIN at PARTNERS.ORG]
Sent: Wednesday, March 21, 2018 1:00 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] What is evidence in diagnosis

In this attached paper, I discuss how evidence is assessed during diagnosis in practice .I argue that evidence is not assessed by a probability as prescribed because a probability which is a frequency in a population fails to represent evidence for a disease in a given, individual patient in whom diagnosis is performed. Instead evidence is assessed in terms of likelihood ratio and a disease diagnosed from it in practice as we see in all published CPCs and clinical problem solving exercises.
Please review and comment on this paper.
Thanks.

Bimal

Bimal P Jain MD
Northshore Medical Center
Lynn MA 01904.

The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.

________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20180321/78ebe000/attachment.html> ATTACHMENT:
Name: image001.jpg Type: image/jpeg Size: 17486 bytes Desc: image001.jpg URL: <../attachments/20180321/78ebe000/attachment.jpg>


More information about the Test mailing list