Resident Diagnostic Reasoning Errors Are Common And Associated With Patient Harm

Dutch investigators reviewed records of 247 patients admitted for dyspnea, and found at least one episode of suboptimal diagnostic reasoning in 66%.  Records of patients experiencing harm showed more episodes of suboptimal reasoning (4.9) vs. those without (2.0).  The study is limited by the determination of suboptimal reasoning by retrospective chart review, with only modest inter-rater reliability. — Laura Willett, MD

Zwaan L, Thijs A, Wagner C, van der Wal G, Timmermans DR.,Relating faults in diagnostic reasoning with diagnostic errors and patient harm., Acad Med. 2012 Feb;87(2):149-56.

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