In England, outpatients who saw multiple physicians were no more likely to experience a missed cancer diagnosis than patients with more coordinated care.Br J Gen Pract. 2015;65:e305-e311.
Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.
Ridd MJ, Santos Ferreira DL, Montgomery AA, Salisbury C, Hamilton W. Br J Gen Pract. 2015;65:e305-e311.
A delayed or missed diagnosis of cancer can have profound ramifications for patients. This retrospective cohort study in England sought to determine whether patient–doctor continuity in the ambulatory settingaffected the time to diagnosis or referral for three common cancers. The researchers used a large reliable dataset for patients with a diagnosis of breast, colorectal, or lung cancer between January 2000 and December 2009. They searched for any relevant cancer symptoms or signs up to 12 months prior to the diagnosis and calculated patient–doctor continuity for up to 2 years before diagnosis. The measured associations appeared small and inconsistent, suggesting no clinically important differences. The longest delays for diagnosis occurred after patients had been referred for consultation, indicating that future studies should focus on the process of care between referral and diagnosis.
Wrist tag 'offers drug warning.'
BBC News. August 9, 2005.
Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.
Gao H, McDonnell A, Harrison DA, et al. Intensive Care Med. 2007;33:667-79.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
STUDYView all related resources...
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.