It's Carol's 40th birthday and time for her annual checkup. She sets up an appointment including mammogram. After undergoing the checkup she receives a dreaded phone call: the diagnosis is breast cancer.After further testing and sleepless nights the initial diagnoses proves to be inaccurate. Carol was misdiagnosed – she does not have cancer at all.
Misdiagnosis can happen at various levels:
|Level 1 - Doctor||Failure to diagnose a medical condition based on lack of: Experience, Training/Best practices and Ethics.|
|Level 2 - Radiologist||A 1994 study at Yale University school of medicine retrospectively reviewed mammograms originally interpreted as normal by experienced radiologists and found 15-63% breast cancers were overlooked at initial reading.|
|Level 3 - Clinical / Pathologist||
A study of autopsies published in the Mayo Clinic proceedings comparing clinical diagnoses with postmortem diagnoses, for medical intensive care unit patients, revealed in 26 percent of cases, a diagnosis was missed clinically.
Multiple autopsy studies that have uncovered frequent clinical errors and misdiagnoses, with some rates as high as 47%.
|Level 4 - Overall system and its value chain||
Eg. lack of coordination & communication between PCP and Specialist .
Too much wait time for a specialist appointment / Delayed diagnosis.
The richest and most advanced country in the world “America” – where one-seventh of the economy is devoted to healthcare and yet misdiagnosis kills thousands of Americans every year….Imagine rest of the world?
An error in diagnosis can cause a cascade of negative events to occur, affecting the individual patient and their families as well as the healthcare system and our society as a whole.
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Here are some examples of how myPersonalDoc mSpecialist - 2nd Opinion consultations may benefit you:
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