Part 1 of 2: Measuring Physician Attitudes on Diagnostic Error
Eric Glazer
Vice President, Physician Engagement and Social Media
Best Doctors, Inc.
In the March 2009 Journal of the American Medical Association, David Newman-Toker, MD, Ph.D., and Peter J. Pronovost, MD, Ph.D., of Johns Hopkins University, cited an estimated 40,000 – 80,000 US hospital deaths result per year from misdiagnosis. To help put an end to this preventable harm, Best Doctors surveyed more than 1,300 physicians in specialties ranging from allergy and immunology to vascular surgery to get their perspective on this problem and how to solve it.
In general, the study found that doctors are very concerned with misdiagnosis (a diagnosis that is wrong, missed, or could have been made much earlier): over 7 out of 10 doctors (71 percent) view the problem as “extremely important” or “important” compared to other adverse patient outcomes. Only 3 percent of physicians reported that a misdiagnosis was “not at all a problem.”
However, many physicians don’t see diagnostic error as an issue in their practice but rather a problem in other doctors’ offices. In fact, 20 percent cite a misdiagnosis in their practice “almost never” occurs while 39 percent estimate it happens “once a year.” Still, some physicians (34 percent) say a diagnostic error occurs in their practice “about once a month.”
It’s often difficult to pinpoint the reasons behind a misdiagnosis. It’s certainly not about a physician’s ability, nor does it mean a doctor doesn’t care. Rather, there are a variety of factors that can contribute to a misdiagnosis.
When physicians were asked to choose the most significant barrier to improve diagnostic accuracy, the results confirmed problems that have existed for too long in the health care industry. The top reason chosen by 35 percent of physicians was “fragmented or missing information across medical information systems” followed by “inadequate time for patient evaluation” (30 percent) and “incomplete or inaccurate medical history provided by the patient” (19 percent).
Check back here Thursday for part two and see what physicians feel are the most useful ways to help improve diagnoses.
Interested in improving diagnostic accuracy? Don’t miss the premiere conference for medical professionals and patients with specific interest in improving medical diagnosis. The Diagnostic Error in Medicine Conference is next week, Sept. 14 – 17, in Atlanta, GA. Visit DEM2014.org for details.