Introduction
Lack of time and sufficient resources have led to diagnostic errors. Cognitive biases of clinicians, underlying problems with healthcare systems, poor teamwork and communication, lack of reliable medical systems have been attributed to missed and delayed diagnoses in the healthcare sector. Doctors formulate ‘working diagnoses’ when patients are admitted to hospitals. Although a diagnosis is uncertain at this point, doctors treat the patient as if the working diagnosis is precise. The working diagnoses are confirmed when a patient improves after a few days of treatment, otherwise the doctors have to consider whether it was wrong (Lambe et al., 2016). However, the time taken to make the right diagnosis through trial and error greatly reduces the patient’s chance of surviving. Little consideration is given to how doctors make diagnoses and refines them to come up with treatment plans for their patients. Physicians require enough time to run correct diagnoses, make the right treatment plans and reviews. Moreover, patients, their families and the society at large haven’t been informed about this impending problem in healthcare practice (AHQR, 2017).
Background and Body
Although many studies on patient safety have cited the prominence of diagnostic errors in the medical field, the practice has received less attention. According to a Harvard Medical Practice Study, errors during diagnosis are responsible for 17% of avoidable errors in patients who have been admitted (Brennan et al., 1991). Moreover, a systematic review of various autopsy research studies conducted over 40 years found that about 9% of patients have undergone a critical error during diagnosis that wasn’t even detected before the demise of the patient. Conclusively, the studies indicate that thousands of patients worldwide die annually as a result of diagnostic errors. A good example, according to a research body, is in the cognitive psychology field where clinicians use heuristics (rule of thumb or shortcuts) to make patient diagnosis based...
References
Brennan TA ; Newhouse JP; et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324: 377-384
Lambe KA ; O'Reilly G ; Kelly BD; et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016; 25: 808-820
Resources Related to Diagnostic Errors. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/diagnostic-safety/resources.html
Shojania KG ; Burton EC ; McDonald KM; et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003; 289: 2849-2856
Singh, H. (2013). Diagnostic errors: moving beyond “no respect” and getting ready for prime time. BMJ Quality & Safety, 22(10), 789–792. http://doi.org/10.1136/bmjqs-2013-002387
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