Skip to main content
Top
Published 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

Authors: Hardeep Singh, MD MPH, Dean F. Sittig, PhD

Published in: Journal of General Internal Medicine | Issue 8/2014

Login to get access

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. …
Literature
1.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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
Metadata
Title
Were My Diagnosis and Treatment Correct? No News is Not Necessarily Good News
Authors
Hardeep Singh, MD MPH
Dean F. Sittig, PhD
Publication date
01-08-2014
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 8/2014
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-014-2890-1

Other articles of this Issue 8/2014

Journal of General Internal Medicine 8/2014 Go to the issue

Clinical Practice: Clinical Images

An Unusual Cause of ST Elevations in a Young Man

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.