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In [[health care delivery]], '''diagnostic error''' is type of [[medical error]] and is a "incorrect diagnoses after clinical examination or technical diagnostic procedure."<ref>{{MeSH}}</ref>
In [[health care delivery]], '''diagnostic error''' is type of [[medical error]] and is a "incorrect diagnoses after clinical examination or technical diagnostic procedure."<ref>{{MeSH}}</ref>
==Cause==
Errors in the [[physical examination]] may be a cause diagnostic error.<ref>{{Cite journal
| doi = 10.1001/archinternmed.2009.333
| volume = 169
| issue = 20
| pages = 1881-1887
| last = Schiff
| first = Gordon D.
| coauthors = Omar Hasan, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce L. Lambert, Arthur S. Elstein, Scott Hasler, Martin L. Kabongo, Nela Krosnjar, Richard Odwazny, Mary F. Wisniewski, Robert A. McNutt
| title = Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors
| journal = Arch Intern Med
| accessdate = 2009-11-10
| date = 2009-11-09
| url = http://archinte.ama-assn.org/cgi/content/abstract/169/20/1881
}}</ref>
==Epidemiology==
Certain diagnoses that have been shown to be associated with high rate of error include [[major depression]]<ref name="pmid17968628">{{cite journal |author=Cepoiu M, McCusker J, Cole MG, Sewitch M, Belzile E, Ciampi A |title=Recognition of depression by non-psychiatric physicians--a systematic literature review and meta-analysis |journal=J Gen Intern Med |volume=23 |issue=1 |pages=25–36 |year=2008 |pmid=17968628 |doi=10.1007/s11606-007-0428-5 |issn=}}</ref><ref name"pmid19640579">Mitchell A et al. (22 August 2009) Clinical diagnosis of depression in primary care: a meta-analysis.  Lancet 2009;374(9690):609-619
{{doi|10.1016/S0140-6736(09)60879-5}} PMID 19640579</ref>, [[migraine headache]]s (both underdiagnosed<ref name="pmid1599358">{{cite journal |author=Lipton RB, Stewart WF, Celentano DD, Reed ML |title=Undiagnosed migraine headaches. A comparison of symptom-based and reported physician diagnosis |journal=Arch. Intern. Med. |volume=152 |issue=6 |pages=1273–8 |year=1992 |pmid=1599358 |doi=}}</ref> and misdiagnosed.<ref name="pmid15364670">{{cite journal |author=Schreiber CP, Hutchinson S, Webster CJ, Ames M, Richardson MS, Powers C |title=Prevalence of migraine in patients with a history of self-reported or physician-diagnosed "sinus" headache |journal=Arch. Intern. Med. |volume=164 |issue=16 |pages=1769–72 |year=2004 |pmid=15364670 |doi=10.1001/archinte.164.16.1769}}</ref>), [[sinusitis]]<ref name="pmid8355389">{{cite journal| author=Williams JW, Simel DL| title=Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination. | journal=JAMA | year= 1993 | volume= 270 | issue= 10 | pages= 1242-6 | pmid=8355389
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=8355389 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>, and [[urinary tract infection]]<ref name="pmid19054190">{{cite journal |author=Woodford HJ, George J |title=Diagnosis and Management of Urinary Tract Infection in Hospitalized Older People |journal=J Am Geriatr Soc |volume= |issue= |pages= |year=2008 |month=November |pmid=19054190 |doi=10.1111/j.1532-5415.2008.02073.x |url=http://dx.doi.org/10.1111/j.1532-5415.2008.02073.x |issn=}}</ref>.


==Prevention==
==Prevention==
{{main|Teaching evidence-based medicine#Clinical reasoning}}
{{main|Teaching evidence-based medicine#Clinical reasoning}}
Cognitive forcing strategies may help prevent diagnostic error.<ref name="pmid12514691">{{cite journal| author=Croskerry P| title=Cognitive forcing strategies in clinical decisionmaking. | journal=Ann Emerg Med | year= 2003 | volume= 41 | issue= 1 | pages= 110-20 | pmid=12514691  
Cognitive forcing strategies may help prevent diagnostic error.<ref name="pmid12514691">{{cite journal| author=Croskerry P| title=Cognitive forcing strategies in clinical decision making. | journal=Ann Emerg Med | year= 2003 | volume= 41 | issue= 1 | pages= 110-20 | pmid=12514691  
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=12514691 | doi=10.1067/mem.2003.22 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=12514691 | doi=10.1067/mem.2003.22 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref>


==References==
==References==
<references/>
<references/>

Latest revision as of 14:58, 22 August 2010

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In health care delivery, diagnostic error is type of medical error and is a "incorrect diagnoses after clinical examination or technical diagnostic procedure."[1]

Cause

Errors in the physical examination may be a cause diagnostic error.[2]

Epidemiology

Certain diagnoses that have been shown to be associated with high rate of error include major depression[3][4], migraine headaches (both underdiagnosed[5] and misdiagnosed.[6]), sinusitis[7], and urinary tract infection[8].

Prevention

For more information, see: Teaching evidence-based medicine#Clinical reasoning.

Cognitive forcing strategies may help prevent diagnostic error.[9]

References

  1. ↑ Anonymous (2024), Diagnostic error (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. ↑ Schiff, Gordon D.; Omar Hasan, Seijeoung Kim, Richard Abrams, Karen Cosby, Bruce L. Lambert, Arthur S. Elstein, Scott Hasler, Martin L. Kabongo, Nela Krosnjar, Richard Odwazny, Mary F. Wisniewski, Robert A. McNutt (2009-11-09). "Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors". Arch Intern Med 169 (20): 1881-1887. DOI:10.1001/archinternmed.2009.333. Retrieved on 2009-11-10. Research Blogging.
  3. ↑ Cepoiu M, McCusker J, Cole MG, Sewitch M, Belzile E, Ciampi A (2008). "Recognition of depression by non-psychiatric physicians--a systematic literature review and meta-analysis". J Gen Intern Med 23 (1): 25–36. DOI:10.1007/s11606-007-0428-5. PMID 17968628. Research Blogging.
  4. ↑ Mitchell A et al. (22 August 2009) Clinical diagnosis of depression in primary care: a meta-analysis. Lancet 2009;374(9690):609-619 DOI:10.1016/S0140-6736(09)60879-5 PMID 19640579
  5. ↑ Lipton RB, Stewart WF, Celentano DD, Reed ML (1992). "Undiagnosed migraine headaches. A comparison of symptom-based and reported physician diagnosis". Arch. Intern. Med. 152 (6): 1273–8. PMID 1599358. [e]
  6. ↑ Schreiber CP, Hutchinson S, Webster CJ, Ames M, Richardson MS, Powers C (2004). "Prevalence of migraine in patients with a history of self-reported or physician-diagnosed "sinus" headache". Arch. Intern. Med. 164 (16): 1769–72. DOI:10.1001/archinte.164.16.1769. PMID 15364670. Research Blogging.
  7. ↑ Williams JW, Simel DL (1993). "Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination.". JAMA 270 (10): 1242-6. PMID 8355389.
  8. ↑ Woodford HJ, George J (November 2008). "Diagnosis and Management of Urinary Tract Infection in Hospitalized Older People". J Am Geriatr Soc. DOI:10.1111/j.1532-5415.2008.02073.x. PMID 19054190. Research Blogging.
  9. ↑ Croskerry P (2003). "Cognitive forcing strategies in clinical decision making.". Ann Emerg Med 41 (1): 110-20. DOI:10.1067/mem.2003.22. PMID 12514691. Research Blogging.
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