Do we know the most common misdiagnoses?

Bruno, Michael mbruno at PENNSTATEHEALTH.PSU.EDU
Mon Nov 5 20:44:59 UTC 2018


Sure.  Was thinking this was too narrow a topic, and too detailed, for widespread general interest, but here it is.


Mike


________________________________
From: Robert Bell <rmsbell200 at yahoo.com>
Sent: Monday, November 5, 2018 3:35 PM
To: ROBERT M BELL; Bruno, Michael
Cc: Mosher, Timothy; Mark Graber
Subject: Re: [IMPROVEDX] Do we know the most common misdiagnoses?

Thanks Mike,

Would you feel comfortable in posting to the list to stimulate more discussion?

Rob

On Monday, November 5, 2018, 10:27:26 AM MST, Bruno, Michael <mbruno at pennstatehealth.psu.edu> wrote:



Hi Rob,


See the attachments for a discussion of a taxonomy and epidemiology of error types in Radiology.  The "Fool Me Twice" paper by Kim and Mansfield is truly a "landmark" study.


Mike



________________________________
From: ROBERT M BELL <0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG>
Sent: Sunday, November 4, 2018 7:52 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Do we know the most common misdiagnoses?


Thanks Tim.

Are these further delineated and ranked by organ, condition, and type of procedure?

Rob Bell

On Nov 4, 2018, at 9:45 AM, Mosher, Timothy <tmosher at PENNSTATEHEALTH.PSU.EDU<mailto:tmosher at PENNSTATEHEALTH.PSU.EDU>> wrote:

For Radiology it is perception error - the failure to prospectively identity an imaging finding that is sufficiently conspicuous on retrospective review.  In most studies this accounts for 60% to 80% of radiology errors.  For those in NOLA it is the topic of the Tuesday afternoon session at DEM 2018

Tim Mosher

________________________________

From: Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG<mailto:Mark.Graber at IMPROVEDIAGNOSIS.ORG>>
Date: November 4, 2018 at 10:02:51 AM CST
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG> <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
Subject: [IMPROVEDX] Do we know the most common misdiagnoses?


Rob Bell has raised a number of interesting questions and suggestions in his recent listserv posting below.

As you all probably have noticed, SIDM to date has focused on high-level, global causes and solutions.  Rob is suggesting we need to get more granular and that we need more specific data.  We are discussing this issue actively at the SIDM Board level, and I’m confident that we will start moving in this ‘more specific’ direction very soon.

For now, it would be valuable to hear from the listserv audience, especially any sub-specialists on this.  Here’s the specific question:  Would each medical subspecialty be able to provide, either through data or by surveying its members, what are the top 5 or 10 diagnostic errors (or error-associated conditions, or specific pitfalls) they encounter?

Thanks for any feedback on this.

Mark

Mark L Graber MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University
<image001.jpg>

President, SIDM







**********************************************

From: robert bell <rmsbell200 at yahoo.com<mailto:rmsbell200 at yahoo.com>>
Date: Saturday, October 27, 2018 at 10:18 PM
To: Listserv ImproveDx <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, Mark Graber <Mark.Graber at Improvediagnosis.org<mailto:Mark.Graber at Improvediagnosis.org>>
Subject: Re: [IMPROVEDX] New National Academy report on improving cancer diagnosis - Diagnostic error lists in general



Dear Mark,

Are there lists of the top 5, 10, 50, or even 100 commonest final diagnoses that are associated with past missed/incorrect diagnoses in the US?

Do such lists exist? If not, would they be valuable? Are there any such lists already available in other countries?

What would be the limitations of such lists? What would be the benefits?

Would the lists need to be regional? How to develop, define, and strengthen any lists that are developed?

If there is no data by which to generate such lists could specialist surveys be used to compile them?

I have the idea that such lists, somewhat like the focus we have had on pulmonary embolus and breast cancer diagnoses would be valuable.

Lists would, I think, focus our attention and resources on the biggest problems, and hopefully saving lives and injury.

Rob Bell M.D.

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


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