Outpatient Diagnostic Errors Affect 1 in 20 U.S. Adults, AHRQ Study Finds.

AHRQ
The study, "The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving U.S. adult populations," used data from three previous studies of errors in general primary care diagnosis, colorectal cancer diagnosis, and lung cancer diagnosis.  In all three studies, diagnostic errors were confirmed through rigorous chart review. The authors estimated that about half of the diagnostic errors they found could have severely harmed patients.
Diagnostic errors can harm patients by delaying their treatment. For example, a delayed or incorrect cancer diagnosis could make the disease harder to treat or more deadly.
The Office of the National Coordinator for Health Information Technology recently released the "SAFER Guides"—a new set of guides and interactive tools to help health care providers more safely use electronic health information technology products, including test results reporting and follow up.  These guides are available at www.healthit.gov/safer/safer-guidesMore

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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