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World J Gastrointest Surg. Nov 27, 2014; 6(11): 229-234
Published online Nov 27, 2014. doi: 10.4240/wjgs.v6.i11.229
Published online Nov 27, 2014. doi: 10.4240/wjgs.v6.i11.229
Factors influencing the diagnostic accuracy and management in acute surgical patients
Muhammad Shafique Sajid, William FA Miles, Department of General, Laparoscopic and Endoscopic Colorectal Surgery, Western Sussex Hospitals NHS Foundation Trust, Worthing Hospital, Worthing, West Sussex BN11 2DH, United Kingdom
Thaddeus Hollingsworth, Mike McGlue, The American University of the Caribbean School of Medicine, FL 33134, United States
Author contributions: All authors contributed to this manuscript.
Correspondence to: Muhammad Shafique Sajid, Surgical Specialist Registrar, Department of General, Laparoscopic and Endoscopic Colorectal Surgery, Western Sussex Hospitals NHS Foundation Trust, Worthing Hospital, Washington Suite, North Wing, Worthing, West Sussex BN11 2DH, United Kingdom. surgeon1wrh@hotmail.com
Telephone: +44-01-903205111 Fax: +44-01-903285010
Received: July 28, 2014
Revised: September 16, 2014
Accepted: October 14, 2014
Published online: November 27, 2014
Revised: September 16, 2014
Accepted: October 14, 2014
Published online: November 27, 2014
Core Tip
Core tip: Approximately 85% of acute surgical patients can be diagnosed accurately along the diagnostic pathway. One of the strategies to reduce diagnostic error is to develop pathways for feedback. It is particularly important to develop feedback pathways for the junior doctors, as it has been shown that less experienced doctors tend to most over-estimate their diagnostic accuracy. With anonymity removed, the basic design of this study seems well suited to enable feedback to each physician involved in the care of an acute surgical patient.