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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557

Abstract

SUAREZ RIVERO, Birsy et al. Most common errors and their association to examine the diagnostic accuracy. Rev Cub Med Mil [online]. 2012, vol.41, n.4, pp.334-340. ISSN 0138-6557.

Introduction: the interview is an encounter of the physician with the patient where it develops most of the care exercise in the health field; it has different stages in which mistakes can be made. Objective: to determine the association between errors in questioning and nosological diagnostic certainty. Methods: a descriptive study was made by observation of 75 interviews conducted by 36 doctors, specialists in internal medicine at the military hospital, from January to July 2006. We used an observation guide. Data are expressed in absolute and relative values and they were organized into three groups, according to the diagnoses which turned to be correct, incorrect, and the single correct nosological diagnosis. The association was calculated using the Chi-square test with p <0.05 statistical significance. Results: we detected 12 types of errors. The most common were related to the completion of the information in 44-68% of the interviews, but no statistically significant differences between groups of certainty were observed. Conclusion: there is no association between completeness of information errors and nosological diagnostic certainty.

Keywords : interrogation; clinical method.

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