ABSTRACT

This chapter focuses on system flaws as a source of diagnostic error, and the system design that provide potential solutions for common types of diagnostic errors. The diagnostic thought process may be primarily cerebral, but it relies on a healthy clinician in a supportive environment with access to necessary resources and accurate data. System flaws have been identified as significant contributing factors to diagnosis error in a variety of healthcare settings and specialties. Comprehensive healthcare settings require testing facilities. Common tests such as hematology and chemistry are provided by largely automated systems with little potential for error. System factors play a significant role in diagnostic errors. Awareness of system factors can help patients and clinicians better navigate the complicated processes in their diagnostic evaluations. Patients, clinicians, and safety experts all have much to contribute to necessary system design.