Recommendations issued for enhancing ICU diagnostic safety

September 15, 2018

(HealthDay)—Identifying and reducing diagnostic errors in the intensive care unit (ICU) should be a top priority, according to a perspective article published in the Aug. 1 issue of the Annals of the American Thoracic Society.

Paul A. Bergl, M.D., from the Medical College of Wisconsin in Milwaukee, and colleagues highlighted the problem of diagnostic error in the ICU and discussed areas that warrant further exploration.

The authors note that diagnostic errors result from cognitive failures or systems-based failure; often both occur together. Diagnostic errors occur in 5 to 20 percent of physician-patient encounters. Numerous factors can increase the risk of in critically ill patients, including the complexity of critical care and difficulty interviewing or conducting physical examinations on the patients. The harms of diagnostic error may be amplified in , resulting in morbidity and mortality, as well as a large economic burden. An ICU-centric approach is recommended for diagnostic error that emphasizes learning from missed opportunities in the diagnostic process. To enhance diagnostic safety in the ICU, recommendations include enhancing recognition of potential errors, increasing teamwork and patient-centeredness in the diagnostic process, providing feedback on the diagnostic process, and expanding the role of health information technology.

"In our quest for excellence in caring for the critically ill, let us make reducing diagnostic error a top priority," the authors write.

Explore further: Survey highlights need for improvement in reporting diagnostic errors

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Survey highlights need for improvement in reporting diagnostic errors

September 5, 2018
Diagnostic errors occur in roughly 10%-15% of patient encounters and are a cause of significant morbidity and mortality. In a new study, Yale researchers found significant gaps in training and reporting of diagnostic errors ...

Alternative diagnosis for many referred for optic neuritis

December 8, 2017
(HealthDay)—Almost 60 percent of patients referred for acute optic neuritis have an alternative diagnosis, according to a study published online Dec. 7 in JAMA Ophthalmology.

EHR review can measure diagnostic uncertainty

August 19, 2018
(HealthDay)—Retrospective review of clinician documentation in the electronic health record (EHR) can help identify diagnostic uncertainty with moderate reliability, according to a study published in the June issue of the ...

A method to measure diagnostic errors could be key to preventing disability and death from misdiagnosis

January 22, 2018
In an effort to reduce patient misdiagnoses and associated poor patient outcomes from lack of prompt treatment, a Johns Hopkins Armstrong Institute for Patient Safety and Quality researcher is helping to lead the way in providing ...

Error rate 7.4 percent in speech recognition-assisted notes

July 10, 2018
(HealthDay)—The error rate in speech recognition (SR)-assisted documentation is 7.4 percent, according to a study published online July 6 in JAMA Network Open.

Mayo Clinic researchers demonstrate value of second opinions

April 4, 2017
Many patients come to Mayo Clinic for a second opinion or diagnosis confirmation before treatment for a complex condition. In a new study, Mayo Clinic reports that as many as 88 percent of those patients go home with a new ...

Recommended for you

Study analyzes numbers, trends in health care data breaches nationwide

September 25, 2018
Health plans—entities that cover the costs of medical care—accounted for the greatest number of patient records breached over the past seven years, according to an analysis of U.S. health care data conducted by two Massachusetts ...

Genes may control how tough it is to stop drinking

September 25, 2018
(HealthDay)—When they give up booze, some alcoholics have more severe withdrawal symptoms than others. This discrepancy may come down to genetics, researchers say.

Why industry influence on research agendas must be addressed

September 25, 2018
Industry influence on the research agenda—and the tactics employed by tobacco, pharmaceutical, food, mining, chemical and alcohol companies to drive questions away from those most relevant to public health—is the focus ...

New study finds concurrent use of prescription drugs and dietary supplements could pose health risks

September 25, 2018
A new University of Hertfordshire study found that using certain over-the-counter herbal medicines and dietary supplements alongside prescription drugs could pose serious health risks, especially amongst older adults.

Most nations falling short of UN targets to cut premature deaths from chronic diseases

September 21, 2018
People in the UK, US and China have a higher risk of dying early from conditions like cancer, heart disease and stroke than people in Italy, France, South Korea and Australia.

It's not just for kids—even adults appear to benefit from a regular bedtime

September 21, 2018
Sufficient sleep has been proven to help keep the body healthy and the mind sharp. But it's not just an issue of logging at least seven hours of Z's.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.