What Can Patients Do to Reduce the Risk of Misdiagnosis?
May 23, 2024
Doctors, nurses, and other medical providers are responsible for evaluating symptoms, ordering appropriate tests, reviewing the results, and making informed treatment decisions. Patients are not expected to diagnose themselves or prevent medical negligence.
Still, the information a patient shares can affect the diagnostic process. Details about when symptoms began, how they changed, and what treatments have already been tried may help a provider understand the full picture. Patients can take practical steps to support clearer communication and continuity of care, but those steps do not shift responsibility away from medical providers. The burden of proper diagnosis, follow-up, and treatment remains on the professionals providing care.
What Is a Medical Misdiagnosis?
A misdiagnosis occurs when a provider identifies the wrong condition. A diagnostic error can also involve missing a condition or taking too long to reach the correct diagnosis.
Some illnesses are difficult to distinguish because they produce similar symptoms. A headache, for example, may be related to dehydration, migraine, infection, high blood pressure, or a neurological problem.
An incorrect diagnosis is not automatically medical malpractice. A claim may arise when a provider failed to act as a reasonably careful medical professional would have under similar circumstances and the patient was harmed as a result.
Share Your Symptoms and Explain What Has Changed
Appointments can feel rushed, especially when you are in pain or unsure how to describe what is happening. Writing down a few details beforehand can help.
Tell the provider about every symptom, including those that seem minor or unrelated. Mention pain, weakness, numbness, nausea, fever, fatigue, confusion, breathing problems, appetite changes, or difficulty completing normal activities. Seemingly small details can matter when a provider is trying to rule out serious conditions.
Also explain:
- When the symptoms began
- Whether they appeared suddenly or gradually
- Whether they are becoming more frequent or severe
- What makes them better or worse
- Whether new symptoms have developed
- Whether medication or treatment has helped
Recent illnesses, injuries, procedures, travel, pregnancy, or possible exposure to infection may also matter. A simple timeline can help when symptoms have continued for several days or weeks or when more than one appointment has taken place.
If anything changes after the visit, such as stronger pain, new numbness, vomiting, fainting, shortness of breath, or worsening weakness, tell the provider clearly. New or changing symptoms may call for a different evaluation.
Bring a Current Medication List and Relevant Health Information
Write down all prescription drugs, over-the-counter medicines, vitamins, and supplements you take. Include the dosage and how often each one is used.
Also note medication allergies and recent dosage changes. Some drugs can cause symptoms that resemble an illness, interact with other medications, or affect test results.
Do not assume every provider has the same records. Information may not transfer quickly between hospitals, medical practices, pharmacies, and health systems.
It may also help to bring information about recent diagnoses, hospitalizations, procedures, or testing. Even when records should already be available, gaps in communication between providers can happen. Bringing accurate information may reduce confusion, but providers still remain responsible for reviewing the history they need and making appropriate medical decisions.
Ask About Other Possible Explanations
Patients are entitled to understand how a diagnosis was reached. Straightforward questions can open a more useful discussion about what the provider considered.
You might ask:
- What else could be causing these symptoms?
- Are there other conditions that should be ruled out?
- Why does this diagnosis seem more likely than other possibilities?
- Would additional testing help confirm it?
- What changes should I watch for?
- When should I return if I do not improve?
A second opinion may also be worth considering when symptoms continue, the diagnosis remains uncertain, or the recommended treatment raises concerns. Seeking another opinion does not necessarily mean the first provider made a mistake.
Follow Up on Test Results
No news does not always mean the results were normal. Reports can be delayed, sent to the wrong office, or left without follow-up.
Before leaving an appointment, ask when the results should be available, who will review them, and how you will be contacted. Reach out if that date passes without an update.
If results appear in an online portal, ask the provider to explain them. A label such as “normal” or “abnormal” may not provide enough context to understand what happens next.
Following up on test results may help patients stay informed, but medical providers still remain responsible for reviewing results, communicating important findings, and acting on them appropriately.
Keep Copies of Important Records
Request copies of laboratory reports, imaging results, discharge instructions, medication lists, and other relevant records. Having them available can make it easier to consult another provider or continue care in a different health system.
Look for basic errors, such as a missing allergy, incorrect medication, wrong procedure date, or incomplete description of symptoms. Contact the provider’s office if something appears inaccurate.
You are not expected to interpret complicated medical records on your own. Keeping copies simply preserves information and makes it easier to share when needed. Requesting copies of records can help patients keep information organized, but it does not shift responsibility for diagnosis or follow-up away from medical providers.
Seek Care When Symptoms Change or Worsen
A condition that first appears minor can change. Contact a medical provider when symptoms become more severe, new symptoms appear, or the condition does not improve as expected.
Follow any discharge or follow-up instructions you were given. Seek urgent medical attention when symptoms may point to a serious problem, such as chest pain, difficulty breathing, sudden weakness, confusion, loss of consciousness, severe bleeding, or signs of stroke.
When you return for care, explain what changed and when. New information may lead to a different evaluation or treatment plan.
Patients Are Not Responsible for Preventing Medical Negligence
Sharing information, asking questions, keeping records, and following up can support the diagnostic process. None of these steps makes a patient responsible for identifying a medical condition or preventing malpractice.
Providers are expected to obtain an appropriate medical history, perform a suitable examination, consider reasonable alternative diagnoses, order necessary testing, interpret the findings, and respond to changes in the patient’s condition.
A doctor should not dismiss serious symptoms because a patient did not use medical terminology, ask a particular question, or recognize the condition independently. Patient participation does not excuse negligent care.
When a missed, delayed, or incorrect diagnosis causes harm, a legal review may help determine whether the provider met the applicable standard of care. That review depends on the medical evidence, the information available at the time, and whether appropriate care could have prevented the injury.
Contact a Medical Malpractice Lawyer About a Misdiagnosis
A diagnostic error can delay treatment, allow an illness to progress, or lead to unnecessary medication or procedures. If a medical provider failed to investigate serious symptoms, review test results, or consider other possible causes, you may benefit from speaking with a medical malpractice lawyer.
Lowenthal & Abrams, P.C. has represented injured clients since 1975. The firm has 17 attorneys on staff, including a medical doctor and a nurse, and serves clients throughout Pennsylvania, New Jersey, and New York.
Call (610) 667-7511 for a free consultation. There is no upfront cost, and no fee unless you are compensated.