Do we know the most common misdiagnoses?

Tom Benzoni benzonit at GMAIL.COM
Wed Nov 7 01:58:33 UTC 2018


An important caveat on these data
They reference only negative errors. What are the positive errors? When was
a diagnosis suggested that was not correct? These errors are serious as
well.
Tom

On Mon, Nov 5, 2018, 17:22 Bruno, Michael <mbruno at pennstatehealth.psu.edu
wrote:

> 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> 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>
> *Date:* November 4, 2018 at 10:02:51 AM CST
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <
> 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>
> *Date: *Saturday, October 27, 2018 at 10:18 PM
> *To: *Listserv ImproveDx <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Mark
> Graber <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 for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
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>
> ------------------------------
>
>
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>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
>
>
>
> ------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
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>
>
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
> Medicine
>
> To learn more about SIDM visit:
> http://www.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
>
> 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


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