Types and Origins of Diagnostic Errors in Primary Care Settings
Importance Diagnostic errors are an understudied aspect of ambulatory patient safety.
Objectives To determine the types of diseases missed and the diagnostic processes involved in cases of confirmed diagnostic errors in primary care settings and to determine whether record reviews could shed light on potential contributory factors to inform future interventions.
Design We reviewed medical records of diagnostic errors detected at 2 sites through electronic health record–based triggers. Triggers were based on patterns of patients’ unexpected return visits after an initial primary care index visit.
Setting A large urban Veterans Affairs facility and a large integrated private health care system.
Participants Our study focused on 190 unique instances of diagnostic errors detected in primary care visits between October 1, 2006, and September 30, 2007.
Main Outcome Measures Through medical record reviews, we collected data on presenting symptoms at the index visit, types of diagnoses missed, process breakdowns, potential contributory factors, and potential for harm from errors.
Para acceder al sitio, haga Clic Aquí