Evidence map›Paper›PMID 31908637›Full record

ArticleJournal of Taibah University Medical Sciences2019

Does physician distraction lead to diagnostic and management errors? An exploratory study in the primary care setting.

Ali I Alhaqwi, Amir M Babiker, Muneera A Baraja, Jamila A Alonazi, Lina A Alyosif, Sara M Alyousif, Motasim H Badri, Ibrahim A Alalwan

Abstract read
In one paragraph

Article in Journal of Taibah University Medical Sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ali I AlhaqwiDepartments of Family Medicine, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Amir M BabikerPediatrics, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Muneera A BarajaDepartments of Family Medicine, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Jamila A AlonaziInternal Medicine, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Lina A AlyosifDepartments of Family Medicine, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Sara M AlyousifPharmaceutical Care, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Motasim H BadriDepartment of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.
Ibrahim A AlalwanPediatrics, King Abdulaziz Medical City, Ministry of the National Guard- Health Affairs and King Saud bin Abdulaziz University for Health Sciences, Riyadh, KSA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is an increasing concern about diagnostic errors and their impact on patient safety. Physicians' diagnostic ability is significantly undermined by certain distractions that can carry potential negative consequences such as diagnostic and management errors. This study aimed to examine the effects of distracting factors for physicians during consultation and their consequent effects on diagnostic accuracy and disease or condition management.

methodsFamily medicine residents at a major training hospital in KSA were randomly assigned to two groups of simulated patients: one group with patients with distracting features and another group with patients without distracting features (the control group). Both groups encountered six simulated patients with different clinical conditions or diseases. The consultation time, accuracy of diagnosis, appropriateness of management, number of outlines of treatment, and simulated patient satisfaction were measured for both groups.

resultsA total of 70 simulated physician-patient encounters were conducted with 35 residents. Consultation time was significantly longer for encounters with patients with distracting features, which had a mean time of 7.43 min, compared with encounters with non-distracting patients, which had a mean time of 4.4 min (

conclusionDistracting factors are associated with prolonged consultation time among physicians. Although this study did not demonstrate any effects of distracting factors on accuracy of diagnosis or disease management, these factors are still concerning, especially in complex clinical situations and situations where there is lack of reflective practice. The effects of distracting factors should be minimized to ensure patient safety.

Indexed as

Clinical reasoningDiagnostic errorsDistractersPhysician-patient encounters

Identifiers

PMID31908637
PMCPMC6940672

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.