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Erschienen in: Journal of General Internal Medicine 8/2014

01.08.2014 | Editorial

Were My Diagnosis and Treatment Correct? No News is Not Necessarily Good News

verfasst von: Hardeep Singh, MD MPH, Dean F. Sittig, PhD

Erschienen in: Journal of General Internal Medicine | Ausgabe 8/2014

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Excerpt

In a recent report, the American Medical Association (AMA) concluded, “we still know very little about patient safety in the ambulatory setting, and next to nothing about how to improve it.”1 Research on patient safety has highlighted the prevalence of poor follow-up after patient–provider encounters. Suboptimal follow-up may be associated with adverse events and poor patient outcomes.2 5 Ensuring timely patient follow-up is essential when a diagnosis or treatment plan is uncertain, or when there is a specific need to closely monitor a patient’s condition. Additionally, when the initial diagnosis is incorrect or initial management misguided, prompt follow-up is often the only way the error can be recognized and corrected.2 4 , 6 Despite the importance of close follow-up, much remains to be done to improve the process of outpatient follow-up care. …
Literatur
1.
Zurück zum Zitat Lorincz CY, Drazen E, Sokol PE, Neerukonda KV, Metzger J, Toepp MC, et al. Research in ambulatory patient safety 2000–2010: a 10-year review. American Medical Association, 2011. Lorincz CY, Drazen E, Sokol PE, Neerukonda KV, Metzger J, Toepp MC, et al. Research in ambulatory patient safety 2000–2010: a 10-year review. American Medical Association, 2011.
2.
Zurück zum Zitat Singh H, Thomas EJ, Mani S, Sittig DF, Arora H, Espadas D, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? Arch Intern Med. 2009;169(17):1578–1586.PubMedCentralPubMedCrossRef Singh H, Thomas EJ, Mani S, Sittig DF, Arora H, Espadas D, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? Arch Intern Med. 2009;169(17):1578–1586.PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Singh H, Thomas EJ, Sittig DF, Wilson L, Espadas D, Khan MM, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238–244.PubMedCentralPubMedCrossRef Singh H, Thomas EJ, Sittig DF, Wilson L, Espadas D, Khan MM, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238–244.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Singh H, Hirani K, Kadiyala H, Rudomiotov O, Davis T, Khan MM, et al. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. J Clin Oncol. 2010;28(20):3307–3315.PubMedCentralPubMedCrossRef Singh H, Hirani K, Kadiyala H, Rudomiotov O, Davis T, Khan MM, et al. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. J Clin Oncol. 2010;28(20):3307–3315.PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Callen JL, Westbrook JI, Georgiou A, Li J. Failure to follow-up test results for ambulatory patients: a systematic review. J Gen Intern Med. 2011;27(10):1334–1348.PubMedCentralPubMedCrossRef Callen JL, Westbrook JI, Georgiou A, Li J. Failure to follow-up test results for ambulatory patients: a systematic review. J Gen Intern Med. 2011;27(10):1334–1348.PubMedCentralPubMedCrossRef
6.
Zurück zum Zitat Bishop TF, Ryan AK, Casalino LP. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427–2431.PubMedCrossRef Bishop TF, Ryan AK, Casalino LP. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427–2431.PubMedCrossRef
7.
Zurück zum Zitat Berner ES, Ray MN, Panjamapirom A, Maisiak RS, Willig JH, English TM, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014. doi:10.1007/s11606-014-2783-3.PubMed Berner ES, Ray MN, Panjamapirom A, Maisiak RS, Willig JH, English TM, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014. doi:10.​1007/​s11606-014-2783-3.PubMed
9.
Zurück zum Zitat Meyer AN, Payne VL, Meeks DW, Rao R, Singh H. Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952–1958. Meyer AN, Payne VL, Meeks DW, Rao R, Singh H. Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952–1958.
10.
Zurück zum Zitat Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93–100.PubMedCentralPubMedCrossRef Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93–100.PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Singh H, Thomas E, Khan MM, Petersen L. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302–308.PubMedCrossRef Singh H, Thomas E, Khan MM, Petersen L. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302–308.PubMedCrossRef
12.
Zurück zum Zitat Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, Thomas EJ. Use of close follow-up as a strategy to mitigate harm from diagnostic error in primary care. Phoenix, AZ: Society of General Internal Medicine, 34th Annual Meeting, May 7, 2011. Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, Thomas EJ. Use of close follow-up as a strategy to mitigate harm from diagnostic error in primary care. Phoenix, AZ: Society of General Internal Medicine, 34th Annual Meeting, May 7, 2011.
13.
Zurück zum Zitat Graber ML, Trowbridge RL, Myers JS, Umscheid CA, Strull W, Kanter MH. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102–110.PubMed Graber ML, Trowbridge RL, Myers JS, Umscheid CA, Strull W, Kanter MH. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102–110.PubMed
14.
Zurück zum Zitat Murphy DR, Laxmisan A, Reis BA, Thomas EJ, Esquivel A, Forjuoh SN, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2013;23(1):8–16. Murphy DR, Laxmisan A, Reis BA, Thomas EJ, Esquivel A, Forjuoh SN, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2013;23(1):8–16.
15.
Zurück zum Zitat Verghese A. Culture shock–patient as icon, icon as patient. N Engl J Med. 2008;359(26):2748–2751.PubMedCrossRef Verghese A. Culture shock–patient as icon, icon as patient. N Engl J Med. 2008;359(26):2748–2751.PubMedCrossRef
16.
Zurück zum Zitat Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care. 2010;19(Suppl 3):i68–i74.PubMedCentralPubMedCrossRef Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care. 2010;19(Suppl 3):i68–i74.PubMedCentralPubMedCrossRef
Metadaten
Titel
Were My Diagnosis and Treatment Correct? No News is Not Necessarily Good News
verfasst von
Hardeep Singh, MD MPH
Dean F. Sittig, PhD
Publikationsdatum
01.08.2014
Verlag
Springer US
Erschienen in
Journal of General Internal Medicine / Ausgabe 8/2014
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-014-2890-1

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