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False Positive and False Negative

Risk and evidence

F

False Positive and False Negative

A result that says you have something when you do not, or misses something when you do.

Also called:

False alarm, missed diagnosis, test error

Pronounced:

What it means

False positive — the test says you have it and you do not. Leads to worry, further testing, and sometimes unnecessary treatment.

False negative — the test says you do not have it and you do. Leads to false reassurance and delay.

Every test produces both. There is no way to eliminate them, only to shift the balance between them.

The proportion of positives that are false depends heavily on how common the condition is. Testing a large group of people who mostly do not have a condition produces a lot of false positives, however good the test is. That is a mathematical property of screening, not a failure of it.

In practice

In screening information leaflets, and in explanations of why a result needs repeating.

Very much in evidence in home testing kits, where results arrive with no context at all.

Why it matters

Do not act on a single unexpected positive result. Ask for it to be confirmed, particularly if you have no symptoms.

Do not be falsely reassured by a negative result if your symptoms persist. This is the more dangerous of the two, and it is the reason every page on this site says symptoms override a past clear test.

Dr Mohammad Zubair Khan, GMC-registered private GP and founder of Cheshire Clinics

Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469

Last reviewed

August 30, 2026

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