Diagnostic Errors in Tuberculous Patients: A Multicenter Study from a Developing Country

Neshati, H. and Sheybani, F. and Naderi, H. and Sarvghad, M. and Soltani, A. K. and Efterkharpoor, E. and Nooghabi, M. J. (2018) Diagnostic Errors in Tuberculous Patients: A Multicenter Study from a Developing Country. Journal of Environmental and Public Health, 2018.

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Although there is still much to learn about the types of errors committed in health care and why they occur, enough is known today to recognize that a serious concern exists for patients. Tuberculosis (TB) is an infectious disease that is frequently subject to diagnostic errors. Missed or delayed diagnosis of TB can affect patients and community adversely. Our aim in the present study was at evaluating the type of diagnostic errors in TB patients from symptom onset to diagnosis. This was a multicenter cross-sectional study conducted in three university hospitals in Mashhad, Iran. We showed a long delay in diagnosing TB that is mostly related to the time from first medical visit to diagnosis. Errors in the diagnostic process were identified in 97.5 of patients. The most common type of error in diagnosing TB was failure in hypothesis generation (72), followed by history taking and physical examination. In conclusion, it seems likely that efforts to improve public awareness of and health literacy for TB, to coordinate the referral and follow-up systems of patients, and to improve physicians' skills in history taking and physical examination and clinical reasoning will result in reduced delay in diagnosis of TB and, perhaps, improved patient safety and community health. © 2018 Hashem Neshati et al.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Sheybani, F.; Department of Infectious Diseases and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical SciencesIran; email: fereshtesheybani@gmail.com
Uncontrolled Keywords: adolescent adult anamnesis Article cross-sectional study developing country diagnostic error female follow up health literacy human Iran lung tuberculosis major clinical study male multicenter study observational study patient referral physical examination symptom university hospital classification clinical trial middle aged statistics and numerical data tuberculosis young adult Cross-Sectional Studies Developing Countries Diagnostic Errors Hospitals, University Humans
Subjects: WB Practice of Medicine
WF Respiratory System
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 07 May 2020 07:37
Last Modified: 07 May 2020 07:37
URI: http://eprints.mums.ac.ir/id/eprint/17455

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