Diagnostics: They’re wrong, inaccurate or just too late
Doctors have become increasingly reliant on high-tech
diagnostic equipment, but it’s so inaccurate or used so badly that it accounts
for 59 per cent of all insurance claims against doctors.
Of these, 30 per cent of patients died as a result of a
delayed or wrong diagnosis.
Out-patient diagnostics that harm – or kill – the patient
are common, a study that analysed the results from four US insurers concluded.
Sadly, the doctor can’t blame it all on computer
technology. Claimants complained that
doctors failed to take a proper history and examination, ordered the wrong
test, or didn’t follow-up properly. In
all, 99 per cent of all claimants said, as part of their claim, that doctors
were not thinking straight, or were making bad decisions, or forgetting things
or “not knowing them in the first place”.
The diagnostic process sometimes stretched into years, and
involved a range of healthcare staff.
The most likely to suffer from diagnostic failures were people with
breast or colorectal cancer, whose illness was invariably not detected in time,
if at all.
(Source:
Annals of Internal Medicine, 2006; 145: 488-96).
E-news broadcast 19 October 2006 No.302
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