The Next Big Idea Daily

Why Your Doctor Gets It Wrong (and a Simple Shift That Would Fix It)

10 snips
Apr 22, 2026
Alexandra Sifferlin, health and science editor and author of The Elusive Body, explores why diagnostic errors are so common. She talks about how rushed care, weak clinical reasoning, and lost records drive delays. She also discusses restoring bedside time, team-based approaches, and better continuity to prevent missed diagnoses.
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INSIGHT

Diagnostic Errors Are Common And Costly

  • Diagnostic errors are common despite high-tech medicine and affect at least 5% of adults each year in the U.S..
  • Johns Hopkins estimated ~800,000 Americans are permanently disabled or die annually from dangerous misdiagnoses, making small error rates consequential.
INSIGHT

Delayed Diagnosis Drives Waste And Poor Outcomes

  • Delayed diagnosis increases appointments, tests, ineffective treatments, and overall U.S. healthcare costs while worsening outcomes compared to peer countries.
  • Hospitals lack federal incentives and systematic tracking for diagnostic errors, so clinicians often don't know when diagnoses were wrong.
ADVICE

Return To The Bedside For Better Diagnosis

  • Re-center bedside care: prioritize listening, observation, and physical exam as the foundation, using technology to confirm or refine bedside findings.
  • Restoring that balance can reduce diagnostic errors and improve fulfillment for doctors and patients.
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