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01-04-2018 | Editorial

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

Authors: Janice L. Kwan, MD MPH, Hardeep Singh, MD MPH

Published in: Journal of General Internal Medicine | Issue 4/2018

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.

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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

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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

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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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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.

Title: General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All
Authors: Janice L. Kwan, MD MPH
Hardeep Singh, MD MPH
Publication date: 01-04-2018
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 4/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-018-4343-8

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