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PubMed · 12518652

[Errors in medical practice].

Abstract

The frequency of the error in Medicine is not well known but in any case it must be quite high. They are several types of errors: related to planning or performance, active or latent, and in relation to diagnosis, treatment or prevention. The consequences of the errors are potentially serious for both the patient and the doctor. The human factor exists in most of the errors, but this does mean the doctor is guilty. Lot of circumstances leads to the error which could not be avoidable: ambience and organization of the work, type of institution and task, and features of the patients. It is very important to lessen the numbers of errors in Medicine through registers of errors and research based on the system (not centered in the persons) in order to apply corrective measures to the system.

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BibTeXRIS

Angel Nogales Espert. 2002. [Errors in medical practice].. https://pubmed.ncbi.nlm.nih.gov/12518652/

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Diagnostic Errors↗

[Primary extranodal lymphomas: analyses of clinical characteristics and misdiagnoses of 139 cases].

OBJECTIVE: To evaluate the incidence, extranodal sites, clinical characteristics and misdiagnosis rate of primary extranodal lymphomas. METHODS: A retrospective survey of 139 patients of primary extranodal lymphomas from Peking University First Hospital was completed with a view to improving our knowledge of the incidence, extranodal sites, clinical characteristics and misdiagnosis rate of primary extranodal lymphomas. RESULTS: (1) We studied 139 patients with primary extranodal lymphoma, who constituted 30.3% of 458 patients with lymphoma in Peking University First Hospital between 12/1976 and 2/2002. (2) The developing sequence of common extranodal sites was: gastrointestinal lymphoma 20.9% (29/139), nasal lymphoma 18.7% (26/139), Waldeyer's ring lymphoma 12.9% (18/139), splenic lymphoma 10.8% (15/139), and cutaneous lymphoma 6.5% (9/139). (3) Misdiagnosis rate of primary extranodal lymphoma was 80.6%, and misdiagnosis rate of nodal lymphoma was 28.5%. (4) Symptoms and signs of extranodal lymphoma were quite different based on different extranodal sites and had no specific characteristics. CONCLUSION: Primary extranodal lymphoma is relatively common. Misdiagnosis rate is very high because extranodal sites are very extensive and signs are of no specific characteristics. We should pay more attention to primary extranodal lymphoma, and get a correct diagnosis as soon as possible.

Diagnostic Errors↗