期刊
JOURNAL OF GENERAL INTERNAL MEDICINE
卷 23, 期 4, 页码 489-494出版社
SPRINGER
DOI: 10.1007/s11606-007-0393-z
关键词
diagnostic errors; patient safety; communication; information technology
资金
- NCI NIH HHS [K23 CA125585, K23CA125585] Funding Source: Medline
- NIA NIH HHS [K23AG027144, K23 AG027144] Funding Source: Medline
Diagnostic errors are poorly understood despite being a frequent cause of medical errors. Recent efforts have aimed to advance the basic science of diagnostic error prevention by tracing errors to their most basic origins. Although a refined theory of diagnostic error prevention will take years to formulate, we focus on communication breakdown, a major contributor to diagnostic errors and an increasingly recognized preventable factor in medical mishaps. We describe a comprehensive framework that integrates the potential sources of communication breakdowns within the diagnostic process and identifies vulnerable steps in the diagnostic process where various types of communication breakdowns can precipitate error. We then discuss potential information technology-based interventions that may have efficacy in preventing one or more forms of these breakdowns. These possible intervention strategies include using new technologies to enhance communication between health providers and health systems, improve patient involvement, and facilitate management of information in the medical record.
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