Missed diagnoses impact emergency departments

Three diagnostic errors (misdiagnosed cancers, vascular events, and infections) accounted for nearly 75% of harm to patients and $1.8 billion in malpractice payouts. What if documentation guidance could help improve the emergency department (ED) risk profile?

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The impact of missed diagnoses

1

Excessive stresses and strains lead to diagnostic error and potential litigation.

2

One-third of malpractice cases for death or permanent disability began with an errant or delayed diagnosis.

3

Insufficient clinical decision making has led to more than 85% of misdiagnosed cases.

4

Medical errors and claims are typically related to overlooking basic elements of the patient history, physical exam and monitoring.

5

Diagnostic errors have implications for patient care and may lead to increased medical costs.

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David E. Newman-Toker, Adam C. Schaffer, C. Winnie Yu-Moe, Najlla Nassery, Ali S. Saber Tehrani, Gwendolyn D. Clemens, Zheyu Wang, Yuxin Zhu, Mehdi Fanai and Dana Siegal, Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers, 2019, De Gruyter.