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美国的诊断错误:美国国家医学科学院委员会报告摘要。

DIAGNOSTIC ERROR IN THE UNITED STATES: A SUMMARY OF THE REPORT OF A NATIONAL ACADEMY OF MEDICINE COMMITTEE.

机构信息

GALVESTON, TEXAS.

出版信息

Trans Am Clin Climatol Assoc. 2022;132:194-201.

PMID:36196159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9480522/
Abstract

This review article summarizes the conclusions of the National Academy of Medicine committee on diagnostic error. The committee deliberated during five in-person meetings and during numerous conference calls between April 2014 and April 2015. At three of the meetings, the committee invited multiple speakers to inform its deliberations. The 21 members of the committee represented a broad range of expertise related in some way to diagnostic errors, their potential causes, or their consequences. The members' specialized knowledge included patient safety, health care quality and measurement, patient engagement, health policy, health care professional education, cognitive psychology, health disparities, human factors and ergonomics, health information technology, decision analysis, nursing, radiology, anatomic pathology, laboratory medicine (clinical pathology), law, and health economics.

摘要

这篇综述文章总结了美国国家医学院委员会关于诊断错误的结论。委员会在 2014 年 4 月至 2015 年 4 月期间进行了五次面对面会议和多次电话会议的审议。在三次会议中,委员会邀请了多位演讲者为其审议提供信息。委员会的 21 名成员代表了与诊断错误、其潜在原因或后果在某种程度上相关的广泛专业知识。成员们的专业知识包括患者安全、医疗质量和测量、患者参与、医疗政策、医疗专业教育、认知心理学、健康差异、人为因素和工效学、医疗信息技术、决策分析、护理、放射学、解剖病理学、实验室医学(临床病理学)、法律和卫生经济学。

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本文引用的文献

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Ann Lab Med. 2019 Mar;39(2):121-124. doi: 10.3343/alm.2019.39.2.121.
2
Obtaining a Correct Diagnosis Rapidly in the United States Is Associated With Many Barriers Not Present in Other Countries.在美国迅速获得正确诊断存在许多其他国家不存在的障碍。
Am J Clin Pathol. 2018 Apr 25;149(6):458-460. doi: 10.1093/ajcp/aqy010.
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Errors in clinical laboratory test selection and result interpretation: commonly unrecognized mistakes as a cause of poor patient outcome.临床实验室检查选择和结果解读中的错误:常被忽视的失误作为患者预后不良的一个原因
Diagnosis (Berl). 2014 Jan 1;1(1):85-87. doi: 10.1515/dx-2013-0010.
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An assessment of overutilization and underutilization of laboratory tests by expert physicians in the evaluation of patients for bleeding and thrombotic disorders in clinical context and in real time.在临床实际情况下,由专家医师对用于评估出血和血栓形成疾病患者的实验室检查的过度使用和使用不足进行实时评估。
Diagnosis (Berl). 2017 Mar 1;4(1):21-26. doi: 10.1515/dx-2016-0042.
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Medical error-the third leading cause of death in the US.医疗差错——美国第三大死因。
BMJ. 2016 May 3;353:i2139. doi: 10.1136/bmj.i2139.
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Laboratory Medicine Education at U.S. Medical Schools: A 2014 Status Report.美国医学院校的检验医学教育:2014年现状报告
Acad Med. 2016 Jan;91(1):107-12. doi: 10.1097/ACM.0000000000000817.
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Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.推动医疗保健中诊断错误测量科学的发展:更安全诊断框架
BMJ Qual Saf. 2015 Feb;24(2):103-10. doi: 10.1136/bmjqs-2014-003675. Epub 2015 Jan 14.
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