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Were My Diagnosis and Treatment Correct? No News is Not Necessarily Good News

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  1. Lorincz CY, Drazen E, Sokol PE, Neerukonda KV, Metzger J, Toepp MC, et al. Research in ambulatory patient safety 2000–2010: a 10-year review. American Medical Association, 2011.

  2. Singh H, Thomas EJ, Mani S, Sittig DF, Arora H, Espadas D, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? Arch Intern Med. 2009;169(17):1578–1586.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Singh H, Thomas EJ, Sittig DF, Wilson L, Espadas D, Khan MM, et al. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Am J Med. 2010;123(3):238–244.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Singh H, Hirani K, Kadiyala H, Rudomiotov O, Davis T, Khan MM, et al. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. J Clin Oncol. 2010;28(20):3307–3315.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Callen JL, Westbrook JI, Georgiou A, Li J. Failure to follow-up test results for ambulatory patients: a systematic review. J Gen Intern Med. 2011;27(10):1334–1348.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Bishop TF, Ryan AK, Casalino LP. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427–2431.

    Article  CAS  PubMed  Google Scholar 

  7. Berner ES, Ray MN, Panjamapirom A, Maisiak RS, Willig JH, English TM, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014. doi:10.1007/s11606-014-2783-3.

    PubMed  Google Scholar 

  8. Top myths about diagnostic errors 2013. Available at: Accessed 4 Apr 2014.

  9. Meyer AN, Payne VL, Meeks DW, Rao R, Singh H. Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952–1958.

  10. Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93–100.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Singh H, Thomas E, Khan MM, Petersen L. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302–308.

    Article  PubMed  Google Scholar 

  12. Singh H, Giardina TD, Forjuoh SN, Reis MD, Kosmach S, Khan MM, Thomas EJ. Use of close follow-up as a strategy to mitigate harm from diagnostic error in primary care. Phoenix, AZ: Society of General Internal Medicine, 34th Annual Meeting, May 7, 2011.

  13. Graber ML, Trowbridge RL, Myers JS, Umscheid CA, Strull W, Kanter MH. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102–110.

    PubMed  Google Scholar 

  14. Murphy DR, Laxmisan A, Reis BA, Thomas EJ, Esquivel A, Forjuoh SN, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2013;23(1):8–16.

  15. Verghese A. Culture shock–patient as icon, icon as patient. N Engl J Med. 2008;359(26):2748–2751.

    Article  PubMed  Google Scholar 

  16. Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care. 2010;19(Suppl 3):i68–i74.

    Article  PubMed Central  PubMed  Google Scholar 

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Dr. Singh is supported by the VA Health Services Research and Development Service, the VA National Center for Patient Safety, Agency for Healthcare Research and Quality (R01HS022087), Presidential Early Career Award for Scientists and Engineers (USA 14-274) and in part by the Houston VA Center for Innovations in Quality, Effectiveness and Safety (CIN 13–413).

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Correspondence to Hardeep Singh MD MPH.

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The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

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Singh, H., Sittig, D.F. Were My Diagnosis and Treatment Correct? No News is Not Necessarily Good News. J GEN INTERN MED 29, 1087–1089 (2014).

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