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Common Reasons for Misdiagnoses and Omitted Diagnoses

  • Xuehong Wan
  • Rui Zeng
Chapter

Abstract

Simply put, a misdiagnosis is an incorrect or partly true judgement on a disease. A misdiagnosis means concluding a wrong diagnosis of a disease rather than a correct one; and usually the diseases is treated based on the wrong diagnosis. An omitted diagnosis may occur when a patient has two or more concurrent acute diseases, usually due to uncomprehensive diagnosis or because of the symptoms of one disease covering up those of another. A misdiagnosis often leads to therapeutic errors.

Notes

Key Terms

1

Clinical reasoning

临床思维

2

Diagnosis-making

做临床诊断

3

Clinical diagnosis

临床诊断

4

Misdiagnose

误诊

5

Omitted diagnoses

漏诊

Study Questions

  1. 1.

    What are the procedures of diagnosis-making?

     
  2. 2.

    What are the basic principles of reasoning for clinical diagnosis?

     
  3. 3.

    What are the common reasons for misdiagnoses and omitted diagnoses?

     

Suggested Readings and Websites

  1. 1.
    Bickley LS. Bates’ guide to physical examination and history taking. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2009.Google Scholar
  2. 2.
    Swartz MH. Textbook of physical diagnosis. 7th ed. Amsterdam: Elsevier; 2014.Google Scholar

References

  1. 1.
    Wan X, Chen H. Clinical diagnostics. 3rd ed. Beijing: People’s Medical Publishing House; 2015.Google Scholar
  2. 2.
    Wan X, Lu X. Diagnostics. 8th ed. Beijing: People’s Medical Publishing House; 2013.Google Scholar
  3. 3.
    Ministry of Health, People’s Public of China. Basic requirement for medical record. No 11. legislation. [Accessed 1/3/2010]. http://www.nhfpc.gov.cn/
  4. 4.
    Ministry of Health, People’s Public of China. Requirement for electronic medical record system (trial). No 24. Legislation. [Accessed 1/4/2010]. http://www.nhfpc.gov.cn/
  5. 5.
    Ministry of Health, People’s Public of China. Measures for management of medical cosmetology service. No 19. Legislation. [Accessed 22/1/2002]. http://www.nhfpc.gov.cn/
  6. 6.
    The ninth session of Committee of National People’s Congress. Law of the People’s Republic of China on medical practitioners. [Accessed 1/5/1999]. http://www.npc.gov.cn/

Copyright information

© Springer Nature Singapore Pte Ltd. and People's Medical Publishing House 2020

Authors and Affiliations

  • Xuehong Wan
    • 1
  • Rui Zeng
    • 2
  1. 1.Department of Internal MedicineSichuan UniversityChengduChina
  2. 2.Department of CardiologySichuan UniversityChengduChina

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