Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs | Health Care Safety | JAMA Internal Medicine | JAMA Network

Patterson, Emily Emily.Patterson2 at OSUMC.EDU
Sat Sep 8 12:42:50 UTC 2018


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On Sep 8, 2018 6:27 AM, HM Epstein <hmepstein at GMAIL.COM> wrote:
Below is a link to an abstract from the recent issue of JAMA Internal Medicine reporting the results of a study looking into both the personal and systemic aspects of reporting diagnostic errors. There seems to be a lot of low hanging fruit in areas where we can suggest systemic improvements and educational improvements. If physicians can be trained to accept the reality of  uncertainty, and even the diagnostic benefits of it; if systems can be supportive of physicians and nurses and other healthcare professionals reporting diagnostic errors when they are discovered; then perhaps we can have culture change and improve the rate of DX error.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2698142<https://urldefense.proofpoint.com/v2/url?u=https-3A__jamanetwork.com_journals_jamainternalmedicine_fullarticle_2698142&d=DwMFaQ&c=k9MF1d71ITtkuJx-PdWme51dKbmfPEvxwt8SFEkBfs4&r=3Ws9jtz_XOiz6-4wSUBQ7ej5PAMSbwGQGMyRulno9gg&m=yRMc5ilt559_C3S31FIp5Bv_s1Dnn-4AvOcx770MjyQ&s=senJVtH4vEOSHcyFzz6dXKOw8sHAg0ikyL2M_t1f88Q&e=>

Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs
“In this large, multicenter study assessing the National Academy of Medicine’s goals on education and reporting among internal medicine physicians, we found inconsistent training on how to communicate diagnostic errors to patients, no unified system for reporting diagnostic errors, a widespread opinion that current reporting systems were unhelpful, and that many respondents were not comfortable with reporting diagnostic errors, especially more junior physicians. Younger physicians might feel particularly uncomfortable with reporting diagnostic errors because of a lack of clinical experience, fear of punitive action, or a lack of confidence in their reporting systems.”

Best,
Helene
      [https://drive.google.com/uc?id=0BzqkjTYl6PKwNUhEU2NyZ2RsNW8&export=download]
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