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      Diagnostic Error and Neuro-Ophthalmology

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          Abstract

          PURPOSE OF REVIEW:

          This review summarizes the recent literature on diagnostic error relevant to the practice of neuro-ophthalmology, and evaluates the potential of increased access to neuro-ophthalmology as a means to decrease rates of diagnostic error, thereby reducing medical harm and spending on unnecessary tests and treatments.

          RECENT FINDINGS:

          Despite medical advances, current research continues to show alarmingly high rates of diagnostic error. Research into diagnostic error shows that many of these errors are due to cognitive errors. Recent studies on diagnostic problems relevant to neuro-ophthalmology, including studies of misdiagnosis of posterior communicating artery aneurysms, idiopathic intracranial hypertension, optic neuritis, and optic nerve sheath meningiomas, have identified major causes of diagnostic error in these conditions.

          SUMMARY:

          Studies on diagnostic error in neuro-ophthalmologic conditions show that prior to evaluation by a neuro-ophthalmologist, patients may undergo unnecessary tests and treatments that are costly and potentially harmful. Further research on diagnostic error will inform better utilization of neuro-ophthalmologists as a resource to decrease diagnostic error.

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          Author and article information

          Journal
          9319162
          2572
          Curr Opin Neurol
          Curr. Opin. Neurol.
          Current opinion in neurology
          1350-7540
          1473-6551
          11 December 2018
          February 2019
          01 February 2020
          : 32
          : 1
          : 62-67
          Affiliations
          [1. ] Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322
          [2. ] Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322
          [3. ] Department of Neurological Surgery, Emory University School of Medicine, Atlanta, GA 30322
          Author notes
          Correspondence: Leanne Stunkel, MD, Emory Eye Center. Neuro-Ophthalmology., 1363-B Clifton Rd, Atlanta, GA 30307, lstunke@ 123456emory.edu , Tel: 404 778 5360
          Article
          PMC6310060 PMC6310060 6310060 nihpa1514525
          10.1097/WCO.0000000000000635
          6310060
          30516641
          Categories
          Article

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