By Pannenberg M.
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Additional info for A characterization of a class of locally compact Abelian groups via Korovkin theory
So, it is possible that a number of lethal misdiagnoses remain undetected. Even so, modern autopsy series demonstrate a significant rate of diagnostic error. Shojania et al. 4 % of the time, and nearly half of these misdiagnoses may represent class I error . Class I error is defined as a major diagnostic error that results in or contributes to a preventable patient death. Diagnostic error has obvious practical consequences for patients, and may result in irrevocable harm. Two recent reviews of the United States National Practitioner Data Bank demonstrate that diagnostic error is responsible for a significant proportion of medical malpractice claims [5, 6].
15. Gawande A. The checklist manifesto – how to get things right. New York: Metropolitan Books; 2009. 16. Kahol K, Smith M, Brandenberger J, Ashby A, Ferrara JJ. Impact of fatigue on neurophysiologic measures of surgical residents. J Am Coll Surg. 2011;213(1):29–34. 17. Gleitman H. Some trends in the study of cognition. In: Koch S, Leary DE, editors. A century of psychology as science. New York: McGraw-Hill; 1985. p. 420–36. 18. Crosskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them.
Where is the “Golden Bullet”? The solutions to reducing cognitive errors and improving safety are not as apparent as in other areas of patient safety. Let’s start with a few simple strategies… Feedback and follow-up: Quick, specific feedback is vital to improvement of patient care. It cannot be in the form of statistics about misses. ” If mistakes are made the clinician needs to learn about these rapidly and honestly and participate in a breakdown of how the error occurred and how to keep it from happening.