What Physicians Know
Abstract
It has become a truism that not only does the United States spend more money on health care than do other industrialized nations, but also a substantial portion of this sum is wasted on unproved or ineffective diagnosis and therapy. Not surprisingly, then, outcomes research -- that is, the rigorous determination of what works in medical care and what does not -- figures prominently in proposals for health care reform. Outcomes research, by informing the content of policy positions, payment rules, and practice guidelines, presumably both solves the problems of quality and cost that beset the health care system and . . .
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Diagnostic errors are often attributed to cognitive and/or systems-related factors.
“Although diagnostic errors may occur when signs of a disease are atypical or absent, diagnostic errors are often attributed to cognitive (e.g., faulty clinical reasoning) and/or systems-related factors (e.g., inefficient processes and poor communication7,9–21).”
From Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology (2008) · cites this paper as [16]
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- Authors
- Tanenbaum, S. J.
- Affiliations
- The Ohio State University (US)
- Corresponding author
- Tanenbaum, Sandra J.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1993-10-21
- Volume
- 329
- Issue
- 17
- Pages
- 1268-1271
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2000597191
- Cited by
- 243
- References
- 27
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 1 · 2023: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 11
- FWCI
- 54.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- outcomes research, evidence-based medicine, physician knowledge, health care costs, ineffective treatments, health care reform, quality of care, clinical guidelines, payment rules
- MeSH terms
- Humans, Philosophy, Medical, Public Policy, United States, Outcome Assessment, Health Care
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