BACKGROUND The frequency of outpatient diagnostic errors is challenging to determine due to varying error definitions and the need to review data across multiple providers and care settings over time. We estimated the frequency of diagnostic errors in the US adult population by synthesising data from three previous studies of clinic-based populations that used conceptually similar definitions o...

Our objective was to determine whether the Toyota Production System process redesign resulted in diagnostic error reduction for patients who underwent cytologic evaluation of thyroid nodules. In this longitudinal, nonconcurrent cohort study, we compared the diagnostic error frequency of a thyroid aspiration service before and after implementation of error reduction initiatives consisting of ado...

An anatomic pathology diagnostic error may be secondary to a number of active and latent technical and/or cognitive components, which may occur anywhere along the total testing process in clinical and/or laboratory domains. For the pathologist interpretive steps of diagnosis, we examine Kahneman’s framework of slow and fast thinking to explain different causes of error in precision (agreement) ...

An anatomic pathology diagnostic error may be secondary to a number of active and latent technical and/or cognitive components, which may occur anywhere along the total testing process in clinical and/or laboratory domains. For the pathologist interpretive steps of diagnosis, we examine Kahneman's framework of slow and fast thinking to explain different causes of error in precision (agreement) ...

Commonwealth of Massachusetts Board of Registration in Medicine Quality and Patient Safety Division ______________________________________________________________________________ Advisory Diagnostic Process in Inpatient and Emergency Department Settings March 2016 Background The Quality and Patient Safety Division (QPSD) has received a number of Safety and Quality Review (SQR) reports of pa...

BACKGROUND Studies of event-related potentials have consistently shown that schizophrenia is associated with a blunted error-related negativity (ERN), indicating a deficit in error monitoring. It is unknown whether this deficit is unique to schizophrenia or is common to psychotic disorders more broadly, and its associations with clinical characteristics of the illness are not well understood. ...

one of the most common positioning errors in panoramic radiography is palatoglossal air space above the apices of the root of maxillary teeth. it causes a radiolucency obscuring the apices of maxillary teeth. in the case of this positioning error, the imaging should be repeated. this causes the patient be exposed to radiation again. to avoid the repetition of exposing harmful x-rays to the pati...

BACKGROUND Errors in clinical reasoning occur in most cases in which the diagnosis is missed, delayed or wrong. The goal of this review was to identify interventions that might reduce the likelihood of these cognitive errors. DESIGN We searched PubMed and other medical and non-medical databases and identified additional literature through references from the initial data set and suggestions f...

BACKGROUND Missed or delayed diagnoses are a common but understudied area in patient safety research. To better understand the types, causes, and prevention of such errors, we surveyed clinicians to solicit perceived cases of missed and delayed diagnoses. METHODS A 6-item written survey was administered at 20 grand rounds presentations across the United States and by mail at 2 collaborating i...