Inpatient Notes: Diagnostic Excellence Starts With an Incessant Watch

Web Exclusives17 October 2017Inpatient Notes: Diagnostic Excellence Starts With an Incessant WatchGurpreet Dhaliwal, MDGurpreet Dhaliwal, MDFrom Department of Medicine, University of California, San Francisco, and Medical Service, San Francisco VA Medical Center, San Francisco, California.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-2447 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Diagnostic errors are an important quality and safety issue in health care. In an earlier installment of Annals for Hospitalists, Zwaan and Singh explained how diagnostic errors arise from a combination of systems and cognitive factors (1). Systems improvements often take years to unfold, but cognitive improvement can begin today. How can motivated clinicians begin to improve their diagnostic performance?A Mental Training ProgramEvery model of performance improvement is built on the foundation of feedback. But when it comes to diagnostic performance, hospitalists scarcely get it. There is feedback on billing. There is feedback on length of stay. There ...References1. Singh H, Zwaan L. Annals for Hospitalists Inpatient Notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. Ann Intern Med. 2016;165:HO2-HO4. [PMID: 27750328]. doi:10.7326/M16-2042 LinkGoogle Scholar2. Schiff GD. Minimizing diagnostic error: the importance of follow-up and feedback. Am J Med. 2008;121:S38-42. [PMID: 18440354] doi:10.1016/j.amjmed.2008.02.004 CrossrefMedlineGoogle Scholar3. Osler W. The student life. A farewell address to Canadian and American medical students. The Medical News. 1905;87:625-33. Google Scholar4. Smith KA. To keep an incessant watch. Acad Emerg Med. 2011;18:545-8. [PMID: 21569172] doi:10.1111/j.1553-2712.2011.01052.x CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Department of Medicine, University of California, San Francisco, and Medical Service, San Francisco VA Medical Center, San Francisco, California.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2447.Requests for Single Reprints: Gurpreet Dhaliwal, MD, University of California San Francisco, San Francisco VA Medical Center, 4150 Clement Street (111), San Francisco, CA 94121; e-mail, gurpreet.[email protected]edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 17 October 2017 David H. Wesorick and Vineet Chopra Metrics Cited byReducing Administrative Harm in Medicine — Clinicians and Administrators TogetherHow to Keep Training—After Residency TrainingElectronic health record–based patient tracking by emergency medicine physiciansFive strategies for clinicians to advance diagnostic excellenceOperational measurement of diagnostic safety: state of the scienceA Program to Provide Clinicians with Feedback on Their Diagnostic Performance in a Learning Health SystemBarriers to Learning Clinical Reasoning: a Qualitative Study of Medicine Clerkship StudentsDiagnostic errors in the neonatal intensive care unit: State of the science and new directions"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffsThe data of diagnostic error: big, large and small 17 October 2017Volume 167, Issue 8Page: HO2-HO3KeywordsDisclosureForecastingGamesHealth careHospitalistsIschemiaPsychologySafetyStable coronary artery diseaseSubarachnoid hemorrhage ePublished: 17 October 2017 Issue Published: 17 October 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...