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Insights into diagnostic errors in endocrinology: a prospective, case-based, international study
Jessica Frey1, Leah T Braun2, Laura Handgriff1
1Medizinische Klinik und Poliklinik IV, University Hospital, Ludwig-Maximilians-University Munich, Ziemssenstr. 5, 80336, Munich, Germany.
BMC Medical Education
|December 9, 2023
Summary
Diagnostic errors in endocrinology stem from misidentification and faulty context generation. Spending more time on technical findings may help prevent these common medical mistakes.
Area of Science:
- Internal Medicine
- Endocrinology
- Medical Education
Background:
- Diagnostic errors are prevalent in internal medicine.
- Cognitive errors are a known contributor to diagnostic errors.
- Causes of diagnostic errors in endocrinology are not well understood.
Purpose of the Study:
- To investigate the causes of diagnostic errors in endocrinology.
- To compare diagnostic processes in correctly and incorrectly solved cases.
Main Methods:
- Prospective, multicenter study involving 24 physicians.
- Physicians completed five simulated endocrine cases online.
- Quantitative and qualitative analysis of diagnostic reasoning and explanations.
Main Results:
- Seven causes of diagnostic error identified; misidentification (23%), faulty context generation (21%), and premature closure (17%) were most frequent.
- Diagnostic confidence was similar in correct and incorrect cases.
- Physicians spent less time on technical findings in incorrectly solved cases.
Conclusions:
- Causes of diagnostic errors in endocrinology mirror those in other internal medicine fields.
- Increased focus on technical findings may reduce misdiagnoses in clinical practice.
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