Annals of Internal Medicine tip sheet for October 3, 2006, issue

1. Medical Misdiagnoses in the Office Setting Are Caused by Multiple Breakdowns

A study of 181 closed malpractice claims in which patients alleged a missed or delayed diagnosis in an ambulatory setting found that 59 percent (106) of these errors were associated with serious harm and 30 percent (55) resulted in death (Article, p. 488).

In 59 percent (106 cases), the missed or delayed diagnosis involved cancer, chiefly breast and colorectal cancers.

Most errors occurred at four main "breakdown" points in the diagnostic process: failure to order an appropriate diagnostic test, failure to create a proper follow-up plan, failure to obtain an adequate history or perform an adequate physical examination, and incorrect interpretation of diagnostic tests.

Patients also contributed to the errors, for example, by not providing complete information about their health or not keeping appointments.

An editorial writer points out that most patient safety efforts to date have focused on hospitals (Editorial, p. 547). The writer says that hospital practice and office practice differ in ways that make errors more difficult to avoid in the office setting.

"Nevertheless, the study helps point the way to changes in training, practice, and systems that might prevent many of these errors," the writer says.

2. Hemodialysis Patients Whose Care Meets Clinical Targets Have Fewer Hospitalizations and Deaths

A survey of 15,287 patients receiving long-term hemodialysis found that those who got better quality of care were less likely to be hospitalized or to die than those who got worse care (Article, p. 512). The measures of quality of care were anemia, serum albumin levels, functioning vascular access, and dialysis adequacy.

The annual death rates in patients who met zero, one, two, three, or four of the quality measures were 29 percent, 25 percent, 21 percent, 14 percent, and

Contact: Susan Anderson
American College of Physicians

Page: 1 2

Related medicine news :

1. Annals of Internal Medicine tip sheet for Aug. 7, 2007, issue
2. May/June Annals of Family Medicine tip sheet
3. Annals of Internal Medicine Tip Sheet for May 15, 2007
4. Tip sheet for Annals of Internal Medicine -- May 1, 2007, issue
5. Tip sheet Annals of Internal Medicine, April 17, 2007
6. Embargoed March/April Annals of Family Medicine tip sheet
7. Annals of Internal Medicine tip sheet for March 6, 2007
8. Annals of Internal Medicine tip sheet for Feb. 20, 2007, issue
9. Embargoed Jan./Feb. Annals of Family Medicine tip sheet
10. November/December 2006 Annals of Family Medicine tip sheet
11. Annals of Internal Medicine tip sheet for December 5, 2006

Post Your Comments:

(Date:6/25/2019)... ... June 25, 2019 , ... ... providing business support services to more than 400 affiliated offices across 17 states, ... Mission Viejo, California. , Smile Brands will provide full-service administrative support to the ...
(Date:6/24/2019)... , ... June 24, 2019 , ... Cibo Vita, Inc., ... its new Nature’s Garden functional and healthy indulgence snack line at the 65th annual ... 23-25. , Find Cibo Vita at booth #5721. , The company’s expansive ...
(Date:6/24/2019)... ... ... Exercising on hard, solid surfaces can be extremely difficult on joints and ... softer surfaces, such as on a treadmill that has built-in shock absorption, or on ... to have shock-absorption benefits with a step platform too? With Billy’s Boomboxing ...
(Date:6/20/2019)... OKLAHOMA CITY, Okla. (PRWEB) , ... June 20, ... ... provider, is pleased to announce their partnership with Physical Therapy Solutions in Lawton, ... Street, Suite C, the clinic is the group’s 28th clinic in the state. ...
(Date:6/19/2019)... ... June 19, 2019 , ... The number of public ... national standards of performance continues to climb. Today, the Public Health Accreditation ... local governmental public health departments. With this week's accreditation decisions, tens of thousands ...
Breaking Medicine News(10 mins):
(Date:6/19/2019)... ... June 19, 2019 , ... Center for Vein Restoration (CVR) CEO and ... Top CEOs in 2019 . Glassdoor , one of the world’s largest ... world-class leaders that employees love working for throughout North America and parts of Europe. ...
(Date:6/19/2019)... ... 19, 2019 , ... A new survey by The Senior Citizens League ... on healthcare costs. If that doesn’t sound like enough of a challenge, at ... survey participants reported spending $1,000 per month or more. The same survey also ...
(Date:6/18/2019)... LOS ANGELES (PRWEB) , ... June 18, 2019 ... ... doors of its new facilities at 11500 W Olympic Blvd Suite 350 Los ... functioning disorders through research-backed methodologies. , MY Education Guru has created ...
Breaking Medicine Technology:
Cached News: