Scripps Research, La Jolla, CA, USA.
Science. 2024 Jan 26;383(6681):eadn9602. doi: 10.1126/science.adn9602. Epub 2024 Jan 25.
The medical community does not broadcast the problem, but there are many studies that have reinforced a serious issue with diagnostic errors. A recent study concluded: "We estimate that nearly 800,000 Americans die or are permanently disabled by diagnostic errors each year." Diagnostic errors are inaccurate assessments of a patient's root cause of illness, such as missing a heart attack or infection or assigning the wrong diagnosis of pneumonia when the correct one is pulmonary embolism. Despite ever-increasing use of medical imaging and laboratory tests intended to promote diagnostic accuracy, there is nothing to suggest improvement since the report by the National Academies of Sciences, Engineering and Medicine in 2015, which provided a conservative estimate that 5% of adults experience a diagnostic error each year, and that most people will experience at least one in their lifetime.
医学界并没有公开这个问题,但有许多研究已经证实了诊断错误是一个严重的问题。最近的一项研究得出结论:“我们估计,每年有近 80 万名美国人因诊断错误而死亡或永久残疾。”诊断错误是对患者疾病根本原因的不准确评估,例如漏诊心脏病发作或感染,或在正确的诊断是肺栓塞时错误地诊断为肺炎。尽管越来越多地使用旨在提高诊断准确性的医学成像和实验室测试,但自 2015 年美国国家科学院、工程院和医学研究所的报告以来,并没有任何迹象表明有所改善,该报告保守估计每年有 5%的成年人经历诊断错误,而且大多数人一生中至少会经历一次。