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01-02-2020 | Concise Research Reports

Reflections on Diagnosis and Diagnostic Errors: a Survey of Internal Medicine Resident and Attending Physicians

Authors: Thilan P. Wijesekera, MD, MHS, Lisa Sanders, MD, Donna M. Windish, MD, MPH

Published in: Journal of General Internal Medicine | Issue 2/2020

Excerpt

More than three years since the National Academy of Medicine (NAM) report “Improving Diagnosis in Health Care,” providers and educators are still trying to understand why diagnostic errors occur and how to reduce them.¹ In this survey study, internal medicine physicians share insights on how they make diagnoses and approach diagnostic error. …

National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care. Washington, DC: National Academies Press; 2016.

Bhise V, Rajan SS, Sitting D, et al. Defining and measuring diagnostic uncertainty in medicine: a systemic review. J Gen Intern Med. 2018;33(1):103–115.CrossRef

Safford MM. The complexity of complex patients. J Gen Intern Med. 2015;30(12):1724–5.CrossRef

Sinsky C, Colligan L, Li L, et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann Intern Med. 2016;165(11):753–60.CrossRef

Brodersen J, Kramer BS, Macdonald H, Schwartz LM, Woloshin S. Focusing on overdiagnosis as a driver of too much medicine. BMJ. 2018;362:k3494.CrossRef

Levinson W, Kallewaard M, Bhatia RS, et al. ‘Choosing Wisely’: a growing international campaign. BMJ Qual Saf. 2015;24(2):167–74.CrossRef

Title: Reflections on Diagnosis and Diagnostic Errors: a Survey of Internal Medicine Resident and Attending Physicians
Authors: Thilan P. Wijesekera, MD, MHS
Lisa Sanders, MD
Donna M. Windish, MD, MPH
Publication date: 01-02-2020
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 2/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-05045-z

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