诊断错误的特征在转介到一个学术视角膜和外部疾病实践
Allison H Kao1, Catherine Gilbert2, Mustafa Safi2
1From the Medical Scientist Training Program (A.H.K.), Washington University School of Medicine, St. Louis, Missouri, USA.
American journal of ophthalmology
|October 9, 2025
概括
眼科转诊的诊断错误很常见,有42%的病例被误诊,通常是由于术语不清楚或患者病史和体检问题. 在培训中解决认知偏见可以帮助预防这些诊断错误.
科学领域:
- 眼科医生 眼科 眼科
- 医学诊断 医学诊断 医学诊断
- 患者安全 患者安全
背景情况:
- 诊断错误发生在各种医学专业.
- 向角膜和外部疾病等子专业的转介容易导致诊断不准确.
- 了解这些错误的特征对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地描述诊断错误在转诊眼科的角膜和外部疾病子专业的特征.
- 分析模式,陷和诊断错误的原因.
- 评估模两可的诊断语言对诊断和治疗时间表的影响.
主要方法:
- 对118名新患者转诊到学术角膜诊所的回顾性分析.
- 从推和推提供者提取的诊断.
- 使用诊断错误评估和研究 (DEER) 分类法来分类错误.
- 分析错误类型,原因,命名模两可,以及诊断/治疗的时间.
主要成果:
- 确定的诊断错误率为42%的显著诊断错误率.
- 模糊的诊断术语 (DA) 占诊断错误的51%.
- 无论是DA还是传统诊断错误 (DE),都导致了诊断和治疗的延迟.
- 常见的错误包括错过的眼神经病痛和暴露角质病变.
- 所有错误都源于历史记录或体检失败.
结论:
- 角膜转诊的诊断错误主要源于病史记录或体检缺陷.
- 模两可的诊断语言是诊断错误的重要因素,导致治疗延迟,与彻底的错误诊断相当.
- 在眼科培训中准认知偏差是减轻诊断错误和改善患者护理的潜在策略.
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