Diagnostic errors in ambulatory care: dimensions and preventive strategies
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Despite an increasing focus on patient safety in ambulatory care, progress in understanding and reducing diagnostic errors in this setting lag behind many other safety concerns such as medication errors. To explore the extent and nature of diagnostic errors in ambulatory care, we identified five dimensions of ambulatory care from which errors may arise: (1) the provider–patient encounter, (2) performance and interpretation of diagnostic tests, (3) follow-up of patients and diagnostic test results, (4) subspecialty consultation, and (5) patients seeking care and adhering to their instruction/appointments, i.e. patient behaviors. We presented these risk domains to conference participants to elicit their views about sources of and solutions to diagnostic errors in ambulatory care. In this paper, we present a summary of discussion in each of these risk domains. Many novel themes and hypotheses for future research and interventions emerged.
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- Diagnostic errors in ambulatory care: dimensions and preventive strategies
Advances in Health Sciences Education
Volume 14, Issue 1 Supplement, pp 57-61
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Diagnostic error
- Ambulatory care
- Primary care
- Diagnostic tests
- Electronic communication
- Patient behaviors
- Patient follow-up
- Industry Sectors
- Author Affiliations
- 1. Houston VA HSR&D Center of Excellence, The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E. DeBakey Veterans Affairs Medical Center (152), 2002 Holcombe Blvd, Houston, TX, 77030, USA
- 2. Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
- 3. Center for Patient Safety, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA