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Journal of General Internal Medicine

Erschienen in:

08.02.2018 | Editorial

General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All

verfasst von: Janice L. Kwan, MD MPH, Hardeep Singh, MD MPH

Erschienen in: Journal of General Internal Medicine | Ausgabe 4/2018

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Excerpt

Making a correct and timely diagnosis is not only critical to the provision of safe patient care, but central to our identity as general internists. In its absence, preventable harm can occur from delayed, inappropriate, or omitted tests, procedures, and treatments. However, errors in diagnosis are notoriously challenging to study. In 2015, the National Academies of Sciences, Engineering, and Medicine (previously the Institute of Medicine) galvanized renewed focus on diagnostic safety as an integral aspect of health care quality through the publication of Improving Diagnosis in Health Care.1 …

National Academies of Sciences, Engineering, and Medicine Improving Diagnosis in Health Care. Washington, DC: The National Academies Press; 2015.

Neal RD. Tharmanathan P, France B, et al. Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review. Br J Cancer. 2015;112(Suppl 1):S92-S107. https://doi.org/10.1038/bjc.2015.48.CrossRefPubMedPubMedCentral

Astin M, Griffin T, Neal RD, Rose P, Hamilton W. The diagnostic value of symptoms for colorectal cancer in primary care: a systematic review. Br J Gen Pract. 2011;61(586):e231–43. https://doi.org/10.3399/bjgp11X572427.CrossRefPubMedPubMedCentral

Percac-Lima S, Pace LE, Nguyen KH, et al. Diagnostic evaluation of patients presenting to primary care with rectal bleeding. J Gen Intern Med. 2018. https://doi.org/10.1007/s11606-017-4273-x.

Weingart SN, Stoffel EM, Chung DC, et al. Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. Jt Comm J Qual Patient Saf. 2017;43(1):32–40. https://doi.org/10.1016/j.jcjq.2016.10.001.CrossRefPubMed

Singh H, Daci K, Petersen LA, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543–54. https://doi.org/10.1038/ajg.2009.324.CrossRefPubMedPubMedCentral

Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488–96.CrossRefPubMed

Kravet SJ, Bailey J, Demski R, Pronovost P. Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Acad Med. 2016;91(7):962–6. https://doi.org/10.1097/ACM.0000000000001102.CrossRefPubMed

Singh H, Giardina TD, Meyer AN, Forjuoh SN, Reis MD, Thomas EJ. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418–25. https://doi.org/10.1001/jamainternmed.2013.2777.CrossRefPubMedPubMedCentral

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American College of Physicians. Patient safety in the office-based practice setting. Available from: https://www.acponline.org/acp_policy/policies/patient_safety_in_the_office_based_practice_setting_2017.pdf. Accessed January 12, 2018.

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Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8–16. https://doi.org/10.1136/bmjqs-2013-001874.CrossRefPubMed

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Shekelle PG, Sarkar U, Shojania K, et al. AHRQ comparative effectiveness technical briefs. Patient safety in ambulatory settings. Available from: https://www.ncbi.nlm.nih.gov/books/NBK396055/. Accessed January 12, 2018.

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Institute for Healthcare Improvement. Closing the loop: a guide to safer ambulatory referrals in the EHR era. Available from: http://www.ihi.org/resources/Pages/Publications/Closing-the-Loop-A-Guide-to-Safer-Ambulatory-Referrals.aspx. Accessed January 12, 2018.

Titel: General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All
verfasst von: Janice L. Kwan, MD MPH
Hardeep Singh, MD MPH
Publikationsdatum: 08.02.2018
Verlag: Springer US
Erschienen in: Journal of General Internal Medicine / Ausgabe 4/2018
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-018-4343-8

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