Publications by authors named "L Zwaan"
Article Synopsis
- The concept of diagnostic scope refers to the range of diagnoses in a clinical setting, which is crucial for training AI systems to improve diagnostic accuracy but remains insufficiently studied.
- This scope is affected by local factors like geography and resources, resulting in variations that complicate the diagnostic process for clinicians and patients.
- Future research should focus on accurately defining and measuring diagnostic scope to enhance AI tools tailored to specific clinical environments, ensuring they meet the needs of both patients and healthcare providers.
Objectives: Time pressure and time constraints have been shown to affect diagnostic accuracy, but how they interact is not clear. The current study aims to investigate the effects of both perceived time pressure (sufficient vs. insufficient time) and actual time constraints (lenient vs.
View Article and Find Full Text PDFObjectives: To investigate longitudinal trends in the incidence, preventability, and causes of DAEs (diagnostic adverse events) between 2008 and 2019 and compare DAEs to other AE (adverse event) types.
Methods: This study investigated longitudinal trends of DAEs using combined data from four large Dutch AE record review studies. The original four AE studies included 100-150 randomly selected records of deceased patients from around 20 hospitals in each study, resulting in a total of 10,943 patient records.
Introduction: Diagnostic errors are often attributed to erroneous selection and interpretation of patients' clinical information, due to either cognitive biases or knowledge deficits. However, whether the selection or processing of clinical information differs between correct and incorrect diagnoses in written clinical cases remains unclear. We hypothesised that residents would spend more time processing clinical information that was relevant to their final diagnosis, regardless of whether their diagnosis was correct.
View Article and Find Full Text PDFArticle Synopsis
- Diagnostic errors are the top threat to patient safety, making it crucial to learn from both successful and failed diagnoses.
- Root cause analyses (RCAs) should start right after an incident, and those directly involved in the diagnosis should be included in the RCA team.
- The RCA process must examine the clinical reasoning approach and consider system-related factors to effectively identify root causes and develop interventions.