Missed and Delayed Diagnoses in the Ambulatory Setting

  1. Tejal K. Gandhi, MD, MPH;
  2. Allen Kachalia, MD, JD; and
  3. David M. Studdert, LLB, ScD
  1. From Harvard School of Public Health, Boston, MA 02115.

    IN RESPONSE:

    We agree with Dr. Clairmont's suggestion that greater transparency of errors in malpractice claims would advance patient safety. If appropriately identified, such information could help pull the liability system toward a broader culture of openness in which mistakes are seen as valuable opportunities to improve care, not as problems to be hidden. All errors, regardless of whether they prompted malpractice claims, should be construed and discussed in this light.

    We are disappointed by Dr. Clairmont's view that our findings will not help primary care physicians. By highlighting …

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