Diagnostic Errors and the Bedside Clinical Examination

Bennett Clark, Arsalan Derakhshan, Sanjay V. Desai

Research output: Contribution to journalReview article

Abstract

Diagnostic errors are common in clinical practice and lead to adverse patient outcomes. Systematic reviews have shown that inadequate history taking and physical examination lead to a plurality, if not a majority, of diagnostic errors. Recent advances in cognitive science have also shown that unconscious biases likely contribute to many diagnostic errors. Research into diagnostic error has been hampered by methodologic inconsistency and a paucity of studies in real-world clinical settings. The best evidence indicates that educational interventions to reduce diagnostic error should give physicians feedback about clinical outcomes and enhance their ability to recognize signs and symptoms of specific diseases at the bedside.

Original languageEnglish (US)
Pages (from-to)453-464
Number of pages12
JournalMedical Clinics of North America
Volume102
Issue number3
DOIs
StatePublished - May 1 2018

Keywords

  • Clinical decision-making
  • Clinical reasoning
  • Diagnostic error
  • Dual-processing theory
  • Heuristics and biases
  • Medical education

ASJC Scopus subject areas

  • Medicine(all)

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