A5041919544- Clinical Reasoning and Diagnostic Skills
- Innovations in Medical Education
- Patient Safety and Medication Errors
- Radiology practices and education
- Medical Malpractice and Liability Issues
- Dutch Social and Cultural Studies
- Artificial Intelligence in Healthcare and Education
- Healthcare Quality and Management
- Empathy and Medical Education
- Healthcare cost, quality, practices
- Retirement, Disability, and Employment
- Electronic Health Records Systems
- Workplace Health and Well-being
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Machine Learning in Healthcare
- Simulation-Based Education in Healthcare
- Head and Neck Cancer Studies
- Economic Analysis and Policy
- Lung Cancer Treatments and Mutations
- Occupational Health and Safety Research
- Medical Coding and Health Information
- Lung Cancer Diagnosis and Treatment
- Clinical practice guidelines implementation
- Visual perception and processing mechanisms
Erasmus MC
2016-2025
Erasmus University Rotterdam
2016-2024
Fukushima Medical University
2024
Dignity Health
2024
University of Calgary
2023
Stiftung Patientensicherheit Schweiz
2018
Haslemere Hospital
2018
Max Planck Institute for Human Development
2018
Charité - Universitätsmedizin Berlin
2018
University Hospital of Bern
2018
This study determined the incidence, type, nature, preventability and impact of adverse events (AEs) among hospitalised patients potentially preventable deaths in Dutch hospitals.Using a three-stage retrospective record review process, trained nurses doctors reviewed 7926 admissions: 3983 admissions deceased hospital 3943 discharged 2004, random sample 21 hospitals Netherlands (4 university, 6 tertiary teaching 11 general hospitals). A large was included to determine occurrence more...
Abstract Diagnostic errors have emerged as a serious patient safety problem but they are hard to detect and complex define. At the research summit of 2013 Error in Medicine 6th International Conference, we convened multidisciplinary expert panel discuss challenges defining measuring diagnostic real-world settings. In this paper, synthesize these discussions outline key operationalizing definition measurement error. Some include 1) difficulties determining error when disease or diagnosis is...
Patient record review is believed to be the most useful method for estimating rate of adverse events among hospitalised patients. However, has some practical and financial disadvantages. Some these disadvantages might overcome by using existing reporting systems in which patient safety issues are already reported, such as incidents reported healthcare professionals complaints medico-legal claims filled patients or their relatives. The aim study examine what extent hospital cover identified...
Many authors have implicated cognitive biases as a primary cause of diagnostic error. If this is so, then physicians already familiar with common should consistently identify present in clinical workup. The aim paper to determine whether agree on the presence or absence particular case workup and how outcome knowledge affects bias identification.We conducted web survey 37 physicians. Each participant read eight cases listed which were from list provided. In half implied correct diagnosis;...
Diagnostic errors occur frequently, especially in the emergency room. Estimates about consequences of diagnostic error vary widely and little is known factors predicting error. Our objectives thus was to determine rate discrepancy between diagnoses at hospital admission discharge patients presenting through room, discrepancies’ consequences, them. Prospective observational clinical study combined with a survey University-affiliated tertiary care hospital. Patients’ diagnosis compared...
Background Non-technical skills, such as task management, leadership, situational awareness, communication and decision-making refer to cognitive, behavioural social skills that contribute safe efficient team performance. The importance of these during cardiopulmonary resuscitation (CPR) is increasingly emphasised. Nonetheless, the relationship between non-technical technical performance poorly understood. We hypothesise become important under stressful conditions when individuals are...
The relationship between faults in diagnostic reasoning, errors, and patient harm has hardly been studied. This study examined suboptimal cognitive acts (SCAs; i.e., reasoning), related them to the occurrence of errors harm, studied causes.Four expert internists reviewed records 247 dyspnea patients, using a specially developed questionnaire detect SCAs. patients were treated by 72 physicians May 2007 February 2008 five Dutch hospitals. findings record review discussed with treating...
<h3>Objectives</h3> To examine the causes of adverse events (AEs) and potential prevention strategies to minimise occurrence AEs in hospitalised patients. <h3>Methods</h3> For 744 identified patient record review study 21 Dutch hospitals, trained reviewers were asked select all causal factors that contributed AE. The results analysed together with data on preventability consequences AEs. In addition, selected one or more for each preventable recommended four general categories: technical,...
Background Diagnostic errors have often been attributed to biases in physicians’ reasoning. Interventions ‘immunise’ physicians against bias focused on improving reasoning processes and largely failed. Objective To investigate the effect of increasing relevant knowledge their susceptibility availability bias. Design, settings participants Three-phase multicentre randomised experiment with second-year internal medicine residents from eight teaching hospitals Brazil. Immunisation: Physicians...
Abstract Erroneous and malpractice claim cases reflect knowledge gaps complex contextual factors. Incorporating such into clinical reasoning education (CRE) may enhance learning diagnostic skills. However, they also elicit anxiety among learners, potentially impacting learning. As a result, the optimal utilization of in CRE remains uncertain. This study aims to investigate effect erroneous case vignettes on future performance explores possible underlying factors that influence learning,...
Improved performance of large language models (LLMs) on traditional reasoning assessments has led to benchmark saturation. This spurred efforts develop new benchmarks, including synthetic computational simulations clinical practice involving multiple AI agents. We argue that it is crucial ground such in extensive human validation. conclude by providing four recommendations for researchers better evaluate LLMs practice.
Diagnostic errors remain an underemphasised and understudied area of patient safety research. We briefly summarise the methods that have been used to conduct research on epidemiology, contributing factors interventions related diagnostic error outline directions for future Research studied epidemiology provide some estimate rates. However, there appears be a large variability in reported rates due heterogeneity definitions study used. Thus, should focus obtaining more precise estimates...
Background Diagnostic errors have been attributed to reasoning flaws caused by cognitive biases. While experiments shown bias cause errors, physicians of similar expertise differed in susceptibility bias. Resisting is often said depend on engaging analytical reasoning, disregarding the influence knowledge. We examined role knowledge and mode, indicated diagnosis time confidence, as predictors anchoring Anchoring occurs when stick an incorrect triggered early salient distracting features...
Summary Cardiopulmonary resuscitation is perceived as a stressful task. Additional external distractors, such noise and bystanders, may interfere with crucial tasks might adversely influence patient outcome. We investigated the effects of distractors on performance anaesthesia residents consultants different levels experience. Thirty physicians performed two simulated scenarios in random order, one scenario without additional (control) (noise, scripted family member). Resuscitation was...
Diagnostic errors occur frequently in daily clinical practice and put patients' safety at risk. There is an urgent need to improve education on reasoning reduce diagnostic errors. However, little known about of medical students. In this study, the nature causes made by students was analyzed.In June 2016, 88 worked eight cases with chief complaint dyspnea a laboratory setting using electronic learning platform, summary 704 processed cases. The steps were tracked analyzed. Furthermore, after...
<h3>Objectives</h3> To minimise adverse events in healthcare, various large-scale incident reporting and learning systems have been developed worldwide. Nevertheless, from patient safety incidents is going slowly. Local, unit-based can help to get faster more detailed insight into unit-specific issues. The aim of our study was gain types causes hospital units explore differences between unit types. <h3>Design</h3> Prospective observational study. <h3>Setting</h3> 10 emergency medicine units,...
Abstract Background Diagnostic errors are a major source of preventable harm but the science reducing them remains underdeveloped. Objective To identify and prioritize research questions to advance field diagnostic safety in next 5 years. Participants Ninety-seven researchers 42 stakeholders were involved identification priorities. Design We used systematic prioritization methods based on Child Health Nutrition Research Initiative (CHNRI) methodology. first invited large international group...