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Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error
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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016746/ https://www.ncbi.nlm.nih.gov/pubmed/27609723 http://dx.doi.org/10.3402/jchimp.v6.31994 |
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author | Foster, Paul N. Klein, Julie R. |
author_facet | Foster, Paul N. Klein, Julie R. |
author_sort | Foster, Paul N. |
collection | PubMed |
description | 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 report a case used to illustrate this in an academic conference. Finally, we turn to the challenge of integrating these ideas into the traditional peer-review process. We argue that the medical community must evolve from understanding diagnostic failures to redesigning the diagnostic process. We should see errors as steps toward diagnostic excellence and reliable processes that minimize the risk of mislabeling and harm. |
format | Online Article Text |
id | pubmed-5016746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-50167462016-09-26 Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error Foster, Paul N. Klein, Julie R. J Community Hosp Intern Med Perspect Perspective 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 report a case used to illustrate this in an academic conference. Finally, we turn to the challenge of integrating these ideas into the traditional peer-review process. We argue that the medical community must evolve from understanding diagnostic failures to redesigning the diagnostic process. We should see errors as steps toward diagnostic excellence and reliable processes that minimize the risk of mislabeling and harm. Co-Action Publishing 2016-09-07 /pmc/articles/PMC5016746/ /pubmed/27609723 http://dx.doi.org/10.3402/jchimp.v6.31994 Text en © 2016 Paul N. Foster and Julie R. Klein http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Perspective Foster, Paul N. Klein, Julie R. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title | Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title_full | Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title_fullStr | Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title_full_unstemmed | Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title_short | Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
title_sort | defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error |
topic | Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016746/ https://www.ncbi.nlm.nih.gov/pubmed/27609723 http://dx.doi.org/10.3402/jchimp.v6.31994 |
work_keys_str_mv | AT fosterpauln definingexcellencenextstepsforpracticingcliniciansseekingtopreventdiagnosticerror AT kleinjulier definingexcellencenextstepsforpracticingcliniciansseekingtopreventdiagnosticerror |