2. Improving Diagnostic Safety in Hospital Medicine: Can Clinical Care Conundrums Help?

  1. James C. Pile4,
  2. Thomas E. Baudendistel5 and
  3. Brian J. Harte6
  1. Edward E. Etchells1,2,
  2. Kaveh G. Shojania1,2 and
  3. Donald A. Redelmeier1,2,3

Published Online: 21 MAR 2013

DOI: 10.1002/9781118483206.ch2

Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine

Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine

How to Cite

Etchells, E. E., Shojania, K. G. and Redelmeier, D. A. (2013) Improving Diagnostic Safety in Hospital Medicine: Can Clinical Care Conundrums Help?, in Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine (eds J. C. Pile, T. E. Baudendistel and B. J. Harte), John Wiley & Sons, Inc., Hoboken, NJ, USA. doi: 10.1002/9781118483206.ch2

Editor Information

  1. 4

    Departments of Hospital Medicine and Infectious Diseases, Cleveland Clinic, Cleveland, Ohio, USA

  2. 5

    Department of Medicine, Kaiser Permanente Medical Center, Oakland, California, USA

  3. 6

    South Pointe Hospital, Cleveland Clinic Health System, Warrensville Heights, Ohio, USA

Author Information

  1. 1

    Department of Medicine, Sunnybrook Health Sciences Centre and University of Toronto, Toronto, Ontario, Canada

  2. 2

    University of Toronto Centre for Patient Safety, Toronto, Ontario, Canada

  3. 3

    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada

Publication History

  1. Published Online: 21 MAR 2013
  2. Published Print: 15 MAR 2013

Book Series:

  1. Hospital Medicine: Current Concepts

Book Series Editors:

  1. Scott A. Flanders and
  2. Sanjay Saint

ISBN Information

Print ISBN: 9780470905654

Online ISBN: 9781118483206

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Keywords:

  • clinical care conundrums;
  • cognitive errors;
  • diagnosis-related harm;
  • diagnostic delay;
  • diagnostic reasoning;
  • diagnostic safety;
  • hospital medicine

Summary

This chapter first describes the frequency and consequences of diagnostic delay and diagnosis-related harm. It also analyzes causes of diagnostic delay and diagnosis-related harm. Then, the chapter reviews core concepts in diagnostic reasoning and common cognitive errors. The chapter finally outlines steps that might improve diagnostic safety in hospital medicine. Diagnostic safety should improve within a culture that accepts, learns from, and trains clinicians to reduce diagnostic error, and by implementation of systematic methods to reduce and trap diagnostic error.