Philip Levitt, M.D. - Company Message
My Blog

Diagnostic errors: the problem

A new study from Johns Hopkins appears this week in the British Medical Journal that shows that diagnostic errors are the number 1 cause of malpractice lawsuits and the number one cause of payouts to patients and their lawyers. What it does not say in the text, but it states in the tables, is that bad surgical results are not far behind. The percentages for payouts for diagnostic and surgical mishaps are 29 and 24%, respectively.  The investigators who wrote the study used a long standing American repository of doctors' misadventures, the National Practitioner Data Bank which contains information on U.S. doctors' malpractice suits.

The importance of diagnostic errors in the overall picture is emphasized by the 41% mortality rate associated with such blunders. The comparable rate with surgical errors is only 14%. The prominence of diagnostic errors was first shown in studies from Harvard 22 years ago using hospital charts and not the results of law suits. In 1133 hospitalized patients harmed by medical management, 265 or 23% were the result of diagnostic error, whereas errors of technique, a category largely comparable but not identical to surgical errors, the numbers were 559 or 49%. A 2010 study, also derived from hospital charts, from Harvard and Stanford, showed that the percentage of errors that were from procedures, again comparable to technical or surgical errors, was 32% while diagnostic evaluation errors were only 1%. 

The differences in the numbers among the three studies are somehow related to the way they were obtained. It may be that diagnostic errors are more easy to discern by patients and so they are more likely to sue or that it is easier to win a legal case against a doctor for one type of error than the other. Differences like these are not uncommon among published medical reports and although it is distressing to lay people to see such variances, doctors are used to them. What can be distilled from all of this is that diagnostic and technical (surgical, procedural) errors are common and dangerous to patients.

The key concern from the point of view of prevention is that both diagnostic and technical errors are highly resistant to prevention by the method used by the medical profession for the past 12 years, the systems approach. A conversation with one of the authors of To Err is Human, the document from the Institute of Medicine which started the whole medical error hue and cry in 2000 and pushed the systems approach hard, was quite revealing. The authors of To Err is Human felt in 2000 that  the systems method, the one that made commercial aviation safer, would reduce medical errors by 50% in 5 years. That never happened and probably never will. The co-author of the report had to concede that both surgical errors and diagnostic errors could not be prevented by systems means. This means that the whole line of attack used to making hospitals and doctors' offices safer needs to be overhauled. Next time: what the newer medical literature says on how to prevent diagnostic errors.  

26 Comments to Diagnostic errors: the problem:

Comments RSS
Online essay on Friday, September 30, 2016 12:06 AM
Amazing article. I am so impressed. I think you have a great knowledge especially while dealings with such subjects. Thanks for your publication; wild style. Many thanks sharing your article.
Reply to comment


casual jackets for men on Saturday, August 19, 2017 1:17 AM
Hey there! I know this is a bit far, but I wonder what blog platform you use for this site. I'm sick and tired of Word press because I've had problems with hackers and I'm looking for options for another platform. It would be great if you could point me in the direction of a good platform
Reply to comment


best chinese buffet near me now on Wednesday, October 25, 2017 3:39 AM
Thanks to write a good blog on “Diagnostic errors: the problem” these are only 1% and compare to others it is uncommon so, the medical errors are very large in amount. Improve these medical errors. Thanks for Harvard and Stanford to work on this research and categories all types of errors,
Reply to comment


writing assignment on Friday, March 09, 2018 1:15 AM
The car manufacturing industries are not following the specified rule and regulations which are given by the safety council board of the country. As, per the survey conducted by the essay blog says that 90% of the car are not having quality windshields attached to it.
Reply to comment


uk essay on Thursday, April 05, 2018 2:27 AM
I can’t possibly say anything about the dogs as for me they are scary. Even though they are fenced but still the sound of their bark is thrilling. It frightens me whenever I hear that so therefore I can’t say much about this topic.
Reply to comment


wwwhotmail on Thursday, April 05, 2018 8:18 AM
wwwhotmail
Reply to comment


olymptrade on Monday, May 21, 2018 3:45 AM
Green juices are made with fruits and vegetables filled with antioxidants, phytochemicals, minerals and vitamins
Reply to comment


blogyolo on Tuesday, May 29, 2018 1:39 AM
That's perfectly written post. Thanks for sharing.
Reply to comment


storspelare on Friday, June 01, 2018 8:20 AM
Long haul player rewards are extra rewards that reward a player for the time allotment they have been a dynamic player at a gambling club.
Reply to comment


C Assignment Help on Saturday, June 23, 2018 2:24 AM
I Personally Like Your Post, You Have Shared Good Article. It Will Help Me In Great Deal.
Reply to comment


Case Studies Solutions on Saturday, June 23, 2018 5:25 AM
I Loved The Way You Discuss The Topic Great Work Thanks For The Share Your Informative Post.
Reply to comment


ISO Certification in Dubai on Tuesday, July 17, 2018 7:54 AM
The symptoms you are concerned about might be caused by a condition that is reversible. And even if there is also an underlying dementia such as Alzheimer's disease, diagnosis and treatment of reversible conditions can improve brain function and reduce symptoms. Diagnoses are more accurate early in the disease process.
Reply to comment


Bet at home on Sunday, July 22, 2018 12:58 PM
It is safe to say that you are of the arrangement to buy new cover for gambling club.
Reply to comment


custom assignment help service on Monday, August 06, 2018 5:49 AM
Happy new year will be closed from noon on taking call and scheduling for the week of latest day. Keep follow the abcconcretedelivery site and more messages left will be returning the more possible news.
Reply to comment


playojo on Wednesday, August 29, 2018 5:08 PM
Tie (you're wagering that the two will tie or push – NO victor)
Reply to comment


Cresus casino on Monday, September 10, 2018 9:08 AM
Maar deze reward is gebaseerd operation de weddenschap kick the bucket reeds hebben plaatsgevonden en over het algemeen geen enkele toekomstige verplichting van de speler nodig, behalve voor het spel by means of de eisen.
Reply to comment


Highlow on Monday, September 17, 2018 10:32 AM
construct exclusively with respect to their craving not to pass up an awesome open door that may be accessible.
Reply to comment


Assignment writing services on Tuesday, September 18, 2018 12:29 AM
This is a great inspiring article.I am pretty much pleased with your good work.You put really very helpful information. Keep it up. Keep blogging. Looking to reading your next post.
Reply to comment


Dark Knight Rises C on Monday, November 05, 2018 10:38 AM
Excellent read, Positive site, where did u come up with the information on this posting? I have read a few of the articles on your website now, and I really like your style. Thanks a million and please keep up the effective work
Reply to comment


Tjia Tjoen Hok on Sunday, January 13, 2019 11:12 PM
untuk menelepon balik, dan saya tidak dapat menahan ling12 undangan pernikahan modern undangan pernikahan online undangan pernikahan undangan pernikahan amplop surat undangan pernikahan simple undangan pernikahan murah undangan pernikahan unik undangan pernikahan artis undangan pernikahan modern undangan pernikahan artis undangan pernikahan arab undangan pernikahan undangan pernikahan Toko Plat Bordes Toko Plat Bordes Pabrik bondek Pabrik besi unp undangan pernikahan cantik Distributor Besi Hollow Jual Besi Hollow Baja Toko besi hollow Distributor besi beton Sni Ulir Polos Agen Plat Bordes Agen Plat Bordes Pabrik Plat kapal besi baja bki krakatau steel Pabrik besi siku undangan pernikahan simple Distributor Wiremesh Harga Besi Hollow Baja Agen besi hollow Distributor besi beton ais Pabrik Plat Bordes Pabrik Plat Bordes Pabrik besi siku Pabrik Plat besi plat kapal undangan pernikahan mewah Distributor Besi Pipa Baja Schedule 80 Pabrik Besi Hollow Baja Pabrik besi hollow Distributor besi beton Distributor Wiremesh Besi Distributor Wiremesh Besi Pabrik pipa besi baja sch 40 sch 80 Pabrik besi h beam baja undangan pernikahan cute Distributor Besi Pipa Baja Schedule 40 Distributor Besi Beton Distributor pipa besi Harga Wiremesh Besi Harga Wiremesh Besi Pabrik Plat besi Pabrik besi cnp undangan pernikahan biru Distributor Pipa Besi Hitam Medium Supplier Besi Beton Harga pipa besi www.pusatbesibaja.co.id Jual Wiremesh Besi Jual Wiremesh Besi Pabrik besi h beam www.gudangbesibaja.com undangan pernikahan buatan sendiri Distributor Besi Wf Agen Besi Beton Jual pipa besi www.pusatbesibaja.com Supplier Wiremesh Besi Supplier Wiremesh Besi Pabrik besi wf
Reply to comment


Burberry Jacket on Saturday, January 19, 2019 6:53 AM
I really like to be invited for these types of events and they are always worth of being there for quality time. One thing that I like the most about these events is the delicious food they are serving to guests.
Reply to comment


Paralegals in Brampton on Saturday, January 19, 2019 6:59 AM
Nice post keep sharing such kind of quality Stuff you must visit online games where you find excellent stuff.
Reply to comment


CBD on Wednesday, March 20, 2019 9:03 PM
CBD and hemp oil online shopping. CBD and hemp oil products for sale online. Shop for CBD and hemp oil now!
Reply to comment


telebrand.pk on Thursday, March 28, 2019 10:34 AM
Wow! Such an amazing and helpful post this is. I really really love it. It's so good and so awesome. I am just amazed. I hope that you continue to do your work like this in the future also.
Reply to comment


Caboki Hair fiber in Pakis on Saturday, March 30, 2019 7:51 AM
Two full thumbs up for this magneficent article of yours. I've really enjoyed reading this article today and I think this might be one of the best article that I've read yet. Please, keep this work going on in the same quality.
Reply to comment


karin on Tuesday, June 11, 2019 10:24 AM
Reply to comment

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment



RSS

Recent Posts

Patient Safety Must Be Carefully Rethought
A New Hope for Reducing Medical Errors
Are Our Hospitals Getting Safer?
Lack of Insight
Errors in surgery are individual, not systemic

Categories

doctors' offices safety
hospital safety
military physician sacrifices
powered by