Session Type
Meeting
Search Results for Diagnostic Error
Abstract Number: 210
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic error in acute care represents an unresolved safety issue: error rates range from 4.8 to 49.8%. If the diagnosis is delayed or incorrect, the patient may not get correct treatment in a timely manner. Underlying contributing factors include system flaws (e.g., communication barriers) and cognitive errors (e.g., anchoring), factors that are often overlooked […]
Abstract Number: 215
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for diagnostic error in early readmissions, but this may be an insensitive method. Past studies of diagnostic error in primary care […]
Abstract Number: 219
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect to clinical reasoning. We therefore undertook this study to establish a metric to evaluate hospitalists’ documentation of clinical reasoning in […]
Abstract Number: 222
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, including their causes and evidence to-date on how to intervene to reduce the harm associated with them. In this report, […]
Abstract Number: 224
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic error, fostering teamwork, optimizing information technology, or supporting other quality improvement efforts. At our institution, we developed an interdisciplinary mortality […]
Abstract Number: 259
SHM Converge 2021
Background: The diagnostic process is fraught with diagnostic uncertainty. Typically, discussions about diagnostic uncertainty occur upon admission and during rounds, which are increasingly conducted virtually during the COVID-19 pandemic. Furthermore, key dimensions in the diagnostic process (history taking, physical examination, interpretation of diagnostic tests) are affected by breakdowns in communication between patients and clinicians, physical […]
Abstract Number: 259
SHM Converge 2024
Background: Current surveillance approaches underestimate harmful diagnostic errors (DE) in hospitalized patients. A recent study of 2809 admissions observed that while one or more adverse events (AE) occurred in 23.6% of cases, only 10 AEs (0.1%) were attributable to DEs (1). Studies using the Safer Dx instrument have observed harmful DE rates of 5-7% (2). […]
Abstract Number: 266
SHM Converge 2024
Background: Diagnostic uncertainty, defined as the subjective perception of an inability to provide an accurate explanation of the patient’s health problem, has been implicated in diagnostic error.1 Clinician notes, such as the admission notes, often include hedging terms, uncertainty phrases, and diagnostic differentials that can be used to assess uncertainty in unstructured documentation.1,2 Quantifying diagnostic […]
Abstract Number: 597
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66-year-old woman with hypertension presented to the hospital one day after arrival to New York City from Guinea with chronic daily vomiting, unintentional weight loss, progressive shoulder pain, and a subacute pruritic rash. She denied fevers, night sweats, difficulty breathing, chest pain, palpitations, unusual skin exposures, insect bites, trauma to the shoulder, […]
Abstract Number: 649
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three negative acid-fast bacillus (AFB) smears and CT chest showing chronic right apical scarring during hospital admission, she was discharged on […]