Advertisement

The Reply

      Chandran overlooks the stated intent and the conclusions of our article.
      • Verghese A.
      • Charlton B.
      • Kassirer J.P.
      • et al.
      Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
      We set out to collect vignettes to identify the “diverse types and characteristics of errors that can be made relating to the physical examination.” Chandran's criticisms are a restatement of our penultimate paragraph in which we point out the limitations of our qualitative study. We believe this qualitative investigation is a first step in a field where there are no previous comparable studies (and Chandran cites none). The recent Institute of Medicine report, “Improving Diagnosis in Health Care,”

      Balogh EP, Miller BT, Ball JR, eds.; Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; The National Academies of Sciences, Engineering, and Medicine; Improving Diagnosis in Health Care. Available at: http://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care. Accessed January 25, 2016.

      highlights the importance of the bedside examination in diagnosis and cites our previous work in this field. The study and collection of vignettes are now extended to and ongoing in the United Kingdom and Europe.

      References

        • Verghese A.
        • Charlton B.
        • Kassirer J.P.
        • et al.
        Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes.
        Am J Med. 2015; 128: 1322-1324
      1. Balogh EP, Miller BT, Ball JR, eds.; Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; The National Academies of Sciences, Engineering, and Medicine; Improving Diagnosis in Health Care. Available at: http://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care. Accessed January 25, 2016.

      Linked Article