The challenges in defining and measuring diagnostic error.

نویسندگان

  • Laura Zwaan
  • Hardeep Singh
چکیده

Diagnostic errors have emerged as a serious patient safety problem but they are hard to detect and complex to define. At the research summit of the 2013 Diagnostic Error in Medicine 6th International Conference, we convened a multidisciplinary expert panel to discuss challenges in defining and measuring diagnostic errors in real-world settings. In this paper, we synthesize these discussions and outline key research challenges in operationalizing the definition and measurement of diagnostic error. Some of these challenges include 1) difficulties in determining error when the disease or diagnosis is evolving over time and in different care settings, 2) accounting for a balance between underdiagnosis and overaggressive diagnostic pursuits, and 3) determining disease diagnosis likelihood and severity in hindsight. We also build on these discussions to describe how some of these challenges can be addressed while conducting research on measuring diagnostic error.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Challenges and Defining of Four Generations in Medical Laboratories

Many of the conflicts occurring in the Medical Labs could be directly linked to the presence of multiple generations. There have been three generations in the workplace at any given time. We are at a unique time where there are four generations all coexisting in the labs. The article describes generalized behaviors of each generation and the correlation of these unique trails on medical lab pro...

متن کامل

Measuring the performances of Medical Diagnostic Laboratories based on interval efficiencies

The classic data envelopment analysis (DEA) models have overlooked the intermediate products, internal interactions and the absence of data certainty; and deal with analyzing the network within the “Black Box” mode. This results in the loss of important information and at times a considerable modification occurs in efficiency results. In this paper, a Three-stage network model is considered wit...

متن کامل

Challenges and Barriers to the Interaction of High Councils of Health with the Ministry of Health and Medical Education in Iran: A Qualitative Study

Introduction: Human error plays a significant role in the occurrence of industrial accidents. Displacement and unloading operations are operations in which the occurrence of human error may lead to plenty of human and financial losses. The present study aimed to investigate the possibility of human error occurrence in overhead crane operators in a Steel Company in Hormozgan, Iran. Material & Me...

متن کامل

Adaptive neural control of nonlinear fractional order multi- agent systems in the presence of error constraintion

In this paper, the problem of fractional order multi-agent tracking control problem is considered. External disturbances, uncertainties, error constraints, transient response suitability and desirable response tracking problems are the challenges in this study. Because of these problems and challenges, an adaptive control and neural estimator approaches are used in this study. In the first part...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Diagnosis

دوره 2 2  شماره 

صفحات  -

تاریخ انتشار 2015