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

Marks, Eric eric.marks at USUHS.EDU
Sat Sep 8 17:26:11 UTC 2018

Thank you for bring this problem to the attention of the list serve.
Discovering errors is one thing and learning from them including disclosing
that information is another.
Eric Marks, MD

On Sat, Sep 8, 2018 at 6:27 AM HM Epstein <hmepstein at> 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.
> 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
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Eric Marks, MD
Professor of Medicine
Professor of Preventive Medicine and Biostatistics

Department of Medicine
Uniformed Services University
eric.marks at

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

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