Process of Care Failures in Breast Cancer Diagnosis

Journal of General Internal Medicine

Volumn 24, Issue 6, 2009, Pages 702-709

  Weingart, Saul N ^a,b   Saadeh, Mark G ^a   Simchowitz, Brett ^a   Gandhi, Tejal K ^b,c   Nekhlyudov, Larissa ^b,d   Studdert, David M ^e   Puopolo, Ann Louise ^f   Shulman, Lawrence N ^a,b  

^a DANA FARBER CANCER INSTITUTE   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

^d HARVARD VANGUARD MEDICAL ASSOCIATES   (United States)

^e UNIVERSITY OF MELBOURNE   (Australia)

^f Harvard Risk Management Foundation   (United States)

Author keywords

Breast cancer; Diagnostic errors; Medical errors; Quality of health care

Indexed keywords

ADULT; ARTICLE; BREAST CANCER; CANCER CENTER; CANCER DIAGNOSIS; CANCER SCREENING; CLINICAL FEATURE; COHORT ANALYSIS; CONTROLLED STUDY; DIAGNOSTIC ERROR; DIAGNOSTIC TEST; DISEASE SEVERITY; ELECTRONIC MEDICAL RECORD; FEMALE; FOLLOW UP; HEALTH CARE QUALITY; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PATIENT REFERRAL; PHYSICAL EXAMINATION; PHYSICIAN; RETROSPECTIVE STUDY; RISK FACTOR; SYMPTOM; TREATMENT FAILURE; UNITED STATES;

ADULT; AGED; BREAST NEOPLASMS; COHORT STUDIES; FEMALE; FOLLOW-UP STUDIES; HEALTH PERSONNEL; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; QUALITY INDICATORS, HEALTH CARE; RETROSPECTIVE STUDIES; TREATMENT FAILURE;

EID: 67349108292     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-009-0982-0     Document Type: Article

References (35)

1. M Schaefer 2002 Overview of CRICO cancer-related diagnosis claims 1992-2001 RMF Forum 22 4 9
2. TK Gandhi A Kachalia EJ Thomas 2006 Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims Ann Intern Med 145 488 496 (Pubitemid 46780952)
3. MA Richards AM Westcombe SB Love P Littlejohns AJ Ramirez 1999 Influence of delay on survival in patients with breast cancer: a systematic review Lancet 353 1119 1126 (Pubitemid 29155203)
4. RL Phillips Jr LA Bartholomew SM Dovey GE Fryer Jr TJ Miyoshi LA Green 2004 Learning from malpractice claims about negligent, adverse events in primary care in the United States Qual Saf Health Care 13 121 126 (Pubitemid 38496864)
5. Chandra A, Nundy S, Seabury SA. The growth of physician medical malpractice payments: evidence from the national practitioner data bank. Health Aff (Millwood). 2005;Suppl Web Exclusives: W5-40-W5-49.
6. A Kachalia TK Gandhi AL Puopolo 2007 Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from four liability insurers Ann Emerg Med 49 196 205 (Pubitemid 46108135)
7. SO Rogers Jr AA Gawande M Kwaan 2006 Analysis of surgical errors in closed malpractice claims at four liability insurers Surgery 140 25 33 (Pubitemid 44062614)
8. DM Studdert EJ Thomas HR Burstin BI Zbar EJ Orav TA Brennan 2000 Negligent care and malpractice claiming behavior in Utah and Colorado Med Care 38 250 260
9. HR Burstin WG Johnson SR Lipsitz TA Brennan 1993 Do the poor sue more? A case-control study of malpractice claims and socioeconomic status JAMA 270 1697 1701 (Pubitemid 23295314)
10. EJ Thomas DM Studdert HR Burstin 2000 Incidence and types of adverse events and negligent care in Utah and Colorado Med Care 38 261 271
11. MW Kreuter VJ Strecher R Harris SC Kobrin CS Skinner 1995 Are patients of women physicians screened more aggressively? J Gen Intern Med 10 119 125
12. N Lurie J Slater P McGovern J Ekstrum L Quam K Margolis 1993 Preventative care for women-does the sex of the physician matter? N Engl J Med 329 478 482 (Pubitemid 23222335)
13. N Lurie KL Margolis PG McGovern PJ Mink JS Slater 1997 Why do patients of female physicians have higher rates of breast and cervical cancer screening? J Gen Intern Med 12 34 43 (Pubitemid 27114064)
14. Kösters JP, Gøtzsche PC. Regular self-examination or clinical examination for early detection of breast cancer. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD003373. doi: 10.1002/14651858. CD003373.
15. S Weinmann SH Taplin J Gilbert 2005 Characteristics of women refusing follow-up for tests or symptoms suggestive of breast cancer J Natl Cancer Inst 35 33 38
16. L Remennick 2006 The challenge of early breast cancer detection among immigrant and minority women in multicultural societies Breast J 12 103 110 (Pubitemid 43385278)
17. SS Gorin JE Heck B Cheng SJ Smith 2006 Delays in breast cancer diagnosis and treatment by racial/ethnic group Arch Intern Med 166 2244 2252
18. SH Taplin L Ichikawa Mu Yood MM Manos AM Geiger S Weinmann 2004 Reason for late-stage breast cancer: absence of screening or detection, or breakdown in follow-up? J Natl Cancer Inst 96 1518 1527 (Pubitemid 39445533)
19. T Halliday DA Taira J Davis H Chan 2007 Socioeconomic disparities in breast cancer screening in Hawaii Prev Chronic Dis 4 1 9
20. DG Ives JR Lave ND Traven R Schulz LH Kuller 1996 Mammography and pap smear use by older rural women Public Health Rep 111 244 250 (Pubitemid 26149572)
21. Centers for Disease Control and Prevention 1995 Use of mammography services by women aged < 65 years in Medicare-United States, 1991-1993 MMWR Morb Mortal Wkly Rep 44 777 781
22. K Wells RG Roetzheim 2007 Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature Cancer Control 14 369 379 (Pubitemid 350272898)
23. CP Kaplan LA Crane S Stewart M Juarez-Reyes 2004 Factors affecting follow-up among low-income women with breast abnormalities J Womens Health 13 195 206 (Pubitemid 38444320)
24. LS Caplan DS May LC Richardson 2000 Time to diagnosis and treatment of breast cancer: results from the National Breast and Cervical Cancer Early Detection Program, 1991-1995 Am J Public Health 90 130 134 (Pubitemid 30019680)
25. P Tartter D Pace M Frost JL Bernstein 1999 Delay in diagnosis of breast cancer Ann Surg 229 91 96 (Pubitemid 30190385)
26. R Sainsbury C Johnston B Haward 1999 Effect on survival of delays in referral of patients with breast-cancer symptoms: a retrospective analysis Lancet 353 1132 1135 (Pubitemid 29155205)
27. C Hardin S Pommier RF Pommier 2006 The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage Am J Surg 192 506 508 (Pubitemid 44344182)
28. P Afzelius K Zedeler H Sommer HT Mouridsen M Blichert-Toft 1994 Patient's and doctor's delay in primary breast cancer: Prognostic implications Acta Oncol 33 4 345 351 (Pubitemid 24207993)
29. V Arndt T Sturmer C Stegmaier H Ziegler G Dhom H Brenner 2002 Patient delay and stage of diagnosis among breast cancer patients in Germany-a population-based study Br J Cancer 86 1034 1040 (Pubitemid 34438070)
30. D Hanna P Griswold LL Leape DW Bates 2005 Communicating critical test results: safe practice recommendations Jt Comm J Qual Patient Saf 31 68 80
31. K Ell B Vourlekis PJ Lee B Xie 2007 Patient navigation and case management following an abnormal mammogram: a randomized clinical trial Prev Med 44 26 33 (Pubitemid 46073077)
32. RK Heyding AM Cheung EJ Mocarski R Moineddin SW Hwang 2005 A community-based intervention to increase screening mammography among disadvantaged women at an inner-city drop-in center Women Health 41 21 31 (Pubitemid 41341531)
33. AR Localio AG Lawthers TA Brennan NM Laird LE Hebert LM Peterson JP Newhouse PC Weiler HH Hiatt 1991 Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III N Engl J Med 325 245 251
34. TA Brennan AR Localio LL Leape 1990 Identification of adverse events occurring during hospitalization. A cross-sectional study of litigation, quality assurance, and medical records at two teaching hospitals Ann Intern Med 112 221 226 (Pubitemid 20045211)
35. LL Leape TA Brennan N Laird 1991 The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II N Engl J Med 324 377 384