Joseph E. Marine, MD
Potential Financial Conflicts of Interest: None disclosed.
Marine J.; Missed and Delayed Diagnoses in the Ambulatory Setting. Ann Intern Med. 2007;146:469. doi: 10.7326/0003-4819-146-6-200703200-00021
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Published: Ann Intern Med. 2007;146(6):469.
TO THE EDITOR:
Although Gandhi and colleagues' report (1) is an interesting and important descriptive study of a large series of malpractice cases, its conclusions about “errors” are tempered by methodological flaws. In addition to failing to blind reviewers to the outcome of the cases and other potentially prejudicial material in the legal files, the study used medical trainees to review cases, make gold standard determinations of error, and project the probable consequences of those errors—this method is difficult to understand. Because malpractice actions generally involve competing expert interpretations of critical medical evidence, it would seem reasonable to use experts in that particular field to review those cases to arrive at an independent conclusion.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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