| The relation of medical problem solving and therapeutic errors to disease categories. | |
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MedLine Citation:
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PMID: 2510109 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Review of 146 internal medicine cases at Emerson Hospital in Concord, Massachusetts, revealed significant variations in the patterns of physician error and medical problem solving for five diseases: recurrent congestive heart failure, transient ischemic attacks, recurrent cerebrovascular accidents, upper gastrointestinal hemorrhage, and acute bacterial pneumonia. Reviewers used general criteria to identify quality issues, which were separated into six error categories: insufficient data acquisition, inadequate hypothesis generation, inattention to or misinterpretation of cues, inappropriate or mismanaged therapy, delayed or missed diagnoses, and delayed treatment. The most common errors were inadequate hypothesis generation (38%) and inattention to or misinterpretation of cues (32%). Inappropriate or mismanaged therapy was found in 21% of cases. |
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Authors:
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N S Weinberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: QRB. Quality review bulletin Volume: 15 ISSN: 0097-5990 ISO Abbreviation: QRB Qual Rev Bull Publication Date: 1989 Sep |
Date Detail:
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Created Date: 1989-12-19 Completed Date: 1989-12-19 Revised Date: 2008-02-20 |
Medline Journal Info:
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Nlm Unique ID: 7504127 Medline TA: QRB Qual Rev Bull Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 266-72 Citation Subset: IM |
Affiliation:
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Department of Medicine, Emerson Hospital, Concord, Massachusetts 01742. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence
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standards* Diagnostic Errors* Forms and Records Control / standards Hospital Bed Capacity, 100 to 299 Humans Massachusetts Medical Records / standards* Physician's Practice Patterns / standards* Problem Solving* Quality Assurance, Health Care* Quality Control Reference Standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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