Cited by 126Clinical Reasoning and Diagnostic SkillsPatient Safety and Medication ErrorsRadiology practices and education

Diagnostic Errors

Open access
Kuhn, Gloria J.·2002·Academic Emergency Medicine

Abstract

One of the most complex and challenging tasks facing physicians is the need to make a diagnosis. Recent research has focused attention on medical errors alleged to have resulted in increased patient morbidity and mortality. A number of authorities have suggested methods to track and prevent errors. Most have dealt with systems' changes and fail‐safe methods to prevent medication errors and commission of errors during treatment. Few have addressed methods to find and prevent diagnostic errors. Unless diagnostic error is either avoided or corrected early, fail‐safe methods to prevent medication and treatment errors will ultimately fail to improve patient outcome. American medical literature, particularly postmortem studies, have documented diagnostic error since at least 1912. European literature shows the problem is worldwide. The limits of human memory and errors in both observation and processing of information during problem solving contribute to the commission of errors. The purpose of this article is to examine the thinking patterns and cognitive errors that can result in diagnostic error, and suggest instructional strategies that can be used to alert residents and attending physicians to these potential problems so they can be avoided.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1197/aemj.9.7.740

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 7

  1. Kohn L, Corrigan J, Donaldson M (eds). To Err Is Hu- man. Washington, DC: National Academy Press, 2000.
  2. Kirch W, Schafii C. Misdiagnosis at a university hospital in 4 medical eras. Medicine. 1996; 75:29-40.
  3. Pelletier LJ, Klutzow F, Lancaster H. The autopsy: its role in the evaluation of patient care. J Gen Intern Med. 1989; 4:300-3.
  4. Voytovich A, Harper L, Rippey R. Evaluating analytic reasoning in the management of the multi-problem pa- tient: a system for attaining reliability and validity. Pre- sented at the Research in Medical Education (RIME) Conference of the Association of American Medical Col- leges. Washington, DC: AAMC, 1979.
  5. Tversky A, Dahneman D. Judgement under uncertainty: heuristics and biases. Science. 1974; 185:1124-31.
  6. Broad M, Newstrom J. Transfer of Training. Menlo Park, CA: Addison-Wesley, 1992.
  7. Gordon JA, Wilkerson W, Shaffer D, Armstrong E. ''Prac- ticing'' medicine without risk: students' and educators' responses to high-fidelity patient simulation. Acad Med. 2001; 76:469-72.

Cited by

Sorted by citations

Authors
Kuhn, G. J.
Affiliations
Wayne State University (US)
Corresponding author
Kuhn, Gloria J.
Venue
Academic Emergency Medicine
Publisher
Wiley
Published
2002-07
Volume
9
Issue
7
Pages
740-750
ISSN
  • 1069-6563 (ISSN-L)
  • 1553-2712
OpenAlex
W3192756069
Cited by
126
References
46
Citations by year
2026: 2 · 2025: 6 · 2024: 6 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 8 · 2017: 10 · 2016: 9 · 2015: 6 · 2014: 10 · 2013: 7 · 2012: 5
FWCI
0.51
Type
journal article
Language
en
Open access
Locations
  • Academic Emergency Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
Keywords
diagnostic errors, medical errors, cognitive errors, diagnostic reasoning, human memory, information processing, error prevention, medical education, residents (medical training), patient safety
MeSH terms
Diagnostic Errors, Emergency Medicine, Humans

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review