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诊断错误的影响

The Implication of Diagnostic Errors.

作者信息

Govindarajan Raghav

出版信息

Continuum (Minneap Minn). 2017 Oct;23(5, Peripheral Nerve and Motor Neuron Disorders):1458-1466. doi: 10.1212/CON.0000000000000516.

Abstract

Diagnostic errors are mistakes in the diagnostic process that lead to a misdiagnosis, a missed diagnosis, or a delayed diagnosis. While the past decade's impetus to improve patient safety has focused on medication errors, health care-associated infections, and postsurgical complications, diagnostic errors have received comparatively less attention. Diagnostic errors will continue to play a major role in the patient safety and quality improvement movement because of their burden on care and their financial burden. Developing a patient-partnered diagnostic approach with self-reflection and awareness of cognitive biases is the key to minimizing the impact of diagnostic errors.

摘要

诊断错误是指诊断过程中导致误诊、漏诊或诊断延迟的失误。在过去十年里,提高患者安全的工作重点一直是用药错误、医疗保健相关感染和术后并发症,而诊断错误受到的关注相对较少。由于诊断错误给医疗带来的负担及其经济负担,它们将继续在患者安全和质量改进运动中发挥重要作用。开发一种患者参与的诊断方法,具备自我反思和对认知偏差的认识,是将诊断错误的影响降至最低的关键。

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