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Breakdowns in the Initial Patient-Provider Encounter Among Ischemic Stroke

  • July 11, 2019

Researchers sought to identify and describe breakdowns in the diagnostic process among patients with ischemic stroke to facilitate future improvements in diagnostic accuracy.



Researchers from Montefiore Medical Center worked with CRICO Strategies researchers to leverage data from the CRICO Strategies national Comparative Benchmarking System (CBS). They analyzed medical malpractice claims from 2006 to 2016 involving ischemic stroke patients of which a total of 478 claims met inclusion criteria. The in-depth coding of the CBS database enabled researchers to identify the most frequent process breakdowns of this dataset. Results indicate that the most frequent breakdown occurred in the initial patient-provider encounter. With this information, organizations can implement targeted interventions that focus on the initial diagnostic encounter, particularly for ischemic stroke patients with atypicial symptoms.

 

 

Citation for the Full-text Article

Liberman AL, Skillings J, Greenberg P, Neman-Toker DE, Siegal D. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Diagnosis. July 2019. (Published online July 11, 2019). https://doi.org/10.1515/dx-2019-0031

 

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