- Cognitive forcing strategies in clinical decisionmaking
Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Ann Emerg Med 41:110-20. 2003
Cognitive errors underlie most diagnostic errors that are made in the course of clinical decisionmaking in the emergency department. These errors are universal and are prevalent in the special milieu of the ED...
- Overdiagnosis of malaria in patients with severe febrile illness in Tanzania: a prospective study
London School of Hygiene and Tropical Medicine, London WCIE 7HT
BMJ 329:1212. 2004
..To study the diagnosis and outcomes in people admitted to hospital with a diagnosis of severe malaria in areas with differing intensities of malaria transmission...
- Malaria misdiagnosis in Uganda--implications for policy change
Malaria Consortium, Africa Regional Office, Kampala, Uganda
Malar J 8:66. 2009
..In this study, the policy implications of such recommendations are revisited...
- The importance of cognitive errors in diagnosis and strategies to minimize them
Department of Emergency Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada
Acad Med 78:775-80. 2003
..A critical subset of diagnostic errors arises through cognitive errors, especially those associated with failures in perception, failed heuristics, ..
- Overconfidence as a cause of diagnostic error in medicine
Eta S Berner
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama, USA
Am J Med 121:S2-23. 2008
- Diagnostic error in internal medicine
Mark L Graber
Department of Veterans Affairs Medical Center, Northport, NY 11768, USA
Arch Intern Med 165:1493-9. 2005
..The goal of this study was to determine the relative contribution of system-related and cognitive components to diagnostic error and to develop a comprehensive working taxonomy...
- Errors in laboratory medicine
Universita Vita Salute San Raffaele, Cattedra di Biochimica Clinica, Via Olgettina 58, 20132 Milan, Italy
Clin Chem 48:691-8. 2002
..The problem of medical errors has recently received a great deal of attention, which will probably increase. In this minireview, we focus on this issue in the fields of laboratory medicine and blood transfusion...
- Preanalytical quality improvement: from dream to reality
Clinical Chemistry and Hematology Laboratory, Academic Hospital of Parma, Parma, Italy
Clin Chem Lab Med 49:1113-26. 2011
- Diagnostic error in medicine: analysis of 583 physician-reported errors
Gordon D Schiff
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont St, Third Floor, Boston, MA 02120, USA
Arch Intern Med 169:1881-7. 2009
..To better understand the types, causes, and prevention of such errors, we surveyed clinicians to solicit perceived cases of missed and delayed diagnoses...
- Interpreting overdiagnosis estimates in population-based mammography screening
Rianne De Gelder
Department of Public Health, Erasmus MC, Room AE 137, P O Box 2040, 3000 CA Rotterdam, The Netherlands
Epidemiol Rev 33:111-21. 2011
..Calculations based on earlier screening program phases may overestimate overdiagnosis by a factor 4. Sufficient follow-up and agreement regarding the chosen estimator are needed to obtain reliable estimates...
- Malaria misdiagnosis: effects on the poor and vulnerable
Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK
Lancet 364:1896-8. 2004
..Much better direct evidence is needed about why and how misdiagnosis affects the poor and vulnerable...
- Pseudohyponatremia revisited: a modern-day pitfall
Division of Chemical Pathology, University of Cape Town and National Health Laboratory Service, Groote Schuur Hospital, Cape Town, South Africa
Arch Pathol Lab Med 135:516-9. 2011
- Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents
Department of Psychology, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, 3062 PA, The Netherlands
JAMA 304:1198-203. 2010
b>Diagnostic errors have been associated with bias in clinical reasoning. Empirical evidence on the cognitive mechanisms underlying biases and effectiveness of educational strategies to counteract them is lacking.
- Patient safety strategies targeted at diagnostic errors: a systematic review
Kathryn M McDonald
Stanford Center for Health Policy Center for Primary Care and Outcomes Research, Stanford University, Stanford, California, USA
Ann Intern Med 158:381-9. 2013
..This systematic review analyzed evaluations of interventions to prevent diagnostic errors. Searches used MEDLINE (1966 to October 2012), the Agency for Healthcare Research and Quality's Patient ..
- Errors of diagnosis in pediatric practice: a multisite survey
Houston Veterans Affairs Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
Pediatrics 126:70-9. 2010
We surveyed pediatricians to elicit their perceptions regarding frequency, contributing factors, and potential system- and provider-based solutions to address diagnostic errors.
- Relating faults in diagnostic reasoning with diagnostic errors and patient harm
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
Acad Med 87:149-56. 2012
The relationship between faults in diagnostic reasoning, diagnostic errors, and patient harm has hardly been studied. This study examined suboptimal cognitive acts (SCAs; i.e...
- Identifying diagnostic errors in primary care using an electronic screening algorithm
Division of Health Policy and Quality, Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, 2002 Holcombe Boulevard, Houston, TX 77030, USA
Arch Intern Med 167:302-8. 2007
b>Diagnostic errors are the leading basis for malpractice claims in primary care, yet these errors are underidentified and understudied...
- Analytical error and interference in immunoassay: minimizing risk
Catharine M Sturgeon
Department of Clinical Biochemistry, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK
Ann Clin Biochem 48:418-32. 2011
- Rate of over-diagnosis of breast cancer 15 years after end of Malmö mammographic screening trial: follow-up study
Department of Clinical Sciences in Malmo, Epidemiological Research Group, Lund University, Malmo University Hospital, SE 205 02, Malmo, Sweden
BMJ 332:689-92. 2006
..To evaluate the rate of over-diagnosis of breast cancer 15 years after the end of the Malmö mammographic screening trial...
- Diagnostic errors in medicine: a case of neglect
VA Medical Center, Northport, NW, USA
Jt Comm J Qual Patient Saf 31:106-13. 2005
..Compared with other types of medical error, however, diagnostic errors receive little attention-a major factor in perpetuating unacceptable rates of diagnostic error...
- Identification of G8 rotavirus strains determined as G12 by rotavirus genotyping PCR: updating the current genotyping methods
Health Protection Agency, Centre for Infections, 61 Colindale Avenue, London, NW9 5HT, United Kingdom
J Clin Virol 47:340-4. 2010
..As part of strain surveillance for the European Rotavirus Network (EuroRotaNet) a cluster (n=29) of G8 strains was detected in the UK between February and May 2009...
- Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims
Tejal K Gandhi
Brigham and Women s Hospital and Harvard School of Public Health, Boston, Massachusetts 02115, USA
Ann Intern Med 145:488-96. 2006
..Although missed and delayed diagnoses have become an important patient safety concern, they remain largely unstudied, especially in the outpatient setting...
- Miscoding, misclassification and misdiagnosis of diabetes in primary care
S de Lusignan
Department of Health Care Management and Policy, Faculty of Business, Economics and Law, University of Surrey, Guildford, UK
Diabet Med 29:181-9. 2012
..To determine the effectiveness of self-audit tools designed to detect miscoding, misclassification and misdiagnosis of diabetes in primary care...
- The Sinus, Allergy and Migraine Study (SAMS)
Scottsdale Headache Center at Arizona Neurological Institute, Scottsdale, AZ 85255, USA
Headache 47:213-24. 2007
- Breast cancer incidence and overdiagnosis in Catalonia (Spain)
Basic Medical Sciences Department, Biomedical Research Institut of Lleida IRBLLEIDA, Alcalde Rovira Roure 80, Lleida, 25198, Catalonia, Spain
Breast Cancer Res 12:R58. 2010
..The aims of this study were: first, to model invasive BC incidence trends in Catalonia (Spain) taking into account reproductive and screening data; and second, to quantify the extent of BC overdiagnosis...
- The misdiagnosis of cluster headache: a nonclinic, population-based, Internet survey
J A Klapper
Colorado Neurology and Headache Center, Denver 80218, USA
Headache 40:730-5. 2000
..Using International Headache Society criteria for cluster headache, 87% of the respondents should have been correctly diagnosed by the first physician seen...
- Features involved in the diagnostic delay of cluster headache
J A van Vliet
Department of Neurology, Leiden University Medical Centre, 2300 RC Leiden, Netherlands
J Neurol Neurosurg Psychiatry 74:1123-5. 2003
..Besides, while adequate and evidence based treatment is available in diagnosed cases, CH seems to be poorly managed. The authors performed a nationwide survey among CH patients, and looked for factors involved in the diagnostic delay...
- Influence of a light meal on routine haematological tests
Sezione di Chimica Clinica, Dipartimento di Scienze Morfologico Biomediche University of Verona, Ospedale Policlinico G B Rossi, Verona, Italy
Blood Transfus 8:94-9. 2010
..However, no clear indications about fasting requirements exist for routine haematological tests, nor has the influence of meals been assessed...
- Profiles in patient safety: A "perfect storm" in the emergency department
Samuel G Campbell
Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Acad Emerg Med 14:743-9. 2007
..They offer practical suggestions whereby clinicians may decrease their chances of becoming victims of these influences...
- Clinical cognition and diagnostic error: applications of a dual process model of reasoning
Department of Emergency Medicine, Dalhousie University, NS, Canada
Adv Health Sci Educ Theory Pract 14:27-35. 2009
..Importantly, specific operating characteristics of the model explain how diagnostic failure occurs...
- Checklists to reduce diagnostic errors
John W Ely
Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, USA
Acad Med 86:307-13. 2011
b>Diagnostic errors are common and can often be traced to physicians' cognitive biases and failed heuristics (mental shortcuts)...
- Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis
Houston VA HSR and D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Baylor College of Medicine, Houston, Texas, USA
Am J Gastroenterol 104:2543-54. 2009
..Our objective was to describe missed opportunities to diagnose CRC before endoscopic referral, in terms of patient characteristics, nature of clinical clues, and types of diagnostic-process breakdowns involved...
- Estimates of overdiagnosis of invasive breast cancer associated with screening mammography
School of Public Health, University of Sydney, Sydney, NSW, Australia
Cancer Causes Control 21:275-82. 2010
..To estimate the extent of overdiagnosis of invasive breast cancer associated with screening in New South Wales, Australia, a population with a well-established mammography screening program which has achieved full geographic coverage...
- Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva
Joseph A Kitterman
Department of Pediatrics, Cardiovascular Research Institute, University of California San Francisco, California 94143, USA
Pediatrics 116:e654-61. 2005
Little is known about diagnostic errors for a disease worldwide. Such errors could alter the disease's natural history, especially if unwarranted interventions cause irreversible harm...
- Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Ann Emerg Med 49:196-205. 2007
b>Diagnostic errors in the emergency department (ED) are an important patient safety concern, but little is known about their cause. We identify types and causes of missed or delayed diagnoses in the ED.
- Misdiagnosis of COPD and asthma in primary care patients 40 years of age and over
David G Tinkelman
Health Initiatives, National Jewish Medical and Research Center, Denver, USA
J Asthma 43:75-80. 2006
..Increased awareness of the differences between the two conditions is needed to promote optimal patient management and treatment...
- Clinical problem solving and diagnostic decision making: selective review of the cognitive literature
Arthur S Elstein
Department of Medical Education, University of Illinois College of Medicine, Chicago, IL 60612 7309, USA
BMJ 324:729-32. 2002
- Inferences of clinical diagnostic reasoning and diagnostic error
Anton E Lawson
Organismal, Integrative and Systems Biology, School of Life Sciences, Arizona State University, Tempe, AZ 85287, United States
J Biomed Inform 44:402-12. 2011
..Nevertheless, we propose that raising such reasoning to the conscious level reveals not its basic pattern and basic inferences, it also reveals where errors can and do occur and how such errors might be reduced or even eliminated...
- Diagnostic and therapeutic trajectory of cluster headache patients in Flanders
E Van Alboom
Department of Neurology of Ghent University Hospital, Ghent, Belgium
Acta Neurol Belg 109:10-7. 2009
..A fraction of cluster headache (CH) patients face diagnostic delay, misdiagnosis, undertreatment and mismanagement. Specific data for Flanders are warranted...
- The effectiveness of cognitive forcing strategies to decrease diagnostic error: an exploratory study
Division of Emergency Medicine, McMaster University, Hamilton, Ontario, Canada
Teach Learn Med 23:78-84. 2011
..Increasingly, curricula are being implemented in medical training to address this error. Yet there is no experimental evidence that these curricula are effective...
- Evaluation of errors in a clinical laboratory: a one-year experience
Department of Biochemistry, GB Pant Hospital, New Delhi, India
Clin Chem Lab Med 48:63-6. 2010
..These errors are classified as preanalytical, analytical and postanalytical, depending upon the time of presentation...
- Conscious thought beats deliberation without attention in diagnostic decision-making: at least when you are an expert
Department of Psychology T13 33, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands
Psychol Res 74:586-92. 2010
..In contrast, deliberation-without-attention improved novices' decisions, but only in simple problems. Experts benefit from consciously thinking about complex problems; for novices thinking does not help in those cases...
- An estimate of overdiagnosis 15 years after the start of mammographic screening in Florence
Clinical and Descriptive Epidemiology Unit, ISPO Cancer Prevention and Research Institute, via San Salvi 12, 50135 Florence, Italy
Eur J Cancer 45:3166-71. 2009
..The aim of this study is to evaluate the degree of overdiagnosis of breast cancer 15 years after the introduction of service screening in Florence (Italy)...
- Diagnostic error and clinical reasoning
Geoffrey R Norman
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Med Educ 44:94-100. 2010
There is a growing literature on diagnostic errors. The consensus of this literature is that most errors are cognitive and result from the application of one or more cognitive biases...
- Minimizing diagnostic error: the importance of follow-up and feedback
Gordon D Schiff
Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Am J Med 121:S38-42. 2008
- Risk of over-diagnosis of COPD in asymptomatic elderly never-smokers
J A Hardie
Institute of Internal Medicine, Deaconess Hospital, University of Bergen, Norway
Eur Respir J 20:1117-22. 2002
..The criteria used to define the various stages of chronic obstructive pulmonary disease need to be age-specific...
- The frequency and nature of medical error in primary care: understanding the diversity across studies
School of Primary Care, University of Manchester, Walmer Street, Manchester M14 5NP, UK
Fam Pract 20:231-6. 2003
..Understanding the frequency and nature of medical error in primary care is a first step in developing a policy to reduce harm and improve patient safety. There has been scant research into this area...
- Digital mammography screening: weighing reduced mortality against increased overdiagnosis
Rianne De Gelder
Erasmus MC, Department of Public Health, P O Box 2040, 3000 CA, Rotterdam, The Netherlands
Prev Med 53:134-40. 2011
..Digital mammography has been shown to increase the detection of ductal carcinoma in situ (DCIS) compared to screen-film mammography. The benefits and risks of such an increase were assessed...
- The vanishing nonforensic autopsy
Kaveh G Shojania
University of Ottawa and Ottawa Health Research Institute, Ottawa
N Engl J Med 358:873-5. 2008
- Factors associated with misdiagnosis of COPD in primary care
Julia A Walters
Menzies Research Institute, University of Tasmania, Tasmania, Australia
Prim Care Respir J 20:396-402. 2011
..To assess the misclassification of chronic obstructive pulmonary disease (COPD) in Australian primary care...
- Types and origins of diagnostic errors in primary care settings
Michael E DeBakey Veterans Affairs Medical Center, and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
JAMA Intern Med 173:418-25. 2013
b>Diagnostic errors are an understudied aspect of ambulatory patient safety.
- Managing the pre- and post-analytical phases of the total testing process
Department of Laboratory Medicine, Tan Tock Seng Hospital, Tan Tok Seng, Singapore
Ann Lab Med 32:5-16. 2012
- Risk management in the preanalytical phase of laboratory testing
Sezione di Chimica e Microscopia Clinica, Dipartimento di Scienze Morfologico Biomediche, Universita degli Studi di Verona, Verona, Italy
Clin Chem Lab Med 45:720-7. 2007
- Overdiagnosis in publicly organised mammography screening programmes: systematic review of incidence trends
Karsten Juhl Jørgensen
The Nordic Cochrane Centre, Rigshospitalet, Dept 3343, Blegdamsvej 9, DK 2100 Copenhagen, Denmark
BMJ 339:b2587. 2009
..To estimate the extent of overdiagnosis (the detection of cancers that will not cause death or symptoms) in publicly organised screening programmes...
- Angioimmunoblastic T-cell lymphoma: clinical and laboratory features at diagnosis in 77 patients
Hospices Civils de Lyon, Department of Internal Medicine, Centre Hospitalier Lyon Sud, Pierre Benite, France
Medicine (Baltimore) 86:282-92. 2007
..The current study underlines the diversity of presenting manifestations of angioimmunoblastic T-cell lymphoma...
- Overdiagnosis in breast cancer: design and methods of estimation in observational studies
Clinical and Descriptive Epidemiology Unit, ISPO, Florence, Italy
Prev Med 53:131-3. 2011
..These estimates vary widely. In this paper we present some of the methodological issues which explain the large variability of the reported findings...
- Why diagnostic errors don't get any respect--and what can be done about them
Robert M Wachter
Department of Medicine, University of California, San Francisco, CA, USA
Health Aff (Millwood) 29:1605-10. 2010
..However, diagnostic errors, although common and often serious, have not received comparable attention...
- Diagnostic errors after inferior petrosal sinus sampling
Neuroendocrine Clinical Center, Division of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Clin Endocrinol Metab 89:3752-63. 2004
- A method of identifying and correcting miscoding, misclassification and misdiagnosis in diabetes: a pilot and validation study of routinely collected data
S de Lusignan
St George s University of London, London, UK
Diabet Med 27:203-9. 2010
..The aim of the study was to measure the accuracy of diabetes diagnostic data and explore the scope for identifying errors...
- Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors
Oscar J Benavidez
Department of Cardiology, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
Circulation 117:2995-3001. 2008
Despite increased interest in complications within pediatric cardiology, the domain of imaging-related diagnostic errors has received little attention...
- "Pre-pre" and "post-post" analytical error: high-incidence patient safety hazards involving the clinical laboratory
Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Clin Chem Lab Med 45:712-9. 2007
- Overdiagnosis in organised mammography screening in Denmark. A comparative study
Karsten J Jørgensen
The Nordic Cochrane Centre, Rigshospitalet, Dept 3343, Blegdamsvej 9, DK 2100 Copenhagen, Denmark
BMC Womens Health 9:36. 2009
..We quantified overdiagnosis in the Danish mammography screening programme, which is uniquely suited for this purpose, as only 20% of the Danish population has been offered organised mammography screening over a long time-period...
- Misdiagnosed patients with bipolar disorder: comorbidities, treatment patterns, and direct treatment costs
Louis S Matza
The MEDTAP Institute at UBC, 7101 Wisconsin Avenue, Suite 600, Bethesda, MD 20814, USA
J Clin Psychiatry 66:1432-40. 2005
..The purpose of this study was to examine comorbidities, treatment patterns, and direct treatment costs of patients with bipolar disorder who are misdiagnosed with unipolar depression...
- Interference of gadolinium-containing contrast-enhancing agents with colorimetric calcium laboratory testing
Invest Radiol 40:521-5. 2005
- Clinical reasoning: the relative contribution of identification, interpretation and hypothesis errors to misdiagnosis
Faculty of Biological and Chemical Sciences, University of Queensland, St Lucia 4072, Australia
Med Teach 25:621-5. 2003
- Validation of a diagnostic reminder system in emergency medicine: a multi-centre study
Children s Acute Transport Service, London WC1R 4LL, UK
Emerg Med J 24:619-24. 2007
..We evaluated a novel web-based reminder system, which provides rapid diagnostic advice to users based on free text search terms...
- Gadolinium magnetic resonance contrast agents produce analytic interference in multiple serum assays
Kerry A S Proctor
Department of Pathology, University of Utah Health Sciences Center, Salt Lake City, USA
Am J Clin Pathol 121:282-92. 2004
..Likewise, certain analytic methods are more prone to interference, while others not affected...
- Clinical and autopsy diagnoses in the intensive care unit: a prospective study
Services de Réanimation Médicale, Hopital Bichat, Assistance Publique Hopitaux de Paris, Paris, France
Arch Intern Med 164:389-92. 2004
..Autopsy rates have declined worldwide, but recent retrospective intensive care unit (ICU) data indicate major discrepancies between more than 25% of clinical and autopsy diagnoses...
- Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions
Paul N Valenstein
Department of Pathology, St Joseph Mercy Hospital, Ann Arbor, Mich 48106 0998, USA
Arch Pathol Lab Med 130:1106-13. 2006
..Misidentified laboratory specimens may cause patient injury, but their frequency in general laboratory practice is unknown...
- Reinterpretation of radiological imaging in patients referred to a tertiary referral centre with a suspected pancreatic or hepatobiliary malignancy: impact on treatment strategy
Esther H B M Tilleman
Department of Surgery of the Academic Medical Center Amsterdam, Suite G4 144, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
Eur Radiol 13:1095-9. 2003
..Additional ultrasound or CT resulted in a change in treatment strategy for 24 patients (30%). Improved communication and reinterpretation of radiological investigations may reduce unnecessary referral...
- Missed breast carcinoma: pitfalls and pearls
Aneesa S Majid
Department of Radiology, Medical College of Virginia, Virginia Commonwealth University, 401 N 12th St, Richmond, VA 23298, USA
Radiographics 23:881-95. 2003
- RADPEER quality assurance program: a multifacility study of interpretive disagreement rates
James P Borgstede
Colorado Springs, CO 80908 3239, USA
J Am Coll Radiol 1:59-65. 2004
- Exploring the iceberg of errors in laboratory medicine
Department of Laboratory Medicine, University Hospital of Padova, Italy
Clin Chim Acta 404:16-23. 2009
..g., inappropriate test request, error in patient identification and/or blood collection). Data on diagnostic errors in primary care and in the emergency department setting demonstrate that inappropriate test requesting and ..
- Malaria overdiagnosis and burden of malaria misdiagnosis in the suburbs of central Sudan: special emphasis on artemisinin-based combination therapy era
Salwa M E A-Elgayoum
Faculty of Science, Department of Zoology, University of Khartoum, P O Box 321, Khartoum, Sudan 11111
Diagn Microbiol Infect Dis 64:20-6. 2009
..Finally, different scenarios were suggested for improvement of malaria diagnosis...
- Medical errors: an introduction to concepts
Department of Pathology, College of Medicine, University of Saskatchewan and Royal University Hospital, Saskatoon, Saskatchewan, Canada S7N 0W8
Clin Biochem 37:1043-51. 2004
..The cognitive influence on medical decision-making and error generation is also significant and should not be discounted...
- Death certification errors at an academic institution
Bobbi S Pritt
Department of Pathology, College of Medicine, University of Vermont, Burlington, VT, USA
Arch Pathol Lab Med 129:1476-9. 2005
..The correctly completed death certificate provides invaluable personal, epidemiologic, and legal information and should be thorough and accurate. Death certification errors are common and range from minor to severe...
- Accuracy of Burkholderia pseudomallei identification using the API 20NE system and a latex agglutination test
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Clin Microbiol 45:3774-6. 2007
..mallei and 98 B. thailandensis isolates were not correctly identified. A latex agglutination test was positive for 796/800 (99.5%) B. pseudomallei isolates and negative for 120 other oxidase-positive gram-negative bacilli...
- Medical errors: impact on clinical laboratories and other critical areas
Department of Pathology, College of Medicine, University of Saskatchewan and Royal University Hospital, Saskatoon, Saskatchewan, Canada
Clin Biochem 37:1052-62. 2004
..Appropriate attention to system factors involved in these errors and designing intelligent system approaches may help control and eliminate many of these errors in health care...
- An evaluation of automated neonatal seizure detection methods
Department of Electrical and Electronic Engineering, University College Cork, College Road, Cork, Ireland
Clin Neurophysiol 116:1533-41. 2005
..To evaluate 3 published automated algorithms for detecting seizures in neonatal EEG...
- Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections
K Lance Gould
The Weatherhead PET Center For Preventing and Reversing Atherosclerosis, University of Texas Medical School and Memorial Hermann Hospital, Houston, Texas 77030, USA
J Nucl Med 48:1112-21. 2007
..Cardiac PET combined with CT is rapidly expanding despite artifactual defects and false-positive results due to misregistration of PET and CT attenuation correction data-the frequency, cause, and correction of which remain undetermined...
- Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study
Children s Acute Transport Service CATS, 44B Bedford Row, London, WC1H 4LL, UK
BMC Med Inform Decis Mak 6:22. 2006
- Artifacts and pitfalls in myocardial perfusion imaging
Department of Diagnostic Imaging, Queen Elizabeth II Health Sciences Centre, and Dalhousie University, Halifax, Nova Scotia, Canada
J Nucl Med Technol 34:193-211; quiz 212-4. 2006
..The reader should develop an understanding of steps to limit these factors, actions to correct them if they do arise and, when necessary, how to incorporate their influence into the interpretation of the study...
- Pitfalls and artifacts in 18FDG PET and PET/CT oncologic imaging
Gary J R Cook
Department of Nuclear Medicine and PET, Royal Marsden Hospital, Sutton, Surrey SM2 5PT, UK
Semin Nucl Med 34:122-33. 2004
..It is essential that we learn these potential pitfalls so that patients can be optimally prepared for their scans and that accurate interpretation can be made...
- Patient record review of the incidence, consequences, and causes of diagnostic adverse events
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
Arch Intern Med 170:1015-21. 2010
b>Diagnostic errors often result in patient harm. Previous studies have shown that there is large variability in results in different medical specialties...
- Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital
Department of Internal Medicine, Duke University, Durham, North Carolina, USA
Clin Infect Dis 48:1182-8. 2009
- Changes in rates of autopsy-detected diagnostic errors over time: a systematic review
Kaveh G Shojania
Department of Medicine, University of California, San Francisco, CA 94143, USA
JAMA 289:2849-56. 2003
..Substantial discrepanies exist between clinical diagnoses and findings at autopsy. Autopsy may be used as a tool for quality management to analyze diagnostic discrepanies...
- Is hospital discharge administrative data an appropriate source of information for cancer registries purposes? Some insights from four Spanish registries
Enrique E Bernal-Delgado
Health Services Research Unit, Institute for Health Sciences in Aragon, Zaragoza, Spain
BMC Health Serv Res 10:9. 2010
..The frequency of false positive and false negative cases recommends local validation...
- Reducing errors made by emergency physicians in interpreting radiographs: longitudinal study
J A Espinosa
Department of Emergency Medicine, Overlook Hospital, Atlantic Health System, 99 Beauvoir Avenue, Summit, NJ 07902, USA
BMJ 320:737-40. 2000
..To reduce errors made in the interpretation of radiographs in an emergency department...
- Dual processing and diagnostic errors
Department of Clinical Epidemiology and Biostatistics, McMaster University, ON, Canada
Adv Health Sci Educ Theory Pract 14:37-49. 2009
In this paper, I review evidence from two theories in psychology relevant to diagnosis and diagnostic errors. "Dual Process" theories of thinking, frequently mentioned with respect to diagnostic error, propose that categorization ..
- Effect of primary-care spirometry on the diagnosis and management of COPD
P P Walker
Division of Infection and Immunity, School of Clinical Sciences, University of Liverpool, Liverpool, UK
Eur Respir J 28:945-52. 2006
..The use of bronchodilator reversibility testing in this setting may be important to avoid misdiagnosis...
- The frequency of missed test results and associated treatment delays in a highly computerized health system
Terry L Wahls
Iowa City Department of Veterans Affairs VA Medical Center, Iowa City, IA, USA
BMC Fam Pract 8:32. 2007
b>Diagnostic errors associated with the failure to follow up on abnormal diagnostic studies ("missed results") are a potential cause of treatment delay and a threat to patient safety...
- Diagnosis of unipolar depression following initial identification of bipolar disorder: a common and costly misdiagnosis
Michael D Stensland
Eli Lilly and Company, Indianapolis, IN 46285, USA
J Clin Psychiatry 69:749-58. 2008
..Bipolar disorder is challenging to diagnose in medical practice...
- Diagnostic errors and reflective practice in medicine
Innovare Institute, Fortaleza, Ceara, Brazil
J Eval Clin Pract 13:138-45. 2007
Adverse effects of medical errors have received increasing attention. Diagnostic errors account for a substantial fraction of all medical errors, and strategies for their prevention have been explored...
- [Discrepancies between clinical diagnoses and autopsy findings]
María Virginia Bürgesser
Servicio de Patologia, Hospital Privado de Cordoba, Cordoba, Argentina
Medicina (B Aires) 71:135-8. 2011
..We suggest to adopt educational and informative strategies, to revalue the importance of autopsy, and traditional clinical practices...
- Radiology resident interpretations of on-call imaging studies: the incidence of major discrepancies
Victoria F Cooper
Department of Radiology, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 800, Chicago, IL 60611, USA
Acad Radiol 15:1198-204. 2008
..To determine the incidence of radiology resident preliminary interpretation errors for plain film, body computed tomography, and neuroradiology (neuro)computed tomographic examinations read on call...
- Twelve tips for teaching avoidance of diagnostic errors
Robert L Trowbridge
Maine Medical Center, Portland, Maine 04102, USA ME 04102 USA
Med Teach 30:496-500. 2008
..Most medical students and physician trainees receive little instruction regarding both the root causes of diagnostic errors and how to avoid such errors.
- Diagnostic errors in polytrauma: a structured review of the recent literature
Department of Radiology, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359728, Seattle, 98104 2499, USA
Emerg Radiol 12:119-23. 2006
Clinically important diagnostic errors are relatively common among polytrauma patients (2-40%)...
- Unnecessary extractions in patients with hemicrania continua: case reports and implication for dentistry
Department of Neurology, Medical College, Baroda, Gujarat, India
J Orofac Pain 24:408-11. 2010
..The findings suggest that initial treatment with drugs specific for primary headache disorders should be instituted before subjecting patients to invasive procedures...
- Soft-tissue sarcomas in the inguinal region may present as deep vein thrombosis
Musculoskeletal Oncology Service, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
Ann Vasc Surg 24:951.e7-951.e11. 2010
- Preliminary radiology resident interpretations versus final attending radiologist interpretations and the impact on patient care in a community hospital
Richard B Ruchman
Department of Radiology, Monmouth Medical Center, 300 Second Ave, Long Branch, NJ 07740, USA
AJR Am J Roentgenol 189:523-6. 2007
..The objective of our study was to determine the rate of discrepancies between the two interpretations and the possible effect, if any, on patient care...
- End-user errors in applying two malaria rapid diagnostic tests in a remote area of Sudan
Osama M E Seidahmed
National Malaria Control Program, Khartoum, Sudan
Trop Med Int Health 13:406-9. 2008
..End-user errors were more frequent with OptiMAL IT than Core Pf tests. To improve malaria diagnosis with rapid tests, users require training and better manufacturer's instructions that take into account local conditions...