Dr. Owais Durrani: Patients’ ER experiences have led to frustration and a frequent misunderstanding that nothing is being done or that they are being diagnosed improperly. - NBCNewsTHINK
on widely this past week, you’d walk away with a different conclusion. The headline-grabbing takeaway for most would be that hundreds of thousands of patients in the U.S. suffer serious harm from ER misdiagnosis, and 250,000 die because of us yearly.
When we discharge a patient who has been ruled out for a condition, say a stroke, if that patient has a stroke in a few weeks, is that a miss? No, at the time, the patient did not have a stroke, but they may be high risk and have one in the future.
In medicine, every decision we make is based on the principle of “do no harm,” which means that every decision requires balancing risk vs. harm. Over-diagnosis or over-admitting more patients to the hospital for further tests when not necessary comes with harm. Every procedure has risks. Simply being in the hospitaland many other conditions.
Many will be surprised to learn that many of the studies included in the report are extrapolations from non-U.S. data. The number of 250,000 deaths due to ER misdiagnosis that is widely reported is based on small Canadian, Swiss and Spanish studies. We have a very different health care system and training of physicians than those countries.
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