Errors in diagnosis and a possible way forward.

mehran midia mmidia at COGECO.CA
Tue Nov 27 23:25:10 UTC 2018


Hello Dr. Bell, 

I am a radiologist in Canada…we do have a single payer but error in diagnosis still happening. 

I think having single payers could make it easier do data mining but the down of single pay system is hard to implement top of the line expensive platform across the enterprise of health care and there is disconnect in provisional (State) bureaucracy. 

I think at heart this a data issue and how its affect decisions at different stages as much as it is a system and human issue. 

Sincerely,

Mehran Midia 






> On Nov 27, 2018, at 6:04 PM, Robert Bell <0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG> wrote:
> 
> 
> Dear all
> 
> I could be wrong but it seems that the problems relating to errors in diagnosis are so massive that any health organization/Society that tries to do something gets mired in the weeds with little eventually happening.
> 
> It would seem that that it would be good to tackle one thing at time in a significant way and succeed at something.
> 
> Also, the piece by Mike Posata is a good example of the influence of money on errors.
> 
> My top three areas for research would be:
> Supporting a single payer system, like most of the developed world already has, and investigating the benefits of a single payer system in preventing errors in diagnosis.
> That would remove so many hurdles we do not need in medicine. A big challenge but collaboratively, I think, could be done.
> Identifying the very commonest errors in diagnosis in each specialty, and working hard on those to prevent them - pulmonary medicine would be my first.
> Clarifying all the issues regarding laboratory tests, including, ordering, reporting, interpretation, and subsequent action.
> My basic message is to tackle something that is likely to produce results, and can be completed in a defined period of time with the available resources.
> 
> Comments very welcome.
> 
> Rob Bell, M.D. 
> 
> 
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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