Analysis of diagnostic error cases among Japanese residents using diagnosis error evaluation and research taxonomy.
Analysis of diagnostic error cases among Japanese residents using diagnosis error evaluation and research taxonomy.
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使用诊断错误评估和研究分类法分析日本居民的诊断错误病例。
DOI：
10.1002/jgf2.388
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发表时间：
2021-03
影响因子：
1.6
通讯作者：
Shimizu T
中科院分区：
文献类型：
--
作者：
Harada T;Miyagami T;Watari T;Hiyoshi T;Kunitomo K;Tsuji T;Shimizu T
日本居民诊断错误的过程以前没有研究过。这项描述性研究于2019年6月在日本一家单中心教育医院的初级住院医师中进行。诊断错误评估和研究分类法被用来衡量诊断错误的过程中，最难忘的错误的情况下。诊断错误的频率很高，原因是病史不准确/误解、未能/延迟得出体格检查结果、体格检查不准确/误解、未能加权体格检查以及未能/延迟考虑诊断。住院医师诊断错误主要发生在病史询问、体格检查和评估中。根据使用诊断错误评估和研究分类法对日本居民中的诊断错误案例进行的分析，诊断错误主要是在病史收集、体格检查和临床医生评估过程中造成的。
The process of diagnostic errors among Japanese residents has not been previously studied. This descriptive study was conducted in June 2019 on junior residents at a single‐center educational hospital in Japan. Diagnosis Error Evaluation and Research taxonomy was used to measure the process of diagnostic error in the most memorable error cases. High frequency of diagnostic errors resulted from inaccurate/misinterpretation of history, failure/delay in eliciting physical examination findings, inaccurate/misinterpretation of physical examination, failure in weighting of physical examination, and failure/delay in considering the diagnosis. Residents made diagnostic errors mainly during history taking, physical examination, and assessment. According to the analysis of diagnostic error cases among Japanese residents using Diagnosis Error Evaluation and Research taxonomy, diagnostic errors are mainly caused during medical history collection, physical examination, and clinician evaluation.
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