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Published on: April 13, 2013
[Overdiagnosis of cranio-cerebral injuries as a diagnisis error]
Czesław Zaba1, Zbigniew Zaba, Jerzy T Marcinkowski
1Katedry i Zakładu Medycyny Sadowej, Akademii Medycznej im. Karola Marcinkowskiego w Poznaniu.
Abstract:
The report presents the problem of a diagnostic error consisting in abusing the diagnosis of cerebro-cranial injuries, and especially cerebral concussion. Diagnoses of cerebro-cranial injuries, including brain concussion established by physicians, including specialists, are often inappropriate in view of the medical history, clinical manifestations and laboratory findings. There are several reasons for the misdiagnoses (diagnostic abuse), but most commonly they result from an inappropriately taken medical history, excessive trust in the patient, and willingness to help the patient in receiving higher compensation. Overdiagnosing is also caused by the conviction shared by physicians that a diagnostic error lies in non-detection of a disease or injury rather than in overdiagnosing the patient in order to avoid subsequent charges. This is why proceedings at law against physicians who have overdiagnosed injuries occur only sporadically.
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