Missed, wrong or delayed diagnosis has a direct effect on patient safety. Diagnostic errors have been discussed at length, however it still lacks a systematic approach. This study proposed a more systematic way of studying diagnostic errors by using a causal loop diagram. A systematic review was used to find the key factors which may cause diagnostic errors and their interrelationships. A causa...

Diagnostic errors constitute a substantial portion of preventable medical errors. The accumulation of evidence shows that most errors result from one or more cognitive biases and a variety of debiasing strategies have been introduced. In this article, we introduce a new diagnostic strategy, the pivot and cluster strategy (PCS), encompassing both of the two mental processes in making diagnosis r...

Background: Cognitive errors have been presented as effective factors in the creation and continuation of obsessive–compulsive disorder and social anxiety disorder. Psychological resilience is an important factor in the tolerance of cognitive errors. Objective: The present study aimed to compare cognitive errors and the psychological resilience of patient...

In 1999 the Institute of Medicine (a division of the US National Academy of Sciences) published a landmark report indicating that from 44,000 to 98,000 deaths per year could be attributed to preventable medical errors (Kohn et al. 1999). Although the majority of errors related to therapy, including medication and surgical errors, the report identified a significant number of diagnostic errors. ...

Diagnostic errors are a widespread problem, although the true magnitude is unknown because they cannot currently be measured validly. These errors have received relatively little attention despite alarming estimates of associated harm and death. One promising intervention to reduce preventable harm is the checklist. This intervention has proven successful in aviation, in which situations are li...

OBJECTIVE Diagnostic errors lead to preventable hospital morbidity and mortality. ICU patients may be at particularly high risk for misdiagnosis. Little is known about misdiagnosis in pediatrics, including PICU and neonatal ICU. We sought to assess diagnostic errors in PICU and neonatal ICU settings by systematic review. DATA SOURCES We searched PubMed, Embase, CINAHL, and Cochrane. STUDY S...

Errors in clinical decision-making are disturbingly common. Here, we show that structured information–sharing networks among clinicians significantly reduce diagnostic errors, and improve treatment recommendations, as compared to groups of ...Errors Recent studies have found 10 15% all decisions regarding diagnoses inaccurate. experimentally study the ability ...

To cite: Epner PL, Gans JE, Graber ML. BMJ Qual Saf 2013;22:ii6–ii10. Many diagnostic errors are associated with laboratory testing, and many of these are preventable. However, a reduction in testing-related diagnostic errors (TDE) is hindered by the absence of a well-defined relationship between diagnostic harm and the testing process (whether from laboratory or nonlaboratory sources) as well ...

The Institute of Medicine (IOM) released its report on diagnostic errors in September, 2015. The report highlights the urgency of reducing errors and calls for system-level intervention and changes in our basic clinical interactions. Using the report's controversial definition of diagnostic error as a starting point, we introduce the issues and the potential impact on practicing physicians. We ...