Upadhyay, D., Sittig, D., and Singh, H. (2014). Ebola US Patient Zero: Lessons on Misdiagnosis and Effective Use of Electronic Health Records. Diagnosis. 1(4): 283.
The authors share their hypothesis regarding the treating physician’s notes from the primary encounter with the first-ever travel-associate case of Ebola in U.S. history and highlight how language and symptom description were likely chosen from pre-scripted options in the electronic health record (EHR) system, contributing to a missed diagnosis. They explain the ripple effects of diagnostic errors made in EHRs and suggest related reforms in policy and practice.