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The Myth of the Medical Diagnosis – The Experts – WSJ

By June 9, 2014News
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PETER PRONOVOST: The biggest misperception is certainty. When you receive a diagnosis from a doctor, we don’t always know for 100% sure if it is correct. In reality, medicine is an inexact science. In 2012, Johns Hopkins researchers, including myself, found that in intensive-care units alone, diagnostic errors may account for as many deaths as breast cancer in the U.S.

This is part of a growing body of research highlighting the need to focus on diagnostic accuracy. We need to create health-care systems in which learning is incorporated into daily practice, so that physicians can receive feedback on the accuracy of their diagnoses. We can do this by standardizing care around best practices and standardizing data collection regarding clinicians’ diagnoses and the results they get: Health information technology makes this possible.

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