Diagnostic Error in Neuro-ophthalmology: Avenues to Improve

Elena A. Muro-Fuentes, Leanne Stunkel

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To highlight potential avenues to reduce preventable diagnostic error of neuro-ophthalmic conditions and avoid patient harm. Recent Findings: Recent prospective studies and studies of patient harm have advanced our understanding. Additionally, recent studies of fundus photography, telemedicine, and artificial intelligence highlight potential avenues for diagnostic improvement. Summary: Diagnostic error of neuro-ophthalmic conditions can often be traced to failure to gather an adequate history, perform a complete physical exam, obtain adequate/appropriate neuroimaging, and generate a complete, appropriate differential diagnosis. Improving triage and identification of neuro-ophthalmic conditions by other providers and increasing access to subspecialty neuro-ophthalmology evaluation are essential avenues to reduce diagnostic error. Further research should evaluate the relationship between misdiagnosis and patient harm, and help identify the most impactful potential targets for improvement.

Original languageEnglish
Pages (from-to)243-256
Number of pages14
JournalCurrent neurology and neuroscience reports
Volume22
Issue number4
DOIs
StatePublished - Apr 2022

Keywords

  • Diagnostic error
  • Neuro-ophthalmology

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